Heart beat classification from single-lead ECG using the Synchrosqueezing Transform

TL;DR

This paper introduces a novel method using the Synchrosqueezing Transform to improve heartbeat detection and classification from single-lead ECG signals, aiding in cardiac health assessment with fewer leads.

Contribution

The study applies the synchrosqueezing transform to single-lead ECGs for enhanced beat classification, demonstrating comparable accuracy to multi-lead methods with fewer features.

Findings

Achieved high sensitivity and positive predictive value in heartbeat classification.

Validated the approach using MIT-BIH arrhythmia database.

Supported single-lead ECG analysis for reliable cardiac rhythm assessment.

Abstract

The processing of ECG signal provides a wealth of information on cardiac function and overall cardiovascular health. While multi-lead ECG recordings are often necessary for a proper assessment of cardiac rhythms, they are not always available or practical, for example in fetal ECG applications. Moreover, a wide range of small non-obtrusive single-lead ECG ambulatory monitoring devices are now available, from which heart rate variability (HRV) and other health-related metrics are derived. Proper beat detection and classification of abnormal rhythms is important for reliable HRV assessment and can be challenging in single-lead ECG monitoring devices. In this manuscript, we modeled the heart rate signal as an adaptive non-harmonic model and used the newly developed synchrosqueezing transform (SST) to characterize ECG patterns. We show how the proposed model can be used to enhance heart beat detection and classification between normal and abnormal rhythms. In particular, using the Massachusetts Institute of Technology-Beth Israel Hospital (MIT-BIH) arrhythmia database and the Association for the Advancement of Medical Instrumentation (AAMI) beat classes, we trained and validated a support vector machine (SVM) classifier on a portion of the annotated beat database using the SST-derived instantaneous phase, the R-peak amplitudes and R-peak to R-peak interval durations, based on a single ECG lead. We obtained sensitivities and positive predictive values comparable to other published algorithms using multiple leads and many more features.