# A novel method of BiFormer with temporal-spatial characteristics for ECG-based PVC detection

**Authors:** Siyuan Chen, Zhen Wang, Hao Wang, Shuai Wang, Yang Li, Bing Wang

PMC · DOI: 10.3389/fphys.2025.1549380 · Frontiers in Physiology · 2025-05-20

## TL;DR

This paper introduces a new deep learning method combining MTF and BiFormer for detecting PVCs in ECGs with high accuracy.

## Contribution

A novel PVC detection method using MTF and BiFormer with improved accuracy and efficiency.

## Key findings

- The algorithm achieved a detection accuracy of 99.45%.
- The method outperformed other commonly-used PVC detection algorithms.
- The approach optimized computational efficiency and memory usage.

## Abstract

Premature Ventricular Contractions (PVCs) can be warning signs for serious cardiac conditions, and early detection is essential for preventing complications. The use of deep learning models in electrocardiogram (ECG) analysis has aided more accurate and efficient PVC identification. These models automatically extract and analyze complex signal features, providing valuable clinical decision-making support. Here, we conducted a study focused on the practical applications of is technology.

We first used the MIT-BIH arrhythmia database and a sparse low-rank algorithm to denoise ECG signals. We then transformed the one-dimensional time-series signals into two-dimensional images using Markov Transition Fields (MTFs), considering state transition probabilities and spatial location information to comprehensively capture signal features. Finally, we used the BiFormer classification model, which employs a Bi-level Routing Attention (BRA) mechanism to construct region-level affinity graphs, to retain only the regions highly relevant to our query. This approach filtered out redundant information, and optimized both computational efficiency and memory usage.

Our algorithm achieved a detection accuracy of 99.45%, outperforming other commonly-used PVC detection algorithms.

By integrating MTF and BiFormer, we effectively detected PVCs, facilitating an increased convergence between medicine and deep learning technology. We hope our model can help contribute to more accurate computational support for PVC diagnosis and treatment.

## Full-text entities

- **Diseases:** arrhythmia (MESH:D001145), PVCs (MESH:D018879), cardiac conditions (MESH:D006331)

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12129755/full.md

## References

44 references — full list in the complete paper: https://tomesphere.com/paper/PMC12129755/full.md

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Source: https://tomesphere.com/paper/PMC12129755