Unmesh Khanolkar

and 5 more

Ventricular tachycardia (VT) is a life-threatening arrhythmia that requires both relatively rapid and accurate detection in intensive care units (ICUs). Continuous monitoring systems play a crucial role in detecting them. However, previous studies have reported that nearly 9 out of 10 arrhythmia alarms in ICUs tend to be false positives, which usually transpire to a well-documented phenomenon called “alarm fatigue” that leads to desensitization, delayed responses and increased cognitive burden on healthcare providers. We developed a deep learning based, one-dimensional convolutional neural network (1D-CNN) to classify VT alarms using multiple raw waveform inputs, including two electrocardiogram (ECG) leads, photoplethysmogram (PPG) and arterial blood pressure (ABP) signals. The model was trained using the publicly available VTaC Arrhythmia Benchmark Dataset. Ten-second waveform segments preceding each alarm were pre-processed and used to train the model to correctly classify the VT alarm. On the test set, the model achieved an area under the receiver operating characteristic curve (AUC-ROC) of 0.901, overall accuracy of 83.22%, F1-score of 73.3%, sensitivity of 77.53%, specificity of 85.63%, and positive predictive value (PPV) of 69.57%. The model successfully detected over three-quarters of them while significantly reducing false positive rates for the detection of VT. This study demonstrates that a deep learning based 1D-CNN model using short segments of raw waveform data can achieve robust performance in distinguishing true and false VT alarms.