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Accurately Identifying Coronary Atherosclerotic Heart Disease through Merged Beats of Electrocardiogram

Wang, Xinfeng ; Qi, Mengling ; Dong, Chengzhi ; Zhang, Haoyang LU orcid ; Yang, Yuedong and Zhao, Huiying (2022) 2022 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2022 p.1249-1254
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... (More)

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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author
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publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
keywords
Coronary atherosclerotic heart disease, Deep learning, Electrocardiogram, Merged beat, Residual network, XGBoost.
host publication
2022 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2022
editor
Adjeroh, Donald ; Long, Qi ; Shi, Xinghua ; Guo, Fei ; Hu, Xiaohua ; Aluru, Srinivas ; Narasimhan, Giri ; Wang, Jianxin ; Kang, Mingon ; Mondal, Ananda M. and Liu, Jin
pages
1249 - 1254
publisher
IEEE - Institute of Electrical and Electronics Engineers Inc.
conference name
2022 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2022
conference location
Las Vegas, United States
conference dates
2022-12-06 - 2022-12-08
external identifiers
  • scopus:85146721439
ISBN
9781665468190
DOI
10.1109/BIBM55620.2022.9995602
language
English
LU publication?
no
additional info
Funding Information: This study has been supported by the National Key R &D Program of China (2020YFB0204803), National Natur al Science Foundation of China (61772566), Guangzhou S &T Research Plan (202007030010). (For the code, supple ment file and dataset of the project, please visit https://git hub.com/andywxf/Predict_CAHD_by_ECG_on_UK_Biobank , send an e-mail to wangxf59@mail2.sysu.edu.cn.) We'd like to acknowledge the UK Biobank to make the data available.UK Biobank data ID/protocol number 65805. Publisher Copyright: © 2022 IEEE.
id
af6154fc-d225-4ea9-a362-1d2574f13d83
date added to LUP
2024-02-05 15:10:25
date last changed
2024-02-06 08:18:15
@inproceedings{af6154fc-d225-4ea9-a362-1d2574f13d83,
  abstract     = {{<p>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.</p>}},
  author       = {{Wang, Xinfeng and Qi, Mengling and Dong, Chengzhi and Zhang, Haoyang and Yang, Yuedong and Zhao, Huiying}},
  booktitle    = {{2022 IEEE International Conference on Bioinformatics and Biomedicine, BIBM 2022}},
  editor       = {{Adjeroh, Donald and Long, Qi and Shi, Xinghua and Guo, Fei and Hu, Xiaohua and Aluru, Srinivas and Narasimhan, Giri and Wang, Jianxin and Kang, Mingon and Mondal, Ananda M. and Liu, Jin}},
  isbn         = {{9781665468190}},
  keywords     = {{Coronary atherosclerotic heart disease; Deep learning; Electrocardiogram; Merged beat; Residual network; XGBoost.}},
  language     = {{eng}},
  pages        = {{1249--1254}},
  publisher    = {{IEEE - Institute of Electrical and Electronics Engineers Inc.}},
  title        = {{Accurately Identifying Coronary Atherosclerotic Heart Disease through Merged Beats of Electrocardiogram}},
  url          = {{http://dx.doi.org/10.1109/BIBM55620.2022.9995602}},
  doi          = {{10.1109/BIBM55620.2022.9995602}},
  year         = {{2022}},
}