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A novel approach for early prediction of sudden cardiac death (SCD) using hybrid deep learning

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Abstract

Importance of early prediction of Sudden Cardiac Deaths (SCD) has been rising as a large percentage of mortality of patients with cardiovascular diseases. Various deep learning methodologies has been developed to predict the onset of SCDs, Their key limitation is either classification accuracy or the processing time. This research tries to improve the classification accuracy and decrease the processing time. A Convolutional Neural Network (CNN) is combined with a Recurrence Complex Network (RCN) along with Dropout Regularization to enhance the accuracy of SCD classification. Initially, the synchronization feature of individual heartbeat of the electrocardiogram (ECG) signal is constructed by RCN. The recurrence matrix from the (RCN) will generate Eigen values. Then, CNN will be employed to extract features and detect SCD by analysing the Eigen values. Finally, the performance of the classification is improved by the developing a voting algorithm for the SCD detection. MIT-BIH SCD database is used to evaluate the proposed system. The average accuracy and processing time for MIT-BIH Arrhythmia dataset is 93.24% and 21 epochs, MIT-BIH SCD Holter dataset is 90.60% and 11.5 epochs, and Apnoea-ECG dataset is 92.13% and 13.5 epochs. The average processing time has also been reduced to 20.77 milliseconds against the current processing time of 32.96 milliseconds. The proposed system enhances the classification accuracy and the processing time of the prediction system. The study eradicates the issue of gradient saturation during the training of the CNN by proposing a new activation function as well as eliminates the risk of overfitting by implementing dropout regularization in CNN.

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References

  1. Acharya UR, Fujita H, Oh SL, Hagiwara Y, Tan JH, Adam M (2017) Application of deep convolutional neural network for automated detection of myocardial infarction using ECG signals. Information Sciences 415–416:190–198. https://doi.org/10.1016/j.ins.2017.06.027

    Article  Google Scholar 

  2. K. A. Alfarhan, M. Y. Mashor, A. Zakaria, and M. I. Omar, "Automated Electrocardiogram Signals Based Risk Marker for Early Sudden Cardiac Death Prediction," Journal of Medical Imaging and Health Informatics, vol. 8, no. 9, pp. 1769–1775, 2019, doi: https://doi.org/10.1166/jmihi.2018.25311769.

  3. Amezquita-Sanchez JP, Valtierra-Rodriguez M, Adeli H, Perez-Ramirez CA (2019) A Novel Wavelet Transform-Homogeneity Model for Sudden Cardiac Death Prediction Using ECG Signals. Journal of Medical Systems 42(10):176. https://doi.org/10.1007/s10916-018-1031-5

    Article  Google Scholar 

  4. Chugh SS, Kelly KL, Titus JL (2000) Sudden cardiac death with apparently Normal heart. Circulation 102(6):649–654. https://doi.org/10.1161/01.CIR.102.6.649

    Article  Google Scholar 

  5. Clevert D-A, Unterthiner T, Hochreiter S (2015) Fast and Accurate Deep Network Learning by Exponential Linear Units (ELUs), CoRR, vol. abs/1511.07289.

  6. Dang H, Sun M, Zhang G, Qi X, Zhou X, Chang Q (2019) A novel deep arrhythmia-diagnosis network for atrial fibrillation classification using electrocardiogram signals. IEEE Access 7:75577–75590. https://doi.org/10.1109/ACCESS.2019.2918792

    Article  Google Scholar 

  7. Delakis M, Garcia C (2008) Text Detection with Convolutional Neural Networks. pp. 290–294

  8. Devi R, Tyagi HK, Kumar D (2019) A novel multi-class approach for early-stage prediction of sudden cardiac death. Biocybernetics and Biomedical Engineering 39(3):586–598. https://doi.org/10.1016/j.bbe.2019.05.011

    Article  Google Scholar 

  9. Ebrahimzadeh E, Manuchehri MS, Amoozegar S, Araabi BN, Soltanian-Zadeh H (2019) A time local subset feature selection for prediction of sudden cardiac death from ECG signal. Medical & Biological Engineering & Computing 56(7):1253–1270. https://doi.org/10.1007/s11517-017-1764-1

    Article  Google Scholar 

  10. Ebrahimzadeh E et al (2019) An optimal strategy for prediction of sudden cardiac death through a pioneering feature-selection approach from HRV signal. Computer Methods and Programs in Biomedicine 169:19–36. https://doi.org/10.1016/j.cmpb.2018.12.001

    Article  Google Scholar 

  11. Fujita H, Acharya UR, Sudarshan VK, Ghista DN, Sree SV, Eugene LWJ, Koh JEW (2016) Sudden cardiac death (SCD) prediction based on nonlinear heart rate variability features and SCD index. Appl Soft Comput 43:510–519. https://doi.org/10.1016/j.asoc.2016.02.049

    Article  Google Scholar 

  12. Greenspan H, Ginneken BV, Summers RM (2016) Guest editorial deep learning in medical imaging: overview and future promise of an exciting new technique. IEEE Trans Med Imaging 35(5):1153–1159. https://doi.org/10.1109/TMI.2016.2553401

