Discrete-wavelet-transform-based noise removal and feature extraction for ECG signals

Nowadays, doctors use electrocardiogram (ECG) to diagnose heart diseases commonly. However, some nonideal effects are often distributed in ECG. Discrete wavelet transform (DWT) is efficient for nonstationary signal analysis. In this paper, the Symlets sym5 is chosen as the wavelet function to decompose recorded ECG signals for noise removal. Soft-thresholding method is then applied for feature detection. To detect ECG features, R peak of each heart beat is first detected, and the onset and offset of the QRS complex are then detected. Finally, the signal is reconstructed to remove high frequency interferences and applied with adaptive searching window and threshold to detect P and T waves. We use the MIT-BIH arrhythmia database for algorithm verification. For noise reduction, the SNR improvement is achieved at least 10 dB at SNR 5 dB, and most of the improvement SNR are better than other methods at least 1 dB at different SNR. When applying to the real portable ECG device, all R peaks can be detected when patients walk, run, or move at the speed below 9 km/h. The performance of delineation on database shows in our algorithm can achieve high sensitivity in detecting ECG features. The QRS detector attains a sensitivity over 99.94%, while detectors of P and T waves achieve 99.75% and 99.7%, respectively.     

ECG Enhancement and QRS Detection Based on Sparse Derivatives

Electrocardiography (ECG) signals are often contaminated by various kinds of noise or artifacts, for example, morphological changes due to motion artifact, non-stationary noise due to muscular contraction (EMG), etc. Some of these contaminations severely affect the usefulness of ECG signals, especially when computer aided algorithms are utilized. In this paper, a novel ECG enhancement algorithm is proposed based on sparse derivatives. By solving a convex ?₁ optimization problem, artifacts are reduced by modeling the clean ECG signal as a sum of two signals whose second and third-order derivatives (differences) are sparse respectively. The algorithm is applied to a QRS detection system and validated using the MIT-BIH Arrhythmia database (109,452 anotations), resulting a sensitivity of Se = 99.87% and a positive prediction of +P = 99.88%.     

基于小波变换的QRS综合波的检测

本文描述了基于二进制小波变换（DyWT),ECG信号中QRS综合波的检测。设计－小波它适合于QRS检测,将基于心电信号的特殊的特征的特征为小波的尺度。DyWT较之其它方法最基本的优点为强有力的抑制噪声检测以及在分析随时间变化ECG波形时的灵活性。     

Denoising of ECG signals based on noise reduction algorithms in EMD and wavelet domains

This paper presents a new ECG denoising approach based on noise reduction algorithms in empirical mode decomposition (EMD) and discrete wavelet transform (DWT) domains. Unlike the conventional EMD based ECG denoising approaches that neglect a number of initial intrinsic mode functions (IMFs) containing the QRS complex as well as noise, we propose to perform windowing in the EMD domain in order to reduce the noise from the initial IMFs instead of discarding them completely thus preserving the QRS complex and yielding a relatively cleaner ECG signal. The signal thus obtained is transformed in the DWT domain, where an adaptive soft thresholding based noise reduction algorithm is employed considering the advantageous properties of the DWT compared to that of the EMD in preserving the energy in the presence of noise and in reconstructing the original ECG signal with a better time resolution. Extensive simulations are carried out using the MIT-BIH arrythmia database and the performance of the proposed method is evaluated in terms of several standard metrics. The simulation results show that the proposed method is able to reduce noise from the noisy ECG signals more accurately and consistently in comparison to some of the stateof-the-art methods.     

A mathematical algorithm for ECG signal denoising using window analysis

BACKGROUND: The presence of parasite interference signals could cause serious problems in the registration of ECG signals and many works have been done to suppress electromyogram (EMG) artifacts noises and disturbances from electrocardiogram (ECG). Recently, new developed techniques based on global and local transforms have become popular such as wavelet shrinkage approaches (1995) and time-frequency dependent threshold (1998). Moreover, other techniques such as artificial neural networks (2003), energy thresholding and Gaussian kernels (2006) are used to improve previous works. This review summarizes windowed techniques of the concerned issue. METHODS AND RESULTS: We conducted a mathematical method based on two sets of information, which are dominant scale of QRS complexes and their domain. The task is proposed by using a varying-length window that is moving over the whole signals. Both the high frequency (noise) and low frequency (base-line wandering) removal tasks are evaluated for manually corrupted ECG signals and are validated for actual recorded ECG signals. CONCLUSIONS: Although, the simplicity of the method, fast implementation, and preservation of characteristics of ECG waves represent it as a suitable algorithm, there may be some difficulties due to pre-stage detection of QRS complexes and specification of algorithm's parameters for varying morphology cases.     

