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      Deep learning for ECG Arrhythmia detection and classification: an overview of progress for period 2017–2023

      systematic-review

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          Abstract

          Cardiovascular diseases are a leading cause of mortality globally. Electrocardiography (ECG) still represents the benchmark approach for identifying cardiac irregularities. Automatic detection of abnormalities from the ECG can aid in the early detection, diagnosis, and prevention of cardiovascular diseases. Deep Learning (DL) architectures have been successfully employed for arrhythmia detection and classification and offered superior performance to traditional shallow Machine Learning (ML) approaches. This survey categorizes and compares the DL architectures used in ECG arrhythmia detection from 2017–2023 that have exhibited superior performance. Different DL models such as Convolutional Neural Networks (CNNs), Multilayer Perceptrons (MLPs), Transformers, and Recurrent Neural Networks (RNNs) are reviewed, and a summary of their effectiveness is provided. This survey provides a comprehensive roadmap to expedite the acclimation process for emerging researchers willing to develop efficient algorithms for detecting ECG anomalies using DL models. Our tailored guidelines bridge the knowledge gap allowing newcomers to align smoothly with the prevailing research trends in ECG arrhythmia detection. We shed light on potential areas for future research and refinement in model development and optimization, intending to stimulate advancement in ECG arrhythmia detection and classification.

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          The impact of the MIT-BIH Arrhythmia Database

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            Screening for cardiac contractile dysfunction using an artificial intelligence–enabled electrocardiogram

            Asymptomatic left ventricular dysfunction (ALVD) is present in 3-6% of the general population, is associated with reduced quality of life and longevity, and is treatable when found1-4. An inexpensive, noninvasive screening tool for ALVD in the doctor's office is not available. We tested the hypothesis that application of artificial intelligence (AI) to the electrocardiogram (ECG), a routine method of measuring the heart's electrical activity, could identify ALVD. Using paired 12-lead ECG and echocardiogram data, including the left ventricular ejection fraction (a measure of contractile function), from 44,959 patients at the Mayo Clinic, we trained a convolutional neural network to identify patients with ventricular dysfunction, defined as ejection fraction ≤35%, using the ECG data alone. When tested on an independent set of 52,870 patients, the network model yielded values for the area under the curve, sensitivity, specificity, and accuracy of 0.93, 86.3%, 85.7%, and 85.7%, respectively. In patients without ventricular dysfunction, those with a positive AI screen were at 4 times the risk (hazard ratio, 4.1; 95% confidence interval, 3.3 to 5.0) of developing future ventricular dysfunction compared with those with a negative screen. Application of AI to the ECG-a ubiquitous, low-cost test-permits the ECG to serve as a powerful screening tool in asymptomatic individuals to identify ALVD.
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              Unbiased look at dataset bias

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                Author and article information

                Contributors
                Journal
                Front Physiol
                Front Physiol
                Front. Physiol.
                Frontiers in Physiology
                Frontiers Media S.A.
                1664-042X
                15 September 2023
                2023
                : 14
                : 1246746
                Affiliations
                [1] 1 ECEN Program , Texas A&M University at Qatar , Doha, Qatar
                [2] 2 Weill Cornell Medicine-Qatar , Doha, Qatar
                [3] 3 ECEN Department , Texas A&M University , College Station, TX, United States
                Author notes

                Edited by: Feng Liu, The University of Queensland, Australia

                Reviewed by: Mingfeng Jiang, Zhejiang Sci-Tech University, China

                Zhimin Zhang, China Pharmaceutical University, China

                *Correspondence: Yaqoob Ansari, m.ansari@ 123456qatar.tamu.edu
                Article
                1246746
                10.3389/fphys.2023.1246746
                10542398
                37791347
                70a55a07-59b9-4ba6-97b5-6bb7686a0a2b
                Copyright © 2023 Ansari, Mourad, Qaraqe and Serpedin.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 26 June 2023
                : 28 August 2023
                Funding
                Open Access funding for this reseach was provided by the Qatar National Library (QNL). The authors acknowledge the support provided by the Electrical and Computer Engineering Department at Texas A&M University in Qatar. This support greatly contributed to the realization and success of this study.
                Categories
                Physiology
                Systematic Review
                Custom metadata
                Computational Physiology and Medicine

                Anatomy & Physiology
                cardiovascular diseases,arrhythmia detection,deep learning,electrocardiography,cardiology,anomaly

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