    Article  Google Scholar 

  13. Jang D et al (2019) Developing neural network models for early detection of cardiac arrest in emergency department. Am J Emerg Med 38:43–49. https://doi.org/10.1016/j.ajem.2019.04.006

    Article  Google Scholar 

  14. Ji S, Xu W, Yang M, Yu K (2013) 3D convolutional neural networks for human action recognition. IEEE Trans Pattern Anal Mach Intell 35(1):221–231. https://doi.org/10.1109/TPAMI.2012.59

    Article  Google Scholar 

  15. Korpusik M, Collins Z, Glass J (2017) Semantic mapping of natural language input to database entries via Convolutional neural networks, Proceedings of 2017 IEEE international conference on acoustics, speech and signal processing, pp. 5685–5689

  16. Krizhevsky A, Sutskever I, Hinton GE (2012) ImageNet classification with deep convolutional neural networks. Neural Information Processing Systems 25:01/01–01/90. https://doi.org/10.1145/3065386

    Article  Google Scholar 

  17. Kwon J, Lee Y, Lee Y, Lee S, Park J (2018) An Algorithm Based on Deep Learning for Predicting In-Hospital Cardiac Arrest. Journal of the American Heart Association 7(13):e008678. https://doi.org/10.1161/JAHA.118.008678

    Article  Google Scholar 

  18. Kwon J, Jeon KH, Kim HM, Kim MJ, Lim S, Kim KH, Song PS, Park J, Choi RK, Oh BH (2019) Deep-learning-based out-of-hospital cardiac arrest prognostic system to predict clinical outcomes. Resuscitation 139:84–91. https://doi.org/10.1016/j.resuscitation.2019.04.007

    Article  Google Scholar 

  19. Kwon J et al (2019) Artificial intelligence algorithm for predicting mortality of patients with acute heart failure. PLOS ONE 14(7):e0219302. https://doi.org/10.1371/journal.pone.0219302

    Article  Google Scholar 

  20. Kwon J, Kim K, Jeon K, Park J (2019) Deep learning for predicting in-hospital mortality among heart disease patients based on echocardiography. Echocardiography 36(2):213–218. https://doi.org/10.1111/echo.14220

    Article  Google Scholar 

  21. Lai D, Zhang Y, Zhang X, Su Y, Heyat MBB (2019) An automated strategy for early risk identification of sudden cardiac death by using machine learning approach on measurable arrhythmic risk markers. IEEE Access 7:94701–94716. https://doi.org/10.1109/ACCESS.2019.2925847

    Article  Google Scholar 

  22. Lecun Y, Bottou L, Bengio Y, Haffner P (1998) Gradient-based learning applied to document recognition. Proc IEEE 86(11):2278–2324. https://doi.org/10.1109/5.726791

    Article  Google Scholar 

  23. Li Z, Feng X, Wu Z, Yang C, Bai B, Yang Q (2019) Classification of atrial fibrillation recurrence based on a convolution neural network with SVM architecture. IEEE Access 7:77849–77856. https://doi.org/10.1109/ACCESS.2019.2920900

    Article  Google Scholar 

  24. Parsi A, Loughlin DO, Glavin M, Jones E (2019) Prediction of sudden cardiac death in implantable Cardioverter defibrillators: a review and comparative study of heart rate variability features. IEEE Rev Biomed Eng:1–1. https://doi.org/10.1109/RBME.2019.2912313

  25. Sannino G, De Pietro G (2018) A deep learning approach for ECG-based heartbeat classification for arrhythmia detection. Future Generation Computer Systems 86:446–455. https://doi.org/10.1016/j.future.2018.03.057

    Article  Google Scholar 

  26. Si Y, Xu T, Jiang S (2018, 2018) Deep Convolutional Neural Network Based ECG Classification System Using Information Fusion and One-Hot Encoding Techniques. Mathematical Problems in Engineering (7354081):10. https://doi.org/10.1155/2018/7354081

  27. Wei X, Li J, Zhang C, Liu M, Xiong P, Yuan X, Li Y, Lin F, Liu X (2019, 8057820) Atrial Fibrillation Detection by the Combination of Recurrence Complex Network and Convolution Neural Network. Journal of Probability and Statistics 2019:9. https://doi.org/10.1155/2019/8057820

    Article  MathSciNet  MATH  Google Scholar 

  28. Zhai X, Tin C (2018) Automated ECG classification using dual heartbeat coupling based on convolutional neural network. IEEE Access 6:27465–27472. https://doi.org/10.1109/ACCESS.2018.2833841

    Article  Google Scholar 

  29. Zhang M, Diao M, Guo L (2017) Convolutional neural networks for automatic cognitive radio waveform recognition. IEEE Access 5:11074–11082. https://doi.org/10.1109/ACCESS.2017.2716191

    Article  Google Scholar 

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Correspondence to Abeer Alsadoon.

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Kaspal, R., Alsadoon, A., Prasad, P.W.C. et al. A novel approach for early prediction of sudden cardiac death (SCD) using hybrid deep learning. Multimed Tools Appl 80, 8063–8090 (2021). https://doi.org/10.1007/s11042-020-10150-x

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  • DOI: https://doi.org/10.1007/s11042-020-10150-x

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