Data

The data for this Challenge are from multiple sources:

CPSC Database and CPSC-Extra Database INCART Database PTB and PTB-XL Database The Georgia 12-lead ECG Challenge (G12EC) Database Undisclosed Database The first source is the public (CPSC Database) and unused data (CPSC-Extra Database) from the China Physiological Signal Challenge in 2018 (CPSC2018), held during the 7th International Conference on Biomedical Engineering and Biotechnology in Nanjing, China. The unused data from the CPSC2018 is NOT the test data from the CPSC2018. The test data of the CPSC2018 is included in the final private database that has been sequestered. This training set consists of two sets of 6,877 (male: 3,699; female: 3,178) and 3,453 (male: 1,843; female: 1,610) of 12-ECG recordings lasting from 6 seconds to 60 seconds. Each recording was sampled at 500 Hz.

The second source set is the public dataset from St Petersburg INCART 12-lead Arrhythmia Database. This database consists of 74 annotated recordings extracted from 32 Holter records. Each record is 30 minutes long and contains 12 standard leads, each sampled at 257 Hz.

The third source from the Physikalisch Technische Bundesanstalt (PTB) comprises two public databases: the PTB Diagnostic ECG Database and the PTB-XL, a large publicly available electrocardiography dataset. The first PTB database contains 516 records (male: 377, female: 139). Each recording was sampled at 1000 Hz. The PTB-XL contains 21,837 clinical 12-lead ECGs (male: 11,379 and female: 10,458) of 10 second length with a sampling frequency of 500 Hz.

The fourth source is a Georgia database which represents a unique demographic of the Southeastern United States. This training set contains 10,344 12-lead ECGs (male: 5,551, female: 4,793) of 10 second length with a sampling frequency of 500 Hz.

The fifth source is an undisclosed American database that is geographically distinct from the Georgia database. This source contains 10,000 ECGs (all retained as test data).

All data is provided in WFDB format. Each ECG recording has a binary MATLAB v4 file (see page 27) for the ECG signal data and a text file in WFDB header format describing the recording and patient attributes, including the diagnosis (the labels for the recording). The binary files can be read using the load function in MATLAB and the scipy.io.loadmat function in Python; please see our baseline models for examples of loading the data. The first line of the header provides information about the total number of leads and the total number of samples or points per lead. The following lines describe how each lead was saved, and the last lines provide information on demographics and diagnosis. Below is an example header file A0001.hea:

A0001 12 500 7500 05-Feb-2020 11:39:16
A0001.mat 16+24 1000/mV 16 0 28 -1716 0 I
A0001.mat 16+24 1000/mV 16 0 7 2029 0 II
A0001.mat 16+24 1000/mV 16 0 -21 3745 0 III
A0001.mat 16+24 1000/mV 16 0 -17 3680 0 aVR
A0001.mat 16+24 1000/mV 16 0 24 -2664 0 aVL
A0001.mat 16+24 1000/mV 16 0 -7 -1499 0 aVF
A0001.mat 16+24 1000/mV 16 0 -290 390 0 V1
A0001.mat 16+24 1000/mV 16 0 -204 157 0 V2
A0001.mat 16+24 1000/mV 16 0 -96 -2555 0 V3
A0001.mat 16+24 1000/mV 16 0 -112 49 0 V4
A0001.mat 16+24 1000/mV 16 0 -596 -321 0 V5
A0001.mat 16+24 1000/mV 16 0 -16 -3112 0 V6
#Age: 74
#Sex: Male
#Dx: 426783006
#Rx: Unknown
#Hx: Unknown
#Sx: Unknown

From the first line, we see that the recording number is A0001, and the recording file is A0001.mat. The recording has 12 leads, each recorded at 500 Hz sample frequency, and contains 7500 samples. From the next 12 lines, we see that each signal was written at 16 bits with an offset of 24 bits, the amplitude resolution is 1000 with units in mV, the resolution of the analog-to-digital converter (ADC) used to digitize the signal is 16 bits, and the baseline value corresponding to 0 physical units is 0. The first value of the signal, the checksum, and the lead name are included for each signal. From the final 6 lines, we see that the patient is a 74-year-old male with a diagnosis (Dx) of 426783006. The medical prescription (Rx), history (Hx), and symptom or surgery (Sx) are unknown.

Each ECG recording has one or more labels from different type of abnormalities in SNOMED-CT codes. The full list of diagnoses for the challenge has been posted here as a 3 column CSV file: Long-form description, corresponding SNOMED-CT code, abbreviation. Although these descriptions apply to all training data there may be fewer classes in the test data, and in different proportions. However, every class in the test data will be represented in the training data.

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