Side Channel-Assisted Inference Leakage from Machine Learning-based ECG Classification

The Electrocardiogram (ECG) measures the electrical cardiac activity generated by the heart to detect abnormal heartbeat and heart attack. However, the irregular occurrence of the abnormalities demands continuous monitoring of heartbeats. Machine learning techniques are leveraged to automate the task to reduce labor work needed during monitoring. In recent years, many companies have launched products with ECG monitoring and irregular heartbeat alert. Among all classification algorithms, the time series-based algorithm dynamic time warping (DTW) is widely adopted to undertake the ECG classification task. Though progress has been achieved, the DTW-based ECG classification also brings a new attacking vector of leaking the patients' diagnosis results. This paper shows that the ECG input samples' labels can be stolen via a side-channel attack, Flush+Reload. In particular, we first identify the vulnerability of DTW for ECG classification, i.e., the correlation between warping path choice and prediction results. Then we implement an attack that leverages Flush+Reload to monitor the warping path selection with known ECG data and then build a predictor for constructing the relation between warping path selection and labels of input ECG samples. Based on experiments, we find that the Flush+Reload-based inference leakage can achieve an 84.0\% attacking success rate to identify the labels of the two samples in DTW.