ECG 信号QRS 波群检测算法的进展

QRS波群是ECG信号的重要组成部分,是心电信号分析的基础.QRS波群的检测方法已经有很多种实用有效的方法,并逐步地走向成熟,在实际应用中得到实现.本文就QRS波群的检测方法作了具体的整理与分析,较全面的阐述了实际应用中的各种算法,最后作者对检测算法的发展趋势进行了总结和展望.     

基于独立元分析和联合小波熵检测多导联ECG信号的QRS

QRS波群的准确定位是ECG信号自动分析的基础。为提高QRS检测率,提出一种基于独立元分析（ICA）和联合小波熵（CWS）检测多导联ECG信号QRS的算法。ICA算法从滤波后的多导联ECG信号中分离出对应心室活动的独立元;然后对各独立元进行连续小波变换（CWT）,重构小波系数的相空间,结合相空间中的QRS信息对独立元排序;最后检测排序后独立元的CWS得到QRS信息。实验对St.Petersburg12导联心率失常数据库及64导联犬心外膜数据库测试,比较本文算法与单导联QRS检测算法和双导联QRS检测算法的性能。结果表明,该文算法的性能最好,检测准确率分别为99.98%和100%。     

ECG signal compression using ASCII character encoding and transmission via SMS

Software based efficient and reliable ECG data compression and transmission scheme is proposed here. The algorithm has been applied to various ECG data of all the 12 leads taken from PTB diagnostic ECG database (PTB-DB). First of all, R-peaks are detected by differentiation and squaring technique and QRS regions are located. To achieve a strict lossless compression in the QRS regions and a tolerable lossy compression in rest of the signal, two different compression algorithms have used. The whole compression scheme is such that the compressed file contains only ASCII characters. These characters are transmitted using internet based Short Message Service (SMS) and at the receiving end, original ECG signal is brought back using just the reverse logic of compression. It is observed that the proposed algorithm can reduce the file size significantly (compression ratio: 22.47) preserving ECG signal morphology.     

A lead dependent ischemic episodes detection strategy using Hermite functions

In this work a new strategy for automatic detection of ischemic episodes is proposed. A new measure for ST deviation based on the time–frequency analysis of the ECG and the use of a reduced set of Hermite basis functions for T wave and QRS complex morphology characterization, are the key points of the proposed methodology.Usually, ischemia manifests itself in the ECG signal by ST segment deviation or by QRS complex and T wave changes in morphology. These effects might occur simultaneously. Time–frequency methods are especially adequate for the detection of small transient characteristics hidden in the ECG, such as ST segment alterations. A Wigner–Ville transform-based approach is proposed to estimate the ST shift. To characterize the alterations in the T wave and the QRS morphologies, each cardiac beat is described by expansions in Hermite functions. These demonstrated to be suitable to capture the most relevant morphologic characteristics of the signal. A lead dependent neural network classifier considers, as inputs, the ST segment deviation and the Hermite expansion coefficients. The ability of the proposed method in ischemia episodes detection is evaluated using the European Society of Cardiology ST–T database. A sensitivity of 96.7% and a positive predictivity of 96.2% reveal the capacity of the proposed strategy to perform ischemic episodes identification.     

Effect of adaptive motion-artifact reduction on QRS detection

Motion artifact resulting from electrode and patient movement is a significant source of noise in ECG, EEG, EMG, and impedance pneumography recording. Noise resulting from motion is particularly troublesome in ambulatory ECG recordings, such as those made during Holter monitoring or stress tests, because the bandwidth of the motion artifact overlaps with the ECG signal bandwidth. The authors investigated the effect of an adaptive motion-artifact removal algorithm on the performance of a standard QRS detector. They made four ECG recordings on each of the three subjects while manually generating artifact. Adaptive noise removal was applied to the ECG signal using a skin-stretch signal as the noise reference. Adaptive noise removal reduced the number of false QRS detections in the records from 380 to 104, for an average reduction in false detections of 72.6%. False-detection reductions for individual records ranged from 12% to 93%.     

Predicting the QRS complex and detecting small changes using principal component analysis.

In this paper, a new method for QRS complex analysis and estimation based on principal component analysis (PCA) and polynomial fitting techniques is presented. Multi-channel ECG signals were recorded and QRS complexes were obtained from every channel and aligned perfectly in matrices. For every channel, the covariance matrix was calculated from the QRS complex data matrix of many heartbeats. Then the corresponding eigenvectors and eigenvalues were calculated and reconstruction parameter vectors were computed by expansion of every beat in terms of the principal eigenvectors. These parameter vectors show short-term fluctuations that have to be discriminated from abrupt changes or long-term trends that might indicate diseases. For this purpose, first-order poly-fit methods were applied to the elements of the reconstruction parameter vectors. In healthy volunteers, subsequent QRS complexes were estimated by calculating the corresponding reconstruction parameter vectors derived from these functions. The similarity, absolute error and RMS error between the original and predicted QRS complexes were measured. Based on this work, thresholds can be defined for changes in the parameter vectors that indicate diseases.     

