Accurately Identifying Coronary Atherosclerotic Heart Disease through Merged Beats of Electrocardiogram

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Wang, X
Qi, M
Dong, C
Zhang, H
Yang, Y
Zhao, H
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2022
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Las Vegas, USA

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Abstract

Coronary Atherosclerotic Heart Disease (CAHD) is one kind of severe heart disease that is the dominating cause of death from non-communicable diseases worldwide. CAHD can be early detected through pre-symptomatic health check-ups, and the electrocardiogram (ECG) is common for non-invasive health check diagnoses. Traditionally, ECG signals are utilized to extract clinical features that are then input into machine learning methods for training and prediction. While these extracted features are interpretable, they are difficult to break through known features. On the other hand, ECG can be directly input to deep learning techniques, but such methods are usually limited by small sample sizes. Here, we propose to merge multiple beats of raw signal into one beat, which greatly reduces the complexity while maintaining the raw information. Moreover, we have constructed the largest benchmark dataset for 1113 CAHD patients of 12-lead ECG signals from the UK Biobank database and used the data to train a deep learning model. The results indicated that merged beat signals could achieve the best performance corresponding to an AUC of 0.71 and accuracy of 0.7, which is 4% higher than models using the raw signals and 6% higher than those using the clinical features. Further intuitive interpretation revealed that ST waves in lead II and V3 are the most closely associated with CAHD, consistent with clinical observations.

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2022 IEEE International Conference on Bioinformatics and Biomedicine (BIBM)

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Cardiovascular medicine and haematology

Clinical sciences

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Wang, X; Qi, M; Dong, C; Zhang, H; Yang, Y; Zhao, H, Accurately Identifying Coronary Atherosclerotic Heart Disease through Merged Beats of Electrocardiogram, 2022 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), 2022, pp. 1249-1254