An intelligent learning approach for improving ECG signal classification and arrhythmia analysis.

The recognition of cardiac arrhythmia in minimal time is important to prevent sudden and untimely deaths. The proposed work includes a complete framework for analyzing the Electrocardiogram (ECG) signal. The three phases of analysis include 1) the ECG signal quality enhancement through noise suppression by a dedicated filter combination; 2) the feature extraction by a devoted wavelet design and 3) a proposed hidden Markov model (HMM) for cardiac arrhythmia classification into Normal (N), Right Bundle Branch Block (RBBB), Left Bundle Branch Block (LBBB), Premature Ventricular Contraction (PVC) and Atrial Premature Contraction (APC). The main features extracted in the proposed work are minimum, maximum, mean, standard deviation, and median. The experiments were conducted on forty-five ECG records in MIT BIH arrhythmia database and in MIT BIH noise stress test database. The proposed model has an overall accuracy of 99.7 % with a sensitivity of 99.7 % and a positive predictive value of 100 %. The detection error rate for the proposed model is 0.0004. This paper also includes a study of the cardiac arrhythmia recognition using an IoMT (Internet of Medical Things) approach.