Skip to main content
Log in

Deep convolutional neural network for the automated diagnosis of congestive heart failure using ECG signals

  • Published:
Applied Intelligence Aims and scope Submit manuscript

Abstract

Congestive heart failure (CHF) is a chronic heart condition associated with debilitating symptoms that result in increased mortality, morbidity, healthcare expenditure and decreased quality of life. Electrocardiogram (ECG) is a noninvasive and simple diagnostic method that may demonstrate detectable changes in CHF. However, manual diagnosis of ECG signal is often subject to errors due to the small amplitude and duration of the ECG signals, and in isolation, is neither sensitive nor specific for CHF diagnosis. An automated computer-aided system may enhance the diagnostic objectivity and reliability of ECG signals in CHF. We present an 11-layer deep convolutional neural network (CNN) model for CHF diagnosis herein. This proposed CNN model requires minimum pre-processing of ECG signals, and no engineered features or classification are required. Four different sets of data (A, B, C and D) were used to train and test the proposed CNN model. Out of the four sets, Set B attained the highest accuracy of 98.97%, specificity and sensitivity of 99.01% and 98.87% respectively. The proposed CNN model can be put into practice and serve as a diagnostic aid for cardiologists by providing more objective and faster interpretation of ECG signals.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Yancy CW et al (2013) ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American college of cardiology foundation/american heart association task force on practice guidelines. J Am Coll Cardiol 62(16):1495–1539

    Article  Google Scholar 

  2. Ponikowski P, Anker SD, Alhabib KF (2014) Heart failure: preventing disease and death worldwide. Eur Soc Cardiol 373(9667):941–955

    Google Scholar 

  3. Calvert MJ, Freemantle N, Cleland JGF (2005) The impact of chronic heart failure on health-related quality of life data acquired in the baseline phase of the CARE-HF study. Eur J Heart Fail 7:243–251

    Article  Google Scholar 

  4. Masoudi FA, Havranek EP, Krumholz HM (2002) The burden of chronic congestive heart failure in older persons: magnitude and implications for policy and research. Heart Fail Rev 7(1):9–16

    Article  Google Scholar 

  5. Singh VN, Coombs BD, Lin EC, Miller JA Congestive heart failure imaging, 2015. [Online]. Available: http://emedicine.medscape.com/article/354666-overview?pa=S%2Fi%2FabtjtTqty6G%2BOeFPLhjWwCFEjmFXths9jrP0e6aaQbfL10Dp5dORPrNJ48llxqoopjEGq13BmWLQMLXc2%2FFDqoONiUtlOtdX6maZcRI%3D

  6. Yann L, Yoshua B, Hinton G (2015) Deep learning. Nature 521:436–444

    Article  Google Scholar 

  7. Lee J-G et al (2017) Deep learning in medical imaging: general overview, Korean. J Radiol 18(4):570

    Google Scholar 

  8. Tan JH, Acharya UR, Bhandary SV, Chua KC, Sivaprasad S (2017) Segmentation of optic disc, fovea and retinal vasculature using a single convolutional neural network. J Comput Sci 20:70–79

    Google Scholar 

  9. Tajbakhsh N et al (2016) Convolutional neural networks for medical image analysis: full training or fine tuning. IEEE Trans Med Imaging 35(5):1299–1312

    Article  Google Scholar 

  10. Arindra A et al (2016) Pulmonary nodule detection in CT images: false positive reduction using Multi-View convolutional networks. IEEE Trans Med Imaging 35(5):1160–1169

    Article  Google Scholar 

  11. Pinto A, Alves V, Silva CA (2016) Brain tumor segmentation using convolutional neural networks in MRI images. IEEE Trans Med Imaging 35(5):1240–1251

    Article  Google Scholar 

  12. Hatipoglu N, Bilgin G (2017) Cell segmentation in histopathological images with deep learning algorithms by utilizing spatial relationships. Med Biol Eng Comput 55(10):1–20

    Article  Google Scholar 

  13. Acharya UR, Fujita H, Oh SL, Hagiwara Y, Tan JH, Adam M (2017) Automated detection of arrhythmias using different intervals of tachycardia ECG segments with convolutional neural network. Inf Sci (Ny) 405:81–90

    Article  Google Scholar 

  14. Acharya UR, Fujita H, Oh SL, Hagiwara Y, Tan JH, Adam M (2017) Application of deep convolutional neural network for automated detection of myocardial infarction using ECG signals. Inf Sci (Ny) 416:190–198