A Comparison of ECG Signal Pre-processing Using FrFT,FrWT and IPCA for Improved Analysis

ObjectiveElectrocardiogram (ECG) is a diagnostic tool for recording electrical activities of the human heart non-invasively. It is detected by electrodes placed on the surface of the skin in a conductive medium. In medical applications, ECG is used by cardiologists to observe heart anomalies (cardiovascular diseases) such as abnormal heart rhythms, heart attacks, effects of drug dosage on subject's heart and knowledge of previous heart attacks. Recorded ECG signal is generally corrupted by various types of noise/distortion such as cardiac (isoelectric interval, prolonged depolarization and atrial flutter) or extra cardiac (respiration, changes in electrode position, muscle contraction and power line noise). These factors hide the useful information and alter the signal characteristic due to low Signal-to-Noise Ratio (SNR). In such situations, any failure to judge the ECG signal correctly may result in a delay in the treatment and harm a subject (patient) health. Therefore, appropriate pre-processing technique is necessary to improve SNR to facilitate better treatment to the subject. Effects of different pre-processing techniques on ECG signal analysis (based on R-peaks detection) are compared using various Figures of Merit (FoM) such as sensitivity (Se), accuracy (Acc) and detection error rate (DER) along with SNR.MethodsIn this research article, a new fractional wavelet transform (FrWT) has been proposed as a pre-processing technique in order to overcome the disadvantages of other existing commonly used techniques viz. wavelet transform (WT) and the fractional Fourier transform (FrFT). The proposed FrWT technique possesses the properties of multiresolution analysis and represents signal in the fractional domain which consists of representation in terms of rotation of signals in the time–frequency plane. In the literature, ECG signal analysis has been improvised using statistical pre-processing techniques such as principal component analysis (PCA), and independent component analysis (ICA). However, both PCA and ICA are prone to suffer from slight alterations in either signal or noise, unless the basis functions are prepared with a worldwide set of ECG. Independent Principal Component Analysis (IPCA) has been used to overcome this shortcoming of PCA and ICA. Therefore, in this paper three techniques viz. FrFT, FrWT and IPCA are selected for comparison in pre-processing of ECG signals.ResultsThe selected methods have been evaluated on the basis of SNR, Se, Acc and DER of the detected ECG beats. FrWT yields the best results among all the methods considered in this paper; 34.37dB output SNR, 99.98% Se, 99.96% Acc, and 0.036% DER. These results indicate the quality of biology-related information retained from the pre-processed ECG signals for identifying different heart abnormalities.ConclusionCorrect analysis of the acquired ECG signal is the main challenge for cardiologist due to involvement of various types of noises (high and low frequency). Twenty two real time ECG records have been evaluated based on various FoM such as SNR, Se, Acc and DER for the proposed FrWT and existing FrFT and IPCA preprocessing techniques. Acquired real-time ECG database in normal and disease situations is used for the purpose. The values of FoMs indicate high SNR and better detection of R-peaks in a ECG signal which is important for the diagnosis of cardiovascular disease. The proposed FrWT outperforms all other techniques and holds both analytical attributes of the actual ECG signal and alterations in the amplitudes of various ECG waveforms adequately. It also provides signal portrayals in the time-fractional-frequency plane with low computational complexity enabling their use practically for versatile applications.     

Heart rate and epileptic seizure detection algorithms for low-power platforms

Algorithm design for low power platforms is constrained by memory and computational limitations, and real-world applications demand robust performance. This paper presents two algorithms that were designed with the view that simplicity can translate to robustness. The first algorithm processes electrocardiogram (ECG) signals to detect QRS complexes reliably in the presence of significant noise. The second algorithm is a low-cost approach to detecting seizure onset from electrocorticogram (ECoG) data. The ECG algorithm was implemented on a TI MSP430-based platform and the ECoG algorithm was implemented on a Cortex-M3 based ultra-low power device.     

