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Methodological identification of anomalies episodes in ECG streams: a systematic mapping study
Uzair Iqbal1, Riyad Almakki2, Muhammad Usman3
1Department of Artificial Intelligence and Data Science, National University of Computer and Emerging Sciences, Islamabad, Pakistan. uzair.iqbal@nu.edu.pk.
Insights
This study reviews methods for classifying T wave changes in electrocardiograms (ECG) to detect myocardial infarction (MI). It highlights current techniques and identifies future research directions for improved ECG analysis.
Area of Science:
- Cardiology
- Biomedical Engineering
- Medical Informatics
Background:
- Electrocardiograms (ECG) are crucial for diagnosing heart conditions like arrhythmia and myocardial infarction (MI).
- T wave abnormalities in ECG are key indicators for assessing the severity of MI.
- Existing research focuses on T wave classification, but gaps remain in comprehensive analysis.
Purpose of the Study:
- To systematically review and synthesize state-of-the-art methods for T wave classification in ECG for MI detection.
- To identify research questions and provide solutions based on the latest advancements in the field.
- To highlight gaps and propose future research directions for enhanced ECG analysis.
Main Methods:
- A systematic literature review (SLR) following Kitchenham guidance was conducted.
- Articles were collected from IEEE Xplore, Scopus, Science Direct, and Springer (2008-2023).
- A multi-level filtering process, including keyword search, eligibility criteria, and expert quality assessment, was employed.
Main Results:
- The review identified and discussed various state-of-the-art methods for T wave classification.
- These methods provide solutions to pre-defined research questions concerning MI detection via ECG.
- The analysis highlighted the effectiveness of current approaches in ECG interpretation.
Conclusions:
- Critical observations revealed gaps in current T wave classification techniques.
- Future research should focus on advanced feature engineering for ECG.
- Dimensionality reduction and understanding ECG feature dependencies are crucial for improved analysis.
Abstract:
An electrocardiogram is a medical examination tool for measuring different patterns of heart blood flow circle either in the form of usual or non-invasive patterns. These patterns are useful for the identification of morbidity condition of the heart especially in certain conditions of heart abnormality and arrhythmia. Myocardial infarction (MI) is one of them that happened due to sudden blockage of blood by the cause of malfunction of heart. In electrocardiography (ECG) intensity of MI is highlighted on the basis of unusual patterns of T wave changes. Various studies have contributed for MI through T wave's classification, but more to the point of T wave has always attracted the ECG researchers. Methodology. This Study is primarily designed for proposing the combination of latest methods that are worked for the solutions of pre-defined research questions. Such solutions are designed in the form of the systematic review process (SLR) by following the Kitchen ham guidance. The literature survey is a two phase's process, at first phase collect the articles that were published in IEEE Xplore, Scopus, science direct and Springer from 2008 to 2023. It consist of steps; the first level is executed by filtrating the articles on the basis of keyword phase of title and abstract filter. Similarly, at two level the manuscripts are scanned through filter of eligibility criteria of articles selection. The last level belongs to the quality assessment of articles, in such level articles are rectified through evaluation of domain experts. Results. Finally, the selected articles are addressed with research questions and briefly discuss these selected state-of-the-art methods that are worked for the T wave classification. These address units behave as solutions to research problems that are highlighted in the form of research questions. Conclusion and future directions. During the survey process for these solutions, we got some critical observations in the form of gaps that reflected the other directions for researchers. In which feature engineering, different dependencies of ECG features and dimensional reduction of ECG for the better ECG analysis are reflection of future directions.
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