DAE-ConvBiLSTM: End-to-end learning single-lead electrocardiogram signal for heart abnormalities detection.

Background: The electrocardiogram (ECG) is a widely used diagnostic that observes the heart activities of patients to ascertain a heart abnormality diagnosis. The artifacts or noises are primarily associated with the problem of ECG signal processing. Conventional denoising techniques have been proposed in previous literature; however, some lacks, such as the determination of suitable wavelet basis function and threshold, can be a time-consuming process. This paper presents end-to-end learning using a denoising auto-encoder (DAE) for denoising algorithms and convolutional-bidirectional long short-term memory (ConvBiLSTM) for ECG delineation to classify ECG waveforms in terms of the PQRST-wave and isoelectric lines. The denoising reconstruction using unsupervised learning based on the encoder-decoder process can be proposed to improve the drawbacks. First, The ECG signals are reduced to a low-dimensional vector in the encoder. Second, the decoder reconstructed the signals. The last, the reconstructed signals of ECG can be processed to ConvBiLSTM. The proposed architecture of DAE-ConvBiLSTM is the end-to-end diagnosis of heart abnormality detection.

Results: As a result, the performance of DAE-ConvBiLSTM has obtained an average of above 98.59% accuracy, sensitivity, specificity, precision, and F1 score from the existing studies. The DAE-ConvBiLSTM has also experimented with detecting T-wave (due to ventricular repolarisation) morphology abnormalities.

Conclusion: The development architecture for detecting heart abnormalities using an unsupervised learning DAE and supervised learning ConvBiLSTM can be proposed for an end-to-end learning algorithm. In the future, the precise accuracy of the ECG main waveform will affect heart abnormalities detection in clinical practice.