A novel method for detecting R-peaks in electrocardiogram (ECG) signal

The R-peak detection is crucial in all kinds of electrocardiogram (ECG) applications. However, almost all existing R-peak detectors suffer from the non-stationarity of both QRS morphology and noise. To combat this difficulty, we propose a new R-peak detector, which is based on the new preprocessing technique and an automated peak-finding logic. In this paper, we first demonstrate that the proposed preprocessor with a Shannon energy envelope (SEE) estimator is better able to detect R-peaks in case of wider and small QRS complexes, negative QRS polarities, and sudden changes in QRS amplitudes over that using the absolute value, energy value, and Shannon entropy features. Then we justify the simplicity and robustness of the proposed peak-finding logic using the Hilbert-transform (HT) and moving average (MA) filter. The proposed R-peak detector is validated using the first-channel of the 48 ECG records of the MIT-BITH arrhythmia database, and achieves average detection accuracy of 99.80%, sensitivity of 99.93% and positive predictivity of 99.86%. Various experimental results show that the proposed R-peak detection method significantly outperforms other well-known methods in case of noisy or pathological signals.     

SVM-based algorithm for recognition of QRS complexes in electrocardiogram

Among all electrocardiogram (ECG) components, the QRS complex is the most significant feature. This paper presents a new algorithm for recognition of QRS complexes in the electrocardiogram (ECG) based on support vector machine (SVM). Digital filtering techniques are used to remove power line interference and baseline wander in the ECG signal. SVM is used as a classifier to delineate QRS and non-QRS regions. Algorithm performance was evaluated against the standard CSE ECG database. The results indicated that the algorithm achieved 99.3% of the detection rate. The percentage of false positive and false negative was 12.4 and 0.7% respectively. It could function reliably even under the condition of poor signal quality of the ECG signal.     

A Powerful Algorithm to aid Cardiac Arrhythmia Diagnosis

Abstract

The Electrocardiogram (ECG), represents the electrical activity of the heart. It is characterised by a number of waves P, QRS, T which are correlated to the status of the heart activity. In this paper, the aim is to present a powerful algorithm to aid cardiac diagnosis. The approach used is based on a determinist method, that of the tree decision. However, the different waves of the ECG signal need to be identified and then measured following a signal to noise enhancement. Signal to noise enhancement is performed by a combiner linear adaptive filter whereas P, QRS, T wave identification and measurement are performed by a derivative approach. Results obtained on simulated and real ECG signals are shown to be highly, satisfactory in the aid of cardiac arrhythmia diagnosis, such as junctionnal escapes, blocks, etc.     

A Powerful Algorithm to aid Cardiac Arrhythmia Diagnosis

The Electrocardiogram (ECG), represents the electrical activity of the heart. It is characterised by a number of waves P, QRS, T which are correlated to the status of the heart activity. In this paper, the aim is to present a powerful algorithm to aid cardiac diagnosis. The approach used is based on a determinist method, that of the tree decision. However, the different waves of the ECG signal need to be identified and then measured following a signal to noise enhancement. Signal to noise enhancement is performed by a combiner linear adaptive filter whereas P, QRS, T wave identification and measurement are performed by a derivative approach. Results obtained on simulated and real ECG signals are shown to be highly, satisfactory in the aid of cardiac arrhythmia diagnosis, such as junctionnal escapes, blocks, etc.     

Simple and Robust Realtime QRS Detection Algorithm Based on Spatiotemporal Characteristic of the QRS Complex

The purpose of this research is to develop an intuitive and robust realtime QRS detection algorithm based on the physiological characteristics of the electrocardiogram waveform. The proposed algorithm finds the QRS complex based on the dual criteria of the amplitude and duration of QRS complex. It consists of simple operations, such as a finite impulse response filter, differentiation or thresholding without complex and computational operations like a wavelet transformation. The QRS detection performance is evaluated by using both an MIT-BIH arrhythmia database and an AHA ECG database (a total of 435,700 beats). The sensitivity (SE) and positive predictivity value (PPV) were 99.85% and 99.86%, respectively. According to the database, the SE and PPV were 99.90% and 99.91% in the MIT-BIH database and 99.84% and 99.84% in the AHA database, respectively. The result of the noisy environment test using record 119 from the MIT-BIH database indicated that the proposed method was scarcely affected by noise above 5 dB SNR (SE = 100%, PPV > 98%) without the need for an additional de-noising or back searching process.     

Tutorial. Surface EMG detection,conditioning and pre-processing: Best practices

This tutorial is aimed primarily to non-engineers, using or planning to use surface electromyography (sEMG) as an assessment tool for muscle evaluation in the prevention, monitoring, assessment and rehabilitation fields. The main purpose is to explain basic concepts related to: (a) signal detection (electrodes, electrode–skin interface, noise, ECG and power line interference), (b) basic signal properties, such as amplitude and bandwidth, (c) parameters of the front-end amplifier (input impedance, noise, CMRR, bandwidth, etc.), (d) techniques for interference and artifact reduction, (e) signal filtering, (f) sampling and (g) A/D conversion, These concepts are addressed and discussed, with examples.The second purpose is to outline best practices and provide general guidelines for proper signal detection, conditioning and A/D conversion, aimed to clinical operators and biomedical engineers