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Inter- and intra- patient ECG heartbeat classification for arrhythmia detection: a sequence to sequence deep learning approach

9 Dec 2018arXiv:1812.07421 2018 12arXiv:1812.07421archive 2025-07-28

Sajad Mousavi, Fatemeh Afghah

Electrocardiogram (ECG) signal is a common and powerful tool to study heart function and diagnose several abnormal arrhythmia. While there have been remarkable improvements in cardiac arrhythmia classification methods, they still cannot offer an acceptable performance in detecting different heart conditions, especially when dealing with imbalanced datasets. In this paper, we propose a solution to address this limitation of current classification approaches by developing an automatic heartbeat classification method using deep convolutional neural networks and sequence to sequence models. We evaluated the proposed method on the MIT-BIH arrhythmia database, considering the intra-patient and inter-patient paradigms, and the AAMI EC57 standard. The evaluation results for both paradigms show that our method achieves the best performance in the literature (a positive predictive value of 96.46% and sensitivity of 100% for the category S, and a positive predictive value of 98.68% and sensitivity of 97.40% for the category F for the intra-patient scheme; a positive predictive value of 92.57% and sensitivity of 88.94% for the category S, and a positive predictive value of 99.50% and sensitivity of 99.94% for the category V for the inter-patient scheme.)

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Tasks

Arrhythmia DetectionClassificationHeartbeat ClassificationSensitivity

Results from the paper archive 2025-07-28

TaskDatasetModelMetricValueRank at snapshotLeaderboardReport
Arrhythmia Detection MIT-BIH AR BiRNN Accuracy (Inter-Patient) 99.53% #1 of 6 Archive leaderboard report
Arrhythmia Detection MIT-BIH AR BiRNN Accuracy (Intra-Patient) 99.92% #1 of 6 Archive leaderboard report

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