A CNN and Transformer Hybrid Network for Multi-Class Arrhythmia Detection from Photoplethysmography.

Journal: Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference
PMID:

Abstract

Photoplethysmography (PPG)-based arrhythmia detection methods have gained attention with wearable technology, enabling early detection of undiagnosed arrhythmias. Existing methods excel in single arrhythmia detection but struggle with multiple arrhythmias due to challenges in extracting discriminative features from PPG signals. This study introduces a hybrid convolutional neural network (CNN)-transformer network for multiple arrhythmia detection from PPG signals. The model incorporates convolutional operations and self-attention mechanisms to capture both local features and global temporal dependencies within the PPG signals. A feature fusion layer with channel attention is implemented to integrate the local and global features. Experimental results show the model achieves an average precision, recall, and F1-score of 87.0%, 87.1%, and 86.8%, respectively, in classifying sinus rhythm and five types of arrhythmias (premature ventricular contraction, premature atrial contraction, ventricular tachycardia, supraventricular tachycardia, and atrial fibrillation). These results surpass state-of-the-art methods, highlighting the model's promise for accurate multi-class arrhythmia detection from PPG signals.

Authors

  • Zeng-Ding Liu
    Key Laboratory for Health Informatics of the Chinese Academy of Sciences, Shenzhen Institutes of advanced technology, Shenzhen, China.
  • Bin Zhou
    Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
  • Ji-Kui Liu
  • Honglei Zhao
  • Ye Li
    Environment and Plant Protection Institute, Chinese Academy of Tropical Agricultural Science, Haikou 571010, People's Republic of China; Key Laboratory of Monitoring and Control of Tropical Agricultural and Forest Invasive Alien Pests, Ministry of Agriculture, Haikou 571010, People's Republic of China.
  • Fen Miao