Articles | Open Access |

Advancing cardiovascular care: a systematic review of deep learning techniques in electrocardiography

Peter Mark , University of Pittsburgh, USA

Abstract

Cardiovascular diseases (CVDs) continue to be a leading cause of morbidity and mortality worldwide. Early diagnosis and continuous monitoring are critical in managing these conditions effectively. Recent advancements in artificial intelligence (AI), particularly in deep learning (DL) techniques, have shown promising results in improving the diagnostic and prognostic accuracy in CVDs, especially when combined with electrocardiography (ECG). This systematic review aims to provide an overview of the integration of deep learning methods with ECG in the diagnosis and management of cardiovascular diseases. The review explores various deep learning models used for ECG signal processing, classification, arrhythmia detection, and risk prediction. The findings indicate that deep learning models, including convolutional neural networks (CNNs), recurrent neural networks (RNNs), and hybrid models, have significantly improved the performance of ECG-based diagnostic tools, offering substantial advantages in terms of accuracy, speed, and scalability. However, challenges such as data privacy, generalizability, and clinical integration remain. Future research should focus on addressing these challenges and further enhancing the clinical applicability of AI in cardiovascular healthcare.

Keywords

Deep Learning, Electrocardiography (ECG), Cardiovascular Care

References

Jin Z, Sun Y, Cheng AC. Predicting cardiovascular disease from real-time electrocardiographic monitoring: an adaptive machine learning approach on a cell phone. Ann Int Conf IEEE Eng Med Biol Soc. 2009;2009:6889–92. MATH Google Scholar

Siontis KC, Noseworthy PA, Attia ZI, Friedman PA. Artificial intelligence-enhanced electrocardiography in cardiovascular disease management. Nat Rev Cardiol. 2021;18:465–78.Article Google Scholar

Johnson KW, Torres Soto J, Glicksberg BS, Shameer K, Miotto R, Ali M, et al. Artificial intelligence in cardiology. J Am Coll Cardiol. 2018;71:2668–79.Article Google Scholar

Chen L, Yu H, Huang Y, Jin H. ECG signal-enabled automatic diagnosis technology of heart failure. J Healthc Eng. 2021;2021:5802722. Article Google Scholar

Awan SE, Sohel F, Sanfilippo FM, Bennamoun M, Dwivedi G. Machine learning in heart failure: ready for prime time. Curr Opin Cardiol. 2018;33:190–5. Article MATH Google Scholar

Cun YL, Boser B, Denker J, Henderson D, Jackel L. Handwritten digit recognition with a backpropogation network. Adv Neural Inform Process Syst. 1990.

Yann L, Bottou L, Bengio Y, Haffner P. Gradient-based learning applied to document recognition.

Petmezas G, Stefanopoulos L, Kilintzis V, Tzavelis A, Rogers JA, Katsaggelos AK, et al. State-of-the-art deep learning methods on electrocardiogram data: systematic review. JMIR Med Inform. 2022;10: e38454. Article Google Scholar

Vaillant R., Monrocq C., Le Cun Y. Original approach for the localisation of objects in images.

Krizhevsky A, Sutskever I, Hinton GE. Computer Vision and its implications.

Zeiler MD, Fergus R. Visualizing and Understanding Convolutional Networks. 2014.

Simonyan K, Zisserman A. Very Deep Convolutional Networks for Large-Scale Image Recognition. Computer Sci. 2014. https://doi.org/10.48550/arXiv.1409.1556.

Szegedy C, Liu W, Jia Y, Sermanet P, Rabinovich A. Going deeper with convolutions. 2015.

He K, Zhang X, Ren S, Sun J. [IEEE 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR) - Las Vegas, NV, USA (2016.6.27–2016.6.30)] 2016 IEEE Conference on Computer Vision and Pattern Recognition (CVPR) - Deep Residual Learning for Image Recognition. 2016; 1:770–8.

Rumelhart DE, Hinton GE, Williams RJ. Learning representations by back propagating errors. Nature. 1986;323:533–6. Article MATH Google Scholar

Hochreiter S, Schmidhuber J. Long short-term memory. Neural Comput. 1997;9:1735–80. Article MATH Google Scholar

Cho K, Van Merrienboer B, Gulcehre C, Bahdanau D, Bougares F, Schwenk H, et al. Learning phrase representations using RNN encoder-decoder for statistical machine translation. Computer Science. 2014. https://doi.org/10.3115/v1/D14-1179. Article Google Scholar

Shi B, Xiang, Yao C. transactions on pattern analysis and machine intelligence IEEE transactions on pattern analysis and machine intelligence 1 an end-to-end trainable neural network for image-based sequence recognition and its application to scene text recognition. IEEE. 2017. https://doi.org/10.1109/tpami.2016.2646371.

Rumelhart DE, Mcclelland JL. Parallel distributed processing: explorations in the microstructure of cognition. Language. 1986. https://doi.org/10.2307/415721. Article MATH Google Scholar

Goodfellow IJ, Pouget-Abadie J, Mirza M, Xu B, Warde-Farley D, Ozair S, et al. Generative Adversarial Networks. 2014.

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Peter Mark. (2025). Advancing cardiovascular care: a systematic review of deep learning techniques in electrocardiography. The American Journal of Agriculture and Biomedical Engineering, 7(03), 1–5. Retrieved from https://theamericanjournals.com/index.php/tajabe/article/view/5908