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Updated: Jan 12, 2026

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Published on: May 23, 2021
Level-crossing processing and deep convolutional neural network for arrhythmia classification in telehealth services
Syed Fawad Hussain1,2, Saeed Mian Qaisar3,4, Muhammad Sherjeel5
1MDS Lab, Faculty of Computer Science and Engineering, G.I.K Institute, Topi, 23640, Pakistan. s.f.hussain@bham.ac.uk.
A novel telehealthcare method automates arrhythmia diagnosis using Level-Crossing Analog-Digital Converters (LCADCs) and deep learning. This approach significantly reduces data size and enhances computational efficiency for real-time medical applications.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence in Healthcare
- Signal Processing
Background:
- Telehealthcare relies on wireless biomedical devices, facing challenges in data compression, transmission, security, and processing.
- Efficient and accurate automated diagnosis of cardiac arrhythmias is crucial for effective patient monitoring and prognosis.
Purpose of the Study:
- To propose a novel, efficient, and effective method for automated arrhythmia diagnosis in telehealthcare.
- To achieve real-time data size reduction, computationally efficient signal preconditioning, and low-latency accurate classification.
Main Methods:
- The proposed technique integrates Level-Crossing Analog-Digital Converters (LCADCs), Enhanced Activity Selection Algorithm (EASA), Adaptive-Rate Filtering (ARF), and a 1-D deep convolutional neural network (CNN).
- ECG signals are sampled using the level-crossing concept, followed by QRS-based segmentation and ARF.
- Denoised segments are directly classified by the 1-D CNN without handcrafted feature extraction.
Main Results:
- Achieved an average 4.2-times reduction in acquired samples compared to conventional fixed-rate methods.
- Demonstrated over 7.2-times computational effectiveness in the post-denoising stage due to data dimension reduction.
- Attained a 99% accuracy rate for classifying five clinically important arrhythmia classes from the MIT-BIH dataset with significantly reduced classification latency.
Conclusions:
- The proposed method offers an efficient and effective solution for automated arrhythmia diagnosis in telehealthcare.
- The integration of LCADCs, EASA, ARF, and 1-D CNN significantly improves data compression, processing efficiency, and classification accuracy.
- This approach holds promise for real-time, low-latency, and accurate cardiac monitoring in cloud-connected healthcare environments.
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