Recognition of Child Congenital Heart Disease Using Cardiac Cycle Segment of Electrocardiogram

The results of previous studies showed that ECG could detect CHD in children with a detection rate of 76.43%. Although this result is better than the traditional CHD screening method, the sensitivity still needs to be improved if it is to be popularized clinically. Based on the previous ECG recording data, this study selects the more representative cardiac cycle segments to identify CHD, in order to achieve better screening effect. Firstly, better cardiac cycle segment data were extracted from ECG records of each patient. The final data set contains 72626 patients and each patient has a 9-lead ECG segment with duration of about one second. Then we trained a RoR network to identify the underlying patients with CHD using 62626 samples in the dataset. When tested on an independent set of 10000 patients, the network model yielded values for the sensitivity, specificity, and accuracy of 0.93, 86.3%, 85.7%, and 85.7% respectively. It can be seen that extracting more effective cardiac cycle fragments can significantly improve the sensitivity of CHD screening on the basis of ensuring better specificity, so as to find more potential patients with congenital heart disease.