Batyrkhan Omarov^1,2,*, Meirzhan Baikuvekov¹, Daniyar Sultan¹, Nurzhan Mukazhanov³, Madina Suleimenova², Maigul Zhekambayeva³

CMC-Computers, Materials & Continua, Vol.80, No.1, pp. 341-359, 2024, DOI:10.32604/cmc.2024.052437 - 18 July 2024

Abstract This research introduces an innovative ensemble approach, combining Deep Residual Networks (ResNets) and Bidirectional Gated Recurrent Units (BiGRU), augmented with an Attention Mechanism, for the classification of heart arrhythmias. The escalating prevalence of cardiovascular diseases necessitates advanced diagnostic tools to enhance accuracy and efficiency. The model leverages the deep hierarchical feature extraction capabilities of ResNets, which are adept at identifying intricate patterns within electrocardiogram (ECG) data, while BiGRU layers capture the temporal dynamics essential for understanding the sequential nature of ECG signals. The integration of an Attention Mechanism refines the model’s focus on critical segments… More >

S. Jayanthi^*, S. Prasanna Devi

CMC-Computers, Materials & Continua, Vol.78, No.2, pp. 2137-2158, 2024, DOI:10.32604/cmc.2024.045975 - 27 February 2024

Abstract In healthcare, the persistent challenge of arrhythmias, a leading cause of global mortality, has sparked extensive research into the automation of detection using machine learning (ML) algorithms. However, traditional ML and AutoML approaches have revealed their limitations, notably regarding feature generalization and automation efficiency. This glaring research gap has motivated the development of AutoRhythmAI, an innovative solution that integrates both machine and deep learning to revolutionize the diagnosis of arrhythmias. Our approach encompasses two distinct pipelines tailored for binary-class and multi-class arrhythmia detection, effectively bridging the gap between data preprocessing and model selection. To validate… More >

Elio Caruso^1,*, Silvia Farruggio¹, Alfredo Di Pino¹, Paolo Guccione¹, Mohammadrafie Khorgami²

Congenital Heart Disease, Vol.17, No.5, pp. 551-556, 2022, DOI:10.32604/chd.2022.023711 - 06 September 2022

Abstract We present the case of an infant admitted to our department for a rapid broad complex tachycardia and cardiovascular collapse. The patient was submitted to genetic testing because of a conduction defect at baseline ECG and family history of gene mutation. A new SCN5A gene mutation variant was found leading to diagnosis of sodium-channel dysfunction arrhythmia. More > Graphic Abstract

Khalid Mahmood Aamir¹, Muhammad Ramzan^1,2, Saima Skinadar¹, Hikmat Ullah Khan³, Usman Tariq⁴, Hyunsoo Lee⁵, Yunyoung Nam^5,*, Muhammad Attique Khan⁶

CMC-Computers, Materials & Continua, Vol.71, No.1, pp. 17-33, 2022, DOI:10.32604/cmc.2022.018613 - 03 November 2021

Abstract This paper focuses on detecting diseased signals and arrhythmias classification into two classes: ventricular tachycardia and premature ventricular contraction. The sole purpose of the signal detection is used to determine if a signal has been collected from a healthy or sick person. The proposed research approach presents a mathematical model for the signal detector based on calculating the instantaneous frequency (IF). Once a signal taken from a patient is detected, then the classifier takes that signal as input and classifies the target disease by predicting the class label. While applying the classifier, templates are designed… More >

Fabrizio Drago^*, Irma Battipaglia, Pietro Paolo Tamborrino, Luigina Porco, Camilla Calvieri, Mario Salvatore Russo, Vincenzo Pazzano, Romolo Remoli, Massimo Stefano Silvetti

Congenital Heart Disease, Vol.16, No.6, pp. 561-572, 2021, DOI:10.32604/CHD.2021.016623 - 08 July 2021

Abstract Background: Cryoablation of accessory pathways (APs) is effective and very safe in children, as previously reported by our group. The aim of this retrospective study was to evaluate the current efficacy of 3D non-fluoroscopic cryoablation of right sided APs in children, comparing results obtained with the Ensite Velocity^TM and the more recent Ensite Precision^TM 3D mapping systems. Methods and Results: From January 2016 to December 2019, 102 pediatric patients [mean age 12.5 ± 2.8, 62 males (61% of total cohort)] with right APs underwent 3D non-fluoroscopic transcatheter cryoablation at our Institution. Fifteen (14.7%) patients had previously undergone catheter… More >

Elio Caruso¹, Silvia Farruggio^1,*, Davide Calvaruso¹, Corrado Di Mambro¹, David Angel Ortiz Ruiz¹, Salvatore Agati¹, Rafie Khoargami²

