Detection of arrhythmias with the improved transformer-based deep learning approach

Background Heart arrhythmias are one of the leading causes of death worldwide. Electrocardiography (ECG) is used to detect and classify these arrhythmias. ECG provides a mechanism that offers comprehensive information about the heart through its electrical activity. It does not harm the patient and is cost-effective. However, the evaluation process is time-consuming and open to observer-related errors. Improving deep learning-based approaches for detecting normal, abnormal, tachycardia, and bradycardia conditions that occur through ECG signals is a gain in reducing errors. Objective This study investigates the effectiveness of a deep learning-based architecture in automatically detecting and classifying heart rhythm disorders from ECG signals. Methods An original dataset was created with four categories (normal, abnormal, tachycardia, and bradycardia), including regular and abnormal heartbeats. The research evaluates the potential to increase the accuracy and efficiency of arrhythmia detection by hybrid use of transformer and transfer learning approaches, and the proposed normalization techniques. Results The proposed hybrid model achieved a classification accuracy of up to 98.98% on the test dataset. Conclusion These findings highlight the potential of AI-enabled systems to revolutionize ECG analysis and provide a robust, cost-effective, and scalable solution for early diagnosis and treatment in cardiology. This research is a significant contribution to the application of AI in healthcare. It is also critical for improving interdisciplinary collaboration and patient-centered diagnostic tools.

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Publication Details

Journal
Technology and Health Care
Published
2026-11-05
DOI
https://doi.org/10.1177/09287329261502155
Primary Topic
ECG Monitoring and Analysis
Type
article
Field-Weighted Citation Impact
0.00
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article

Detection of arrhythmias with the improved transformer-based deep learning approach

Mehmet Fatih Orhan, Fatma Akalın, Pınar Dervişoğlu Çavdaroğlu
Technology and Health Care
ECG Monitoring and Analysis
article

Detection of arrhythmias with the improved transformer-based deep learning approach

Mehmet Fatih Orhan, Fatma Akalın, Pınar Dervişoğlu Çavdaroğlu
article en

Abstract

Background Heart arrhythmias are one of the leading causes of death worldwide. Electrocardiography (ECG) is used to detect and classify these arrhythmias. ECG provides a mechanism that offers comprehensive information about the heart through its electrical activity. It does not harm the patient and is cost-effective. However, the evaluation process is time-consuming and open to observer-related errors. Improving deep learning-based approaches for detecting normal, abnormal, tachycardia, and bradycardia conditions that occur through ECG signals is a gain in reducing errors. Objective This study investigates the effectiveness of a deep learning-based architecture in automatically detecting and classifying heart rhythm disorders from ECG signals. Methods An original dataset was created with four categories (normal, abnormal, tachycardia, and bradycardia), including regular and abnormal heartbeats. The research evaluates the potential to increase the accuracy and efficiency of arrhythmia detection by hybrid use of transformer and transfer learning approaches, and the proposed normalization techniques. Results The proposed hybrid model achieved a classification accuracy of up to 98.98% on the test dataset. Conclusion These findings highlight the potential of AI-enabled systems to revolutionize ECG analysis and provide a robust, cost-effective, and scalable solution for early diagnosis and treatment in cardiology. This research is a significant contribution to the application of AI in healthcare. It is also critical for improving interdisciplinary collaboration and patient-centered diagnostic tools.

Technology and Health Care
Sakarya University (TR)
Openalex Percentile: Top 12%
ECG Monitoring and Analysis
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