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author:

Wang, Liang-Hung (Wang, Liang-Hung.) [1] (Scholars:王量弘) | Wang, Jia-Wen (Wang, Jia-Wen.) [2] | Xie, Chao-Xin (Xie, Chao-Xin.) [3] | Lee, Zne-Jung (Lee, Zne-Jung.) [4] | Cai, Bing-Jie (Cai, Bing-Jie.) [5] | Chen, Tsung-Yi (Chen, Tsung-Yi.) [6] | Chen, Shih-Lun (Chen, Shih-Lun.) [7] | Chen, Chiung-An (Chen, Chiung-An.) [8] | Abu, Patricia Angela R. (Abu, Patricia Angela R..) [9] | Yang, Tao (Yang, Tao.) [10]

Indexed by:

SCIE

Abstract:

Atrial fibrillation (AF) is a common arrhythmia associated with major adverse cardiovascular events. Early detection and short-horizon risk prediction are therefore clinically critical. Prior attention-based electrocardiogram (ECG) models typically treated subtype classification and short-horizon onset risk prediction as separate tasks and optimized attention in only one representational dimension rather than in a coordinated hierarchy. We propose a hierarchical multiattention temporal fusion network (HMA-TFN). The proposed framework jointly integrates lead-level, morphology-level, and rhythm-level attention, enabling the model to simultaneously highlight diagnostically informative leads, capture waveform abnormalities, and characterize long-range temporal dependencies. Moreover, the model is trained for dual tasks-AF subtype classification and 30-min onset prediction. Experiments were conducted on three open-source databases and the Fuzhou University-Fujian Provincial Hospital (FZU-FPH) clinical database, comprising thousands of dual-lead ECG recordings from a diverse subject population. Experimental results show that HMA-TFN achieves 95.77% accuracy in classifying paroxysmal AF (PAAF) and persistent AF (PEAF), and 96.36% accuracy in predicting PAAF occurrence 30 min in advance. Ablations show monotonic gains as each attention level is added, delivering 14.0% accuracy over the baseline for subtyping and 5.2% for prediction. Grad-CAM visualization highlights clinically relevant features such as absent P-waves, confirming model interpretability. On the FZU-FPH clinical database, it achieves a generalization performance of 94.31%, demonstrating its strong potential for clinical application.

Keyword:

atrial fibrillation attention mechanism early detection ECG signals neural network

Community:

  • [ 1 ] [Wang, Liang-Hung]Fuzhou Univ, Sch Adv Mfg, Quanzhou 362200, Peoples R China
  • [ 2 ] [Wang, Jia-Wen]Fuzhou Univ, Sch Adv Mfg, Quanzhou 362200, Peoples R China
  • [ 3 ] [Lee, Zne-Jung]Fuzhou Univ, Sch Adv Mfg, Quanzhou 362200, Peoples R China
  • [ 4 ] [Wang, Liang-Hung]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China
  • [ 5 ] [Xie, Chao-Xin]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China
  • [ 6 ] [Cai, Bing-Jie]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China
  • [ 7 ] [Yang, Tao]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China
  • [ 8 ] [Chen, Tsung-Yi]Feng Chia Univ, Dept Elect Engn, Taichung 40724, Taiwan
  • [ 9 ] [Chen, Shih-Lun]Chung Yuan Christian Univ, Dept Elect Engn, Taoyuan City 320317, Taiwan
  • [ 10 ] [Chen, Chiung-An]Ming Chi Univ Technol, Dept Elect Engn, New Taipei City 243303, Taiwan
  • [ 11 ] [Abu, Patricia Angela R.]Ateneo Manila Univ, Dept Informat Syst & Comp Sci, Quezon City 1108, Philippines

Reprint 's Address:

  • [Lee, Zne-Jung]Fuzhou Univ, Sch Adv Mfg, Quanzhou 362200, Peoples R China;;[Xie, Chao-Xin]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China;;[Yang, Tao]Fuzhou Univ, Coll Phys & Informat Engn, Dept Microelect, Fuzhou 350108, Peoples R China

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Source :

MATHEMATICS

Year: 2025

Issue: 17

Volume: 13

2 . 3 0 0

JCR@2023

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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