Congenital Heart Disease, Vol.16, No.4, pp. 417-425, 2021, DOI:10.32604/CHD.2021.015808 - 19 April 2021

Abstract We show a brief report of two common arterial trunk cases (CAT) with different arrhythmias and discuss anatomy, clinical and diagnostic management. The burden of volume and pressure overload of this cardiac malformation may predispose to different types of arrhythmia before and after surgical repair. Because of labile hemodynamic state in this group of patients, prompt diagnosis of any arrhythmia is mandatory as the devastating factor on prognosis. The first patient with a diagnosis of CAT Type II Collett and Edwards (CE) had a particular history with HIV seropositive mother assuming antiretroviral therapy during pregnancy, More >

Elio Caruso^*, Silvia Farruggio, Salvatore Agati, Corrado Di Mambro

Congenital Heart Disease, Vol.16, No.4, pp. 309-331, 2021, DOI:10.32604/CHD.2021.015470 - 19 April 2021

Abstract Fetal arrhythmias reach up around 10% of the total third-level perinatal cardiology references. Sustained bradycardia is defined as a baseline fetal heart rate (FHR) of less than 110 bpm sustained for at least 10 min. The overall incidence of malignant fetal bradyarrhythmias, such as complete atrioventricular block (AVB) and channellopathies, is relatively rare, 1:5000 pregnancies, but represents a serious emergency for the gynecologist, neonatologists, and pediatric cardiologists. Fetal complete AVB is strongly associated with maternal connective tissue disease, but it can be also associated with congenital heart disease and usually with a poorer prognosis with More >

Varun Aggarwal^1,2, Kristen Sexson-Tejtal¹, Wilson Lam¹, Santiago O. Valdes¹, Caridad M. de la Uz¹, Jeffrey J. Kim¹, Christina Y. Miyake¹

Congenital Heart Disease, Vol.14, No.6, pp. 1032-1036, 2019, DOI:10.1111/chd.12864

Abstract Objective: Based on 2017 guidelines, participation in competitive sports with prior history of Kawasaki Disease (KD) requires those with coronary artery aneurysms (CAA) z score ≥ 5 to undergo evaluation for evidence of inducible ischemia or arrhythmias. The use of exercise stress testing (EST) to evaluate arrhythmias among KD patients has never been reported. This retrospective single-center case series study sought to describe the presence of inducible arrhythmias during EST in KD patients with or without CAA.
Methods: Single-center retrospective review of medical records of patients diagnosed with KD between 1989-2015 at Texas Children’s Hospital, Houston, Texas… More >

Benjamin Zielonka¹, Yuli Y. Kim^2,3, Gregory E. Supple², Sara L. Partington^2,3, Emily S. Ruckdeschel^2,3, Francis E. Marchlinski², David S. Frankel²

Congenital Heart Disease, Vol.14, No.6, pp. 931-938, 2019, DOI:10.1111/chd.12833

Abstract Objective: Atrial arrhythmias and atrioventricular valve regurgitation (AVVR) are common causes of morbidity among adults with congenital heart disease (ACHD). The impact of rhythm control on AVVR in this population is unknown. We sought to determine whether a rhythm control strategy is associated with greater freedom from AV valve surgery than a rate control strategy.
Design: Patients evaluated by both ACHD and electrophysiology specialists at a single academic center were screened for atrial arrhythmias and at least moderate‐severe AVVR. Clinical and electrographic data were abstracted. All echocardiograms were in‐ terpreted by a single echocardiographer blinded to treatment… More >

Subeer K. Wadia¹, Gentian Lluri¹, Jamil A. Aboulhosn¹, Hillel Laks², Reshma M. Biniwale², Glen S. Van Arsdell², Daniel S. Levi³, Morris M. Salem³, Kevin M. Shannon^1,3, Jeremy P. Moore^1,3

Congenital Heart Disease, Vol.14, No.5, pp. 838-845, 2019, DOI:10.1111/chd.12818

Abstract Objective: We examined the atrial tachyarrhythmia (AT) burden among patients with congenital heart disease (CHD) following transcatheter (TC‐) or surgical (S‐) pulmo‐ nary valve replacement (PVR).
Design/Setting: This was a retrospective observational study of patients who under‐ went PVR from 2010 to 2016 at UCLA Medical Center.
Patients: Patients of all ages who had prior surgical repair for CHD were included. Patients with a history of congenitally corrected transposition of the great arteries, underwent a hybrid PVR procedure, or had permanent atrial fibrillation (AF) without a concomitant ablation were excluded.
Outcome Measures: The primary outcome was a time‐to‐event analysis… More >