Nonlinear Feature-Based MI Detection Supported by DWT and EMD on ECG: A High-Performance Decision Support Approach.

Myocardial infarction (MI) is a life-threatening cardiovascular disorder caused by a partial or complete interruption of oxygenated blood flow to the myocardium, leading to high mortality rates if not diagnosed promptly. Although electrocardiogram (ECG) signals are widely used due to their non-invasive and low-cost nature, MI-specific abnormalities may be subtle and subject to inter-observer variability. Therefore, reliable artificial intelligence-based decision support systems are essential to enhance diagnostic classification accuracy. In this study, only the Lead II derivation from 12-lead ECG recordings of 52 healthy individuals and 148 MI patients was analyzed. To effectively characterize the non-stationary nature of ECG signals, a hybrid time-frequency feature extraction framework was employed. Five-level intrinsic mode functions and wavelet detail and approximation coefficients were obtained using Empirical Mode Decomposition and Discrete Wavelet Transform with a Daubechies-6 wavelet. From these components, 390 times, nonlinear and complexity-based features were extracted using 23 entropy-driven measures. Particle Swarm Optimization was applied to select the most discriminative feature subset, significantly enhancing classification performance. The optimized features were evaluated using Support Vector Machines, Artificial Neural Networks, k-Nearest Neighbors, and Bagged Tree classifiers. The Bagged Trees classifier achieved the best classification performance with an overall correct classification rate of 97.6%. The results demonstrate that the proposed hybrid feature representation combined with PSO-based selection provides a robust and reliable framework for MI detection, offering strong potential for clinical decision support applications.