A Review Of R Peak Detection Techniques Of Electrocardiogram (ECG)

Heart disease is one of the trivial issues regarding health problem over the last few decades in India. Numerous methods have been developed with still-ongoing modifications and ideas to observe and evaluate ECG signals based on each heart beat. Majority of research revolves around arrhythmia classification, heart rate monitoring and blood pressure measurements that require highly accurate assessments of rhythm disorders which can be possible by measuring QRS complex of ECG signal, so accurate QRS detection methods are very important to be utilized. There have been proposed many approaches to find out the R peak detection to analyze the ECG signals in past few years. Most recent and efficient techniques of R peak detection have been reviewed in this paper. Techniques which have been reviewed in this paper are Pan and Tompkins, Wavelet Transform, Empirical Mode Decomposition, Hilbert-Huang Transform, Fuzzy logic systems, Artificial neural networks

Revisiting QRS detection methodologies for portable, wearable, battery-operated, and wireless ECG systems

Cardiovascular diseases are the number one cause of death worldwide. Currently, portable battery-operated systems such as mobile phones with wireless ECG sensors have the potential to be used in continuous cardiac function assessment that can be easily integrated into daily life. These portable point-of-care diagnostic systems can therefore help unveil and treat cardiovascular diseases. The basis for ECG analysis is a robust detection of the prominent QRS complex, as well as other ECG signal characteristics. However, it is not clear from the literature which ECG analysis algorithms are suited for an implementation on a mobile device. We investigate current QRS detection algorithms based on three assessment criteria: 1) robustness to noise, 2) parameter choice, and 3) numerical efficiency, in order to target a universal fast-robust detector. Furthermore, existing QRS detection algorithms may provide an acceptable solution only on small segments of ECG signals, within a certain amplitude range, or amid particular types of arrhythmia and/or noise. These issues are discussed in the context of a comparison with the most conventional algorithms, followed by future recommendations for developing reliable QRS detection schemes suitable for implementation on battery-operated mobile devices.Mohamed Elgendi, Björn Eskofier, Socrates Dokos, Derek Abbot

Development of a Novel Dataset and Tools for Non-Invasive Fetal Electrocardiography Research

This PhD thesis presents the development of a novel open multi-modal dataset for advanced studies on fetal cardiological assessment, along with a set of signal processing tools for its exploitation. The Non-Invasive Fetal Electrocardiography (ECG) Analysis (NInFEA) dataset features multi-channel electrophysiological recordings characterized by high sampling frequency and digital resolution, maternal respiration signal, synchronized fetal trans-abdominal pulsed-wave Doppler (PWD) recordings and clinical annotations provided by expert clinicians at the time of the signal collection. To the best of our knowledge, there are no similar dataset available. The signal processing tools targeted both the PWD and the non-invasive fetal ECG, exploiting the recorded dataset. About the former, the study focuses on the processing aimed at the preparation of the signal for the automatic measurement of relevant morphological features, already adopted in the clinical practice for cardiac assessment. To this aim, a relevant step is the automatic identification of the complete and measurable cardiac cycles in the PWD videos: a rigorous methodology was deployed for the analysis of the different processing steps involved in the automatic delineation of the PWD envelope, then implementing different approaches for the supervised classification of the cardiac cycles, discriminating between complete and measurable vs. malformed or incomplete ones. Finally, preliminary measurement algorithms were also developed in order to extract clinically relevant parameters from the PWD. About the fetal ECG, this thesis concentrated on the systematic analysis of the adaptive filters performance for non-invasive fetal ECG extraction processing, identified as the reference tool throughout the thesis. Then, two studies are reported: one on the wavelet-based denoising of the extracted fetal ECG and another one on the fetal ECG quality assessment from the analysis of the raw abdominal recordings. Overall, the thesis represents an important milestone in the field, by promoting the open-data approach and introducing automated analysis tools that could be easily integrated in future medical devices

Detection of atrial fibrillation episodes in long-term heart rhythm signals using a support vector machine

Atrial fibrillation (AF) is a serious heart arrhythmia leading to a significant increase of the risk for occurrence of ischemic stroke. Clinically, the AF episode is recognized in an electrocardiogram. However, detection of asymptomatic AF, which requires a long-term monitoring, is more efficient when based on irregularity of beat-to-beat intervals estimated by the heart rate (HR) features. Automated classification of heartbeats into AF and non-AF by means of the Lagrangian Support Vector Machine has been proposed. The classifier input vector consisted of sixteen features, including four coefficients very sensitive to beat-to-beat heart changes, taken from the fetal heart rate analysis in perinatal medicine. Effectiveness of the proposed classifier has been verified on the MIT-BIH Atrial Fibrillation Database. Designing of the LSVM classifier using very large number of feature vectors requires extreme computational efforts. Therefore, an original approach has been proposed to determine a training set of the smallest possible size that still would guarantee a high quality of AF detection. It enables to obtain satisfactory results using only 1.39% of all heartbeats as the training data. Post-processing stage based on aggregation of classified heartbeats into AF episodes has been applied to provide more reliable information on patient risk. Results obtained during the testing phase showed the sensitivity of 98.94%, positive predictive value of 98.39%, and classification accuracy of 98.86%.Web of Science203art. no. 76

Analysis of Noise Sensitivity of Different ECG Detection Algorithms

This paper presents an analysis of noise sensitivities of different detection algorithms for electrocardiogram (ECG) taken from MIT-BIH arrhythmia database. Seven methods used in this paper are based on derivatives, digital filters (DF), neural network (NN) and wavelet transform (WT). The raw ECG is corrupted with 5 different types of synthesized noise, namely, power line interference, base line drift due to respiration, abrupt baseline shift, electromyogram (EMG) interference and a composite noise made from other types. A total of 315 data sets are constructed from 15 raw data sets for each type of noise adding 0%, 25%, 50%, 75% and 100% noise levels. The application of the methods to detect QRS complexes of a total of 33,774 beats of ECG shows that none of the algorithms are able to detect all QRS complexes without any false positives for all of the noise types at the highest noise level. Algorithms based on NN and WT show better performance considering all noise types and the two algorithms perform similarly. The result of this study will help to develop a more robust ECG detector and this will make ECG interpretation system more effective.DOI:http://dx.doi.org/10.11591/ijece.v3i3.251