Detection of Real Time QRS Complex Using Wavelet Transform

This paper presents a novel method for QRS detection. To accomplish this task ECG signal was first filtered by using a third order Savitzky Golay filter. The filtered ECG signal was then preprocessed by a Wavelet based denoising in a real-time fashion to minimize the undefined noise level. R-peak was then detected from denoised signal after wavelet denoising. Windowing mechanism was also applied for finding any missing R-peaks. All the 48 records have been used to test the proposed method. During this testing, 99.97% sensitivity and 99.99% positive predictivity is obtained for QRS complex detection

Automatic neonatal sleep stage classification:A comparative study

Sleep is an essential feature of living beings. For neonates, it is vital for their mental and physical development. Sleep stage cycling is an important parameter to assess neonatal brain and physical development. Therefore, it is crucial to administer newborn's sleep in the neonatal intensive care unit (NICU). Currently, Polysomnography (PSG) is used as a gold standard method for classifying neonatal sleep patterns, but it is expensive and requires a lot of human involvement. Over the last two decades, multiple researchers are working on automatic sleep stage classification algorithms using electroencephalography (EEG), electrocardiography (ECG), and video. In this study, we present a comprehensive review of existing algorithms for neonatal sleep, their limitations and future recommendations. Additionally, a brief comparison of the extracted features, classification algorithms and evaluation parameters is reported in the proposed study

Automatic neonatal sleep stage classification: A comparative study

Sleep is an essential feature of living beings. For neonates, it is vital for their mental and physical development. Sleep stage cycling is an important parameter to assess neonatal brain and physical development. Therefore, it is crucial to administer newborn's sleep in the neonatal intensive care unit (NICU). Currently, Polysomnography (PSG) is used as a gold standard method for classifying neonatal sleep patterns, but it is expensive and requires a lot of human involvement. Over the last two decades, multiple researchers are working on automatic sleep stage classification algorithms using electroencephalography (EEG), electrocardiography (ECG), and video. In this study, we present a comprehensive review of existing algorithms for neonatal sleep, their limitations and future recommendations. Additionally, a brief comparison of the extracted features, classification algorithms and evaluation parameters is reported in the proposed study

Nonlinear analysis of continuous ECG during sleep II. Dynamical measures

The hypothesis that cardiac rhythms are associated with chaotic dynamics implicating a healthy flexibility has motivated the investigation of continuous ECG with methods of nonlinear system theory. Sleep is known to be associated with modulations of the sympathetic and parasympathetic control of cardiac dynamics. Thus, the differentiation of ECG signals recorded during different sleep stages can serve to determine the usefulness of nonlinear measures in discriminating ECG states in general. For this purpose the following six nonlinear measures were implemented: correlation dimension D2, Lyapunov exponent L1. Kolmogorov entropy K2, as well as three measures derived from the analysis of unstable periodic orbits. Results of this study show that continuous ECG signals can be differentiated from linear stochastic surrogates by each of the nonlinear measures. The most significant finding with respect to the sleep-related differentiation of ECG signals is an increase in dominant chaoticity assessed by L1 and a reduction in the degrees of freedom estimated by D2 during REM sleep compared to slow wave sleep. Our findings suggest that the increase in dominant chaoticity during REM sleep with regard to time-continuous nonlinear analysis is comparable to an increased heart rate variability. The reduction in the correlation dimension may be interpreted as an expression of the withdrawal of respiratory influences during REM sleep

Application of Higher-Order Statistics and Subspace-Based Techniques to the Analysis and Diagnosis of Electrocardiogram Signals

The first and main contribution of this research work is the higher-order statistics (HOS)-based non-linear analysis and subsequent diagnosis of abnormal electrocardiogram (ECG) signals, particularly myocardial ischaemia. In the time domain; the second-, third-, and the fourth-order cumulants have been used in the analysis. In the frequency domain; up to the tenth-order polyspectra have been exploited. This HOS-based analysis of normal and ischaemic electrocardiogram signals has led to the identification of certain key discriminant features for the two physiological states of the heart. These features are then fed to different backpropagation-based multiple layer perceptrons for classification. The second contribution is a proposed new methodology to discriminate patients with angina pectoris or with old myocardial infarction (MI) during the first 60 seconds of stress test (or in some cases using rest ECG). It is based on the pseudo-spectral Multiple Signal Classification (MUSIC) and has the potential of being highly sensitive diagnostic signal processing tool. The third contribution is the development of a novel higher-order statistics, high-resolution estimator for quadratically coupled frequencies based on subspace spectral estimation. Extensive studies of cumulants, bispectra and bicoherence-squared of normal and ischaemic ECG signals collected from MIT and ST-T European databases has enabled us to see key discriminant features in both the third- and fourth-order cumulant domains. In the frequency domain, the polyspectral study has been extended to the lOth-order poly spectra. By calculating one-dimensional polyspectrum slices using an algorithm developed by Zhou and Giannakis (1995) a considerable reduction in the CPU time has been achieved. Furthermore, Zhou’s algorithm has been further extended to estimate the polycoherency slices which are used to characterise non-linearities in normal and ischaemic ECG signals. An important finding in this thesis is the decrease of the order of non-linearity representing the electrocardiogram signals of ischaemic patients. This thesis also includes the results of a pilot study involving eighteen healthy subjects (MIT database) and confirmed that the ECG signal is non-Gaussian, cyclostationary and quasi periodic. Combined spectral and bispectral analysis of the signal revealed that there are unique harmonic characteristics for the P-wave, QRS complex and T-wave and other frequencies due to harmonic interactions. In this work three linear and one non-linear adaptive filtering/predictions techniques have been applied to noisy ECG signals and their respective performances appraised. It is shown that the Kalman filter gives the best mean-square error MSE error but its comparatively long execution time and problems arising from ill-conditioning of the state-error covariance matrix render it of limited use in ECG applications. It is also shown that the LMS-based quadratic and cubic Volterra filters are the most superior for the ECG signal prediction. For ECG classifications; three multi-layer perceptrons employing back-propagation and modified back-propagation algorithms, and using two sets from the higher-order most discriminant features as their inputs, have yielded fairly high classification rates