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DETEKSI ELEVASI DAN DEPRESI SEGMEN ST SINYAL ELEKTROKARDIOGRAM BERBASIS MEDICAL RULES DENGAN PENDEKATAN DELINEASI MENGGUNAKAN MODEL DEEP LEARNING
An accurate early detection of ST-segment elevation and depression in electrocardiogram (ECG) signals is a crucial step in diagnosing cardiovascular disease, such as myocardial infarction and myocardial ischemia. In clinical practice, cardiac conditions diagnosis is typically performed by cardiologists, or trained medical professionals. However, this way of diagnosing manually has some apparent limitations, such as shortage of trained medical professionals and variability amongst observers. Therefore, an accurate and consistent method for detecting ST-segment elevation and depression is necessary. This study proposes a method to detect ST-segment elevation and depression based on medical rules through delineation approach using ConvBiLSTM model. Twelve delineation models were developed for 12-lead ECG signals, segmenting the ECG waves into seven classes, namely Pon – Poff, Poff – QRSon, QRSon – Rpeak, Rpeak – QRSoff, QRSoff – Ton, Ton – Toff, and Toff – Pon. The delineation results are used to determine J-point and baseline amplitude, which are used to interpret ST-segment elevation and depression according to the predefined medical rules. The lead V6 delineation model demonstrated the best performance, achieving an accuracy of 99.54%, an error rate of 0.46%, a precision of 95.45%, and an F1-score of 95.43%. The detection process using this approach effectively interprets ST-segment elevation and depression. Future research may address the identified limitations by improving the delineation model’s performance or exploring alternative detection methods beyond delineation.
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