Evidence map›Paper›PMID 35322685›Full record

ArticleJournal of the American Heart Association2022

Multiclass Arrhythmia Detection and Classification From Photoplethysmography Signals Using a Deep Convolutional Neural Network.

Zengding Liu, Bin Zhou, Zhiming Jiang, Xi Chen, Ye Li, Min Tang, Fen Miao

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 44 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Zengding LiuKey Laboratory for Health Informatics Shenzhen Institute of Advanced TechnologyChinese Academy of Sciences Shenzhen China.ORCID 0000-0003-2878-5367
Bin ZhouDepartment of Cardiology Laboratory of Heart Center Zhujiang HospitalSouthern Medical University Guangzhou China.
Zhiming JiangKey Laboratory for Health Informatics Shenzhen Institute of Advanced TechnologyChinese Academy of Sciences Shenzhen China.
Xi ChenKey Laboratory for Health Informatics Shenzhen Institute of Advanced TechnologyChinese Academy of Sciences Shenzhen China.
Ye LiKey Laboratory for Health Informatics Shenzhen Institute of Advanced TechnologyChinese Academy of Sciences Shenzhen China.
Min TangFuwai HospitalNational Center for Cardiovascular DiseaseState Key Lab of Cardiovascular DiseaseNational Clinical Research Center of Cardiovascular DiseasesChinese Academy of Medical Sciences and Peking Union Medical College Beijing China.ORCID 0000-0002-6883-1770
Fen MiaoKey Laboratory for Health Informatics Shenzhen Institute of Advanced TechnologyChinese Academy of Sciences Shenzhen China.ORCID 0000-0003-3054-807X
Shenzhen Institutes of Advanced Technology · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Studies have reported the use of photoplethysmography signals to detect atrial fibrillation; however, the use of photoplethysmography signals in classifying multiclass arrhythmias has rarely been reported. Our study investigated the feasibility of using photoplethysmography signals and a deep convolutional neural network to classify multiclass arrhythmia types. Methods and Results ECG and photoplethysmography signals were collected simultaneously from a group of patients who underwent radiofrequency ablation for arrhythmias. A deep convolutional neural network was developed to classify multiple rhythms based on 10-second photoplethysmography waveforms. Classification performance was evaluated by calculating the area under the microaverage receiver operating characteristic curve, overall accuracy, sensitivity, specificity, and positive and negative predictive values against annotations on the rhythm of arrhythmias provided by 2 cardiologists consulting the ECG results. A total of 228 patients were included; 118 217 pairs of 10-second photoplethysmography and ECG waveforms were used. When validated against an independent test data set (23 384 photoplethysmography waveforms from 45 patients), the DCNN achieved an overall accuracy of 85.0% for 6 rhythm types (sinus rhythm, premature ventricular contraction, premature atrial contraction, ventricular tachycardia, supraventricular tachycardia, and atrial fibrillation); the microaverage area under the microaverage receiver operating characteristic curve was 0.978; the average sensitivity, specificity, and positive and negative predictive values were 75.8%, 96.9%, 75.2%, and 97.0%, respectively. Conclusions This study demonstrated the feasibility of classifying multiclass arrhythmias from photoplethysmography signals using deep learning techniques. The approach is attractive for population-based screening and may hold promise for the long-term surveillance and management of arrhythmia. Registration URL: www.chictr.org.cn. Identifier: ChiCTR2000031170.

Indexed as

Atrial FibrillationVentricular Premature ComplexesAlgorithmsElectrocardiographyHumansNeural Networks, ComputerPhotoplethysmographyarrhythmiasdeep convolutional neural networksphotoplethysmography

Identifiers

PMID35322685
PMCPMC9075456
OpenAlexW4220860939

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.