Fine-grained ECG Classification Based on Deep CNN and Online Decision Fusion

Early recognition of abnormal rhythm in ECG signals is crucial for monitoring or diagnosing patients' cardiac conditions and increasing the success rate of the treatment. Classifying abnormal rhythms into fine-grained categories is very challenging due to the the broad taxonomy of rhythms, noises and lack of real-world data and annotations from large number of patients. This paper presents a new ECG classification method based on Deep Convolutional Neural Networks (DCNN) and online decision fusion. Different from previous methods which utilize hand-crafted features or learn features from the original signal domain, the proposed DCNN based method learns features and classifiers from the time-frequency domain in an end-to-end manner. First, the ECG wave signal is transformed to time-frequency domain by using Short-Time Fourier Transform. Next, specific DCNN models are trained on ECG samples of specific length. Finally, an online decision fusion method is proposed to fuse past and current decisions from different models into a more accurate one. Experimental results on both synthetic and real-world ECG datasets convince the effectiveness and efficiency of the proposed method.