Boosting ECG Classification Performance by Pre-training with Synthesized Data

Deep Neural Networks (DNNs) typically require extensive datasets for effective training. In the medical domain, acquiring large-scale data is often challenging due to privacy concerns and the rarity of certain diseases. To address this data scarcity, we investigate the efficacy of training DNN models using synthetic data, generated based on domain-specific medical knowledge. Specifically, we develop a knowledge-driven Gaussian-composition synthesis algorithm for single-lead II ECGs, in which each heartbeat is represented by Gaussian-shaped P, Q, R, S, and T wave components. Using this simulator, we generate synthetic data for four abnormal electrocardiogram (ECG) classes: atrial fibrillation (AF), atrial flutter (AFLT), premature ventricular complex (PVC), and Wolff-Parkinson-White Syndrome (WPW). We evaluate the utility of this synthetic data by conducting abnormal ECG classification using ten different DNN architectures. Our results demonstrate that synthetic-to-real training improves classification performance for three of the four target abnormalities, with the largest architecture-averaged gain of 33.2% observed for AFLT. Further analysis reveals that the performance enhancement from synthetic data is more pronounced with smaller real-world datasets. These findings suggest that domain-knowledge-based synthetic ECGs can serve as a useful pre-training resource, particularly in scenarios where real-world data are limited or difficult to obtain.