A wavelet subband based LSTM model for 12-lead ECG synthesis from reduced lead set

Biomed Eng Lett. 2024 Jul 31;14(6):1385-1395. doi: 10.1007/s13534-024-00412-0. eCollection 2024 Nov.

Abstract

Synthesis of a 12-lead electrocardiogram from a reduced lead set has previously been extensively studied in order to meet patient comfort, minimise complexity, and enable telemonitoring. Traditional methods relied solely on the inter-lead correlation between the standard twelve leads for learning the models. The 12-lead ECG possesses not only inter-lead correlation but also intra-lead correlation. Learning a model that can exploit this spatio-temporal information in the ECG could generate lead signals while preserving important diagnostic information. The proposed approach takes leverage of the enhanced inter-lead correlation of the ECG signal in the wavelet domain. Long-short-term memory (LSTM) networks, which have emerged as a powerful tool for sequential data mining, are a type of recurrent neural network architecture with an inherent capability to capture the spatiotemporal information of the heart signal. This work proposes the deep learning architecture that utilizes the discrete wavelet transform and the LSTM to reconstruct a generic 12-lead ECG from a reduced lead set. The experimental results are evaluated using different diagnostic measures and similarity metrics. The proposed framework is well founded, and accurate reconstruction is possible as it can capture clinically significant features and provides a robust solution against noise.

Keywords: 12-Lead ECG; Discrete wavelet transform (DWT); Electrocardiography (ECG); Long-short term memory (LSTM); Reconstruction; Synthesis.