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Electrocardiograms (ECGs) play a vital role in the clinical diagnosis of heart diseases. An ECG record of the heart signal over time can be used to discover numerous arrhythmias. Our work is based on 15 different classes from the MIT-BIH arrhythmia dataset. But the MIT-BIH dataset is strongly imbalanced, which impairs the accuracy of deep learning models. We propose a novel data-augmentation technique using generative adversarial networks (GANs) to restore the balance of the dataset. Two deep learning approaches-an end-to-end approach and a two-stage hierarchical approach-based on deep convolutional neural networks (CNNs) are used to eliminate hand-engineering features by combining feature extraction, feature reduction, and classification into a single learning method. Results show that augmenting the original imbalanced dataset with generated heartbeats by using the proposed techniques more effectively improves the performance of ECG classification than using the same techniques trained only with the original dataset. Furthermore, we demonstrate that augmenting the heartbeats using GANs outperforms other common data augmentation techniques. Our experiments with these techniques achieved overall accuracy above 98.0%, precision above 90.0%, specificity above 97.4%, and sensitivity above 97.7% after the dataset had been balanced using GANs, results that outperform several other ECG classification methods. INDEX TERMS Class imbalance, convolution neural networks (CNNs), ECG classification, generative adversarial networks (GANs).

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