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Synthetic ECG signal generation using generative neural networks.

Edmond Adib1, Fatemeh Afghah2, John J Prevost1

  • 1Electrical and Computer Engineering Department, University of Texas at San Antonio (UTSA), San Antonio, Texas, United States of America.

Plos One
|March 25, 2025
PubMed
Summary
This summary is machine-generated.

Generative adversarial networks (GANs) can create synthetic electrocardiogram (ECG) data to address imbalanced datasets. Models like BiLSTM-DC GAN and WGAN show promise for improving machine learning model performance in cardiac diagnostics.

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Area of Science:

  • Biomedical Engineering
  • Artificial Intelligence in Medicine
  • Cardiology

Background:

  • Electrocardiogram (ECG) datasets are often imbalanced due to rare abnormal cases.
  • Privacy regulations restrict the use of real patient ECG data, limiting dataset size.
  • Machine learning models for automatic ECG diagnosis require balanced datasets for optimal performance.

Purpose of the Study:

  • To evaluate the synthetic ECG generation capabilities of five Generative Adversarial Network (GAN) models.
  • To compare the performance of these GAN models in generating normal cardiac cycles.
  • To assess the utility of synthetic ECG data for augmenting imbalanced datasets and improving classification accuracy.

Main Methods:

  • Generated synthetic normal cardiac cycles using five different GAN models.
  • Quantitatively measured performance using Dynamic Time Warping (DTW), Fréchet, and Euclidean distances.
  • Proposed and applied five novel evaluation methods, including threshold, accepted beat, and productivity rate, for systematic comparison.

Main Results:

  • All tested GAN models demonstrated the ability to generate acceptable heartbeats with high morphological similarity.
  • BiLSTM-DC GAN and WGAN visually produced more statistically acceptable beats.
  • Classic GAN achieved the highest productivity rate at 72%.
  • Augmenting an imbalanced dataset with synthetic ECGs significantly improved the performance of the ECGResNet34 classifier.

Conclusions:

  • GANs show potential for generating synthetic ECG data to augment imbalanced datasets.
  • Specific GAN architectures (BiLSTM-DC GAN, WGAN) excel in generating visually acceptable beats.
  • Synthetic ECG data augmentation can significantly enhance the performance of automated cardiac diagnostic models.