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Article

A High-Precision Deep Learning Algorithm to Localize Idiopathic Ventricular Arrhythmias

1
Heart Rhythm Center, Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei 11217, Taiwan
2
Institute of Cardiovascular Research, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
3
Institute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan
4
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan
5
Department of BioMedical Engineering, National Cheng Kung University, Tainan City 701401, Taiwan
6
Cardiovascular Center, Taichung Veterans General Hospital, Taichung 40705, Taiwan
*
Author to whom correspondence should be addressed.
J. Pers. Med. 2022, 12(5), 764; https://doi.org/10.3390/jpm12050764
Submission received: 28 March 2022 / Revised: 30 April 2022 / Accepted: 6 May 2022 / Published: 9 May 2022
(This article belongs to the Special Issue The Challenges and Prospects in Cardiology)

Abstract

Background: An accurate prediction of ventricular arrhythmia (VA) origins can optimize the strategy of ablation, and facilitate the procedure. Objective: This study aimed to develop a machine learning model from surface ECG to predict VA origins. Methods: We obtained 3628 waves of ventricular premature complex (VPC) from 731 patients. We chose to include all signal information from 12 ECG leads for model input. A model is composed of two groups of convolutional neural network (CNN) layers. We chose around 13% of all the data for model testing and 10% for validation. Results: In the first step, we trained a model for binary classification of VA source from the left or right side of the chamber with an area under the curve (AUC) of 0.963. With a threshold of 0.739, the sensitivity and specification are 90.7% and 92.3% for identifying left side VA. Then, we obtained the second model for predicting VA from the LV summit with AUC is 0.998. With a threshold of 0.739, the sensitivity and specificity are 100% and 98% for the LV summit. Conclusions: Our machine learning algorithm of surface ECG facilitates the localization of VPC, especially for the LV summit, which might optimize the ablation strategy.
Keywords: machine learning; ventricular arrhythmia; localization; catheter ablation machine learning; ventricular arrhythmia; localization; catheter ablation

Share and Cite

MDPI and ACS Style

Chang, T.-Y.; Chen, K.-W.; Liu, C.-M.; Chang, S.-L.; Lin, Y.-J.; Lo, L.-W.; Hu, Y.-F.; Chung, F.-P.; Lin, C.-Y.; Kuo, L.; et al. A High-Precision Deep Learning Algorithm to Localize Idiopathic Ventricular Arrhythmias. J. Pers. Med. 2022, 12, 764. https://doi.org/10.3390/jpm12050764

AMA Style

Chang T-Y, Chen K-W, Liu C-M, Chang S-L, Lin Y-J, Lo L-W, Hu Y-F, Chung F-P, Lin C-Y, Kuo L, et al. A High-Precision Deep Learning Algorithm to Localize Idiopathic Ventricular Arrhythmias. Journal of Personalized Medicine. 2022; 12(5):764. https://doi.org/10.3390/jpm12050764

Chicago/Turabian Style

Chang, Ting-Yung, Ke-Wei Chen, Chih-Min Liu, Shih-Lin Chang, Yenn-Jiang Lin, Li-Wei Lo, Yu-Feng Hu, Fa-Po Chung, Chin-Yu Lin, Ling Kuo, and et al. 2022. "A High-Precision Deep Learning Algorithm to Localize Idiopathic Ventricular Arrhythmias" Journal of Personalized Medicine 12, no. 5: 764. https://doi.org/10.3390/jpm12050764

APA Style

Chang, T.-Y., Chen, K.-W., Liu, C.-M., Chang, S.-L., Lin, Y.-J., Lo, L.-W., Hu, Y.-F., Chung, F.-P., Lin, C.-Y., Kuo, L., & Chen, S.-A. (2022). A High-Precision Deep Learning Algorithm to Localize Idiopathic Ventricular Arrhythmias. Journal of Personalized Medicine, 12(5), 764. https://doi.org/10.3390/jpm12050764

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