Automatic Detection of Atrial Fibrillation and Other Arrhythmias in ECG Recordings Acquired by a Smartphone Device

Abstract

Atrial fibrillation (AF) is the most common cardiac disease and is associated with other cardiac complications. Few attempts have been made for discriminating AF from other arrhythmias and noise. The aim of this study is to present a novel approach for such a classification in short ECG recordings acquired using a smartphone device. The implemented algorithm was tested on the Physionet Computing in Cardiology Challenge 2017 Database and, for the purpose of comparison, on the MIT-BH AF database. After feature extraction, the stepwise linear discriminant analysis for feature selection was used. The Least Square Support Vector Machine classifier was trained and cross-validated on the available dataset of the Challenge 2017. The best performance was obtained with a total of 30 features. The algorithm produced the following performance: F1 Normal rhythm = 0.92; F1 AF rhythm: 0.82; F1 Other rhythm = 0.75; Global F1 = 0.83, obtaining the third best result in the follow-up phase of the Physionet Challenge. On the MIT-BH ADF database the algorithm gave the following performance: F1 Normal rhythm = 0.98; F1 AF rhythm: 0.99; Global F1 = 0.98. Since the algorithm reliably detect AF and other rhythms in smartphone ECG recordings, it could be applied for personal health monitoring systems.

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“…Particularly, the FIR output showed a good agreement compared to a reference simultaneous ECG recording in terms of correlation coefficients and statistical comparison of the spectrum and morphological features. Billeci et al [3] proposed a novel method for efficient discrimination between atrial fibrillation, normal rhythms, and noisy ECG recorded by a smartphone-based device. An SVM-based classification procedure was applied on a dataset made by features coming from the analysis of both the RR time-series, p-wave, and ECG morphology and included a feature selection stage based on stepwise linear discrimination analysis.…”

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