Neural Networks in Healthcare: Potential and Challenges

Section II: Electrocardiography

Chapter List

Chapter III: The Role of Neural Networks in Computerized Classification of the Electrocardiogram
Chapter IV: Neural Networks in ECG Classification What is Next for Adaptive Systems?
Chapter V: A Concept Learning-Based Patient-Adaptable Abnormal ECG Beat Detector for Long-Term Monitoring of Heart Patients
Chris D. Nugent,
University of Ulster at Jordanstown
Northern Ireland
Dewar D. Finlay,
University of Ulster at Jordanstown
Northern Ireland
Mark P. Donnelly,
University of Ulster at Jordanstown
Northern Ireland
Norman D. Black,
University of Ulster at Jordanstown
Northern Ireland

Electrical forces generated by the heart are transmitted to the skin through the body's tissues. These forces can be recorded on the body's surface and are represented as an electrocardiogram (ECG). The ECG can be used to detect many cardiac abnormalities. Traditionally, ECG classification algorithms have used rule based techniques in an effort to model the thought and reasoning process of the human expert. However, the definition of an ultimate rule set for cardiac diagnosis has remained somewhat elusive, and much research effort has been directed at data driven techniques. Neural networks have emerged as a strong contender as the highly nonlinear and chaotic nature of the ECG represents a wellsuited application for this technique. This study presents an overview of the application of neural networks in the field of ECG classification, and, in addition, some preliminary results of adaptations of conventional neural classifiers are presented. From this work, it is possible to highlight issues that will affect the acceptance of this technique and, in addition, identify...

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