Hybrid classification engine for cardiac arrhythmia cloud service in elderly healthcare management

The self-regulation ability of the elderly is largely degenerated with the age increases, and the elderly often expose to great potential hazards of heart disorders. In practice, the electrocardiography (ECG) is one of the well-known non-invasive procedures used as records of heart rhythms and diagnosis of unusual heart diseases. In this paper, we propose a healthcare management system, named CardiaGuard, which is specialized in monitoring and analysis the heart disorder events for the elderly. The CardiaGuard cloud service is an expert system designed based on the hybrid classifier implemented using support vector machine (SVM) and random tree (RT) classification algorithm. We conduct a comprehensive performance evaluation which shows the proposed hybrid classification engine are able to detect six types of cardiac disorders with higher accuracy rate than the SVM-based classifier alone. CardiaGuard poses a great solution to enhance the quality of good clinical practice on the healthcare management for the elderly in cardiology. Close relation between the 25th beat before the point and the 50th after it.Alarm service can trigger the instant response.Personal ECG records may help easily catch the features for personal body.General ECG database is an assistant of other new arrhythmias.Hybrid classifier offers feasible and flexible arrhythmia identification.

[1]  Frédéric Jurie,et al.  Randomized Clustering Forests for Image Classification , 2008, IEEE Transactions on Pattern Analysis and Machine Intelligence.

[2]  Mohammad Mehdi Ebadzadeh,et al.  CLASSIFICATION OF CARDIAC ARRHYTHMIA WITH RESPECT TO ECG AND HRV SIGNAL BY GENETIC PROGRAMMING , 2012 .

[3]  Jindong Tan,et al.  A Real-Time Cardiac Arrhythmia Classification System with Wearable Electrocardiogram , 2011, 2011 International Conference on Body Sensor Networks.

[4]  Guo-Tan Liao,et al.  Design and implementation of a personal health monitoring system with an effective SVM-based PVC detection algorithm in cardiology , 2014, SAC.

[5]  Yongjin Wang,et al.  Integrating Analytic and Appearance Attributes for Human Identification from ECG Signals , 2006, 2006 Biometrics Symposium: Special Session on Research at the Biometric Consortium Conference.

[6]  J. Vagedes,et al.  How accurate is pulse rate variability as an estimate of heart rate variability? A review on studies comparing photoplethysmographic technology with an electrocardiogram. , 2013, International journal of cardiology.

[7]  Jean Vanderdonckt,et al.  Versatile clinical information system design for emergency departments , 2005, IEEE Transactions on Information Technology in Biomedicine.

[8]  R. J Muirhead,et al.  A Bayesian classification of heart rate variability data , 2004 .

[9]  Simin Nadjm-Tehrani,et al.  Kernel level energy-efficient 3G background traffic shaper for android smartphones , 2013, 2013 9th International Wireless Communications and Mobile Computing Conference (IWCMC).

[10]  K. Najarian,et al.  A time-series approach for shock outcome prediction using machine learning , 2010, 2010 IEEE International Conference on Bioinformatics and Biomedicine Workshops (BIBMW).

[11]  David A. Landgrebe,et al.  A survey of decision tree classifier methodology , 1991, IEEE Trans. Syst. Man Cybern..

[12]  Weiguang Wang,et al.  An Improved Algorithm for CART Based on the Rough Set Theory , 2013, 2013 Fourth Global Congress on Intelligent Systems.

[13]  Wisnu Jatmiko,et al.  Bootstrapped Multinomial Logistic Regression on Apnea Detection Using ECG Data , 2010 .

[14]  Chi-Sang Poon,et al.  Analysis of First-Derivative Based QRS Detection Algorithms , 2008, IEEE Transactions on Biomedical Engineering.

[15]  Wilhelm Burger,et al.  Digital Image Processing - An Algorithmic Introduction using Java , 2008, Texts in Computer Science.

[16]  Manpreet Kaur,et al.  Classification of ECG signals using LDA with factor analysis method as feature reduction technique , 2012, Journal of medical engineering & technology.

[17]  Gari D. Clifford,et al.  Signal processing methods for heart rate variability , 2002 .