    Article  Google Scholar 

  15. Acharya UR, Fujita H, Oh SL, Adam M, Tan JH, Chua KC (2017) Automated detection of coronary artery disease using different durations of ECG segments with convolutional neural network. Knowledge-Based Syst 946:1–10

    Google Scholar 

  16. Acharya UR et al (2017) A deep convolutional neural network model to classify heartbeats. Comput Biol Med 89:389–396

    Article  Google Scholar 

  17. Acharya UR et al (2017) Automated identification of shockable and non-shockable life-threatening ventricular arrhythmias using convolutional neural network. Futur Gener Comput Syst

  18. Tan JH et al (2018) Application of stacked convolutional and long short-term memory network for accurate identification of CAD ECG signals. Comput Biol Med 94(December 2017):19–26

    Article  Google Scholar 

  19. Goldberger AL et al (2000) Physiobank, PhysioToolkit, and PhysioNet. Circulation 101(23):E215–20

    Article  Google Scholar 

  20. Russell SD, Saval MA, Robbins JL, Ellestad MH, Gottlieb SS, Handberg EM, Zhou Y, Chandler B, HF-ACTION Investigators (2010) New York Heart Association functional class predicts exercise parameters in the current era. American Heart Journal 158 (4 Suppl):S24-S30

  21. Glorot X, Bengio Y (2010) Understanding the difficulty of training deep feedforward neural networks. Pmlr 9:249–256

    Google Scholar 

  22. Bouvrie J (2006) Notes on convolutional neural networks. In: Pract., pp 47–60

  23. Krizhevsky A, Sutskever I, Hinton GE (2012) Imagenet classification with deep convolutional neural networks. Adv Neural Inf Process Syst :1–9

  24. He K, Zhang X, Ren S, Sun J (2016) Delving deep into rectifiers: surpassing human-level performance on imagenet classification. In: Proceedings of the IEEE international conference on computer vision, vol 11–18–Dece, pp 1026–1034

  25. Duda RO, Hart PE, Stork DG (2001) Pattern classification 2nd

  26. Kumar M, Pachori RB, Acharya UR (2017) Use of accumulated entropies for automated detection of congestive heart failure in flexible analytic wavelet transform framework based on short-term HRV signals. Entropy 19(3):92 (21 pages)

    Article  Google Scholar 

  27. Acharya UR et al (2016) Application of empirical mode decomposition (EMD) for automated identification of congestive heart failure using heart rate signals. Neural Comput Appl 28(10):1–22

    Google Scholar 

  28. Raghavendra U et al (2017) Automated screening of congestive heart failure using variational mode decomposition and texture features extracted from ultrasound images. Neural Comput Appl 28(10):1–10

    Article  Google Scholar 

  29. Acharya UR et al (2017) Automated characterization of coronary artery disease, myocardial infarction, and congestive heart failure using contourlet and shearlet transforms of electrocardiogram signal. Knowledge-Based Syst 132:156–166

    Article  Google Scholar 

  30. Fujita H et al (2017) Characterization of cardiovascular diseases using wavelet packet decomposition and nonlinear measures of electrocardiogram signal, vol 10350 LNCS

  31. Kamath C (2012) A new approach to detect congestive heart failure using sequential spectrum of electrocardiogram signals. Med Eng Phys 34(10):1503–1509

    Article  Google Scholar 

  32. Orhan U (2013) Real-time CHF detection from ECG signals using a novel discretization method. Comput Biol Med 43(10):1556–1562

    Article  Google Scholar 

  33. Mastic Z, Subasi A (2013) Detection of congestive heart failures using C4.5 Decision Tree, Southeast. Eur J Soft Comput 5(12):996–1000

    Google Scholar 

  34. Kamath C (2015) A new approach to detect congestive heart failure using detrended fluctuation analysis of electrocardiogram signals. J Eng Sci Technol 10(2):145–159

    Google Scholar 

  35. Masetic Z, Subasi A (2016) Congestive heart failure detection using random forest classifier. Comput Methods Prog Biomed 130:54–64

    Article  Google Scholar 

  36. Sudarshan VK et al (2017) Automated diagnosis of congestive heart failure using dual tree complex wavelet transform and statistical features extracted from 2 s of ECG signals. Comput Biol Med 83(January):48–58

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hamido Fujita.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Acharya, U.R., Fujita, H., Oh, S.L. et al. Deep convolutional neural network for the automated diagnosis of congestive heart failure using ECG signals. Appl Intell 49, 16–27 (2019). https://doi.org/10.1007/s10489-018-1179-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10489-018-1179-1

Keywords

Navigation