The electrocardiogram (ECG) is a non-invasive representation of the electrical activity of the heart from electrodes placed on the surface of the torso. The standard 12-lead ECG has been widely used to diagnose a variety of cardiac abnormalities such as cardiac arrhythmias, and predicts cardiovascular morbidity and mortality [1]. The early and correct diagnosis of cardiac abnormalities can increase the chances of successful treatments [2]. However, manual interpretation of the electrocardiogram is time-consuming, and requires skilled personnel with a high degree of training [3].
Automatic detection and classification of cardiac abnormalities can assist physicians in the diagnosis of the growing number of ECGs recorded. Over the last decade, there have been increasing numbers of attempts to stimulate 12-lead ECG classification. Many of these algorithms seem to have the potential for accurate identification of cardiac abnormalities. However, most of these methods have only been tested or developed in single, small, or relatively homogeneous datasets. The PhysioNet/Computing in Cardiology Challenge 2020 provides an opportunity to address this problem by providing data from a wide set of sources.