[18]  S.M. Blanchard,et al.  The effect of light and dark periods on heart rate and heart rate variability in male broilers , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[19]  Bozena Kaminska,et al.  Vital signs monitoring using a new flexible polymer integrated PPG sensor , 2013, Computing in Cardiology 2013.

[20]  Guangda Liu,et al.  Optimal Wavelet Basis Selection of Wavelet Shrinkage for ECG De-Noising , 2009, 2009 International Conference on Management and Service Science.

[21]  Huan Chen,et al.  Implementation of a personal health monitoring system in cardiology application , 2012, 2012 IEEE Asia Pacific Conference on Circuits and Systems.

[22]  Fatin Zaklouta,et al.  Traffic sign classification using K-d trees and Random Forests , 2011, The 2011 International Joint Conference on Neural Networks.

[23]  李柏明 訊號與系統概論 -LabVIEW & Biosignal Analysis , 2009 .

[24]  Kemal Polat,et al.  A new method to medical diagnosis: Artificial immune recognition system (AIRS) with fuzzy weighted pre-processing and application to ECG arrhythmia , 2006, Expert Syst. Appl..

[25]  C.K. Chang,et al.  Variations of HRV analysis in different approaches , 2007, 2007 Computers in Cardiology.

[26]  Silvia Jiménez-Fernández,et al.  Telemedicine Experience for Chronic Care in COPD , 2006, IEEE Transactions on Information Technology in Biomedicine.

[27]  Conor Heneghan,et al.  Automated processing of the single-lead electrocardiogram for the detection of obstructive sleep apnoea , 2003, IEEE Transactions on Biomedical Engineering.

[28]  Wan-Young Chung,et al.  An ECG Analysis on Sensor Node for Reducing Traffic Overload in u-Healthcare with Wireless Sensor Network , 2007, 2007 IEEE Sensors.

[29]  Yüksel Özbay,et al.  A novel approach for classification of ECG arrhythmias: Type-2 fuzzy clustering neural network , 2009, Expert Syst. Appl..

[30]  H. H. So,et al.  Development of QRS detection method for real-time ambulatory cardiac monitor , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).

[31]  Wen-Tsai Sung,et al.  Mobile Physiological Measurement Platform With Cloud and Analysis Functions Implemented via IPSO , 2014, IEEE Sensors Journal.

[32]  Chih-Jen Lin,et al.  LIBSVM: A library for support vector machines , 2011, TIST.

[33]  Abduladhem A. Ali,et al.  A k-nearest neighbor based algorithm for human arm movements recognition using EMG signals , 2010, 2010 1st International Conference on Energy, Power and Control (EPC-IQ).

[34]  U. Rajendra Acharya,et al.  ECG beat classification using PCA, LDA, ICA and Discrete Wavelet Transform , 2013, Biomed. Signal Process. Control..

[35]  G Bortolan,et al.  Premature ventricular contraction classification by the Kth nearest-neighbours rule , 2005, Physiological measurement.

[36]  Dimitrios I. Fotiadis,et al.  An arrhythmia classification system based on the RR-interval signal , 2005, Artif. Intell. Medicine.

[37]  Xuesong Lu,et al.  Fisher Discriminant Analysis With L1-Norm , 2014, IEEE Transactions on Cybernetics.

[38]  Seyed Kamaledin Setarehdan,et al.  Support vector machine-based arrhythmia classification using reduced features of heart rate variability signal , 2008, Artif. Intell. Medicine.

[39]  Vijander Singh,et al.  Identification of optimal wavelet-based algorithm for removal of power line interferences in ECG signals , 2011, India International Conference on Power Electronics 2010 (IICPE2010).

[40]  Avinash C. Kak,et al.  PCA versus LDA , 2001, IEEE Trans. Pattern Anal. Mach. Intell..

[41]  Abdulkadir Sengür,et al.  An expert system based on linear discriminant analysis and adaptive neuro-fuzzy inference system to diagnosis heart valve diseases , 2008, Expert Syst. Appl..

[42]  Bing Zhang,et al.  Searching for suitable classification methods in the discrimination of cold/heat herbal nature with Weka , 2013, 2013 6th International Conference on Biomedical Engineering and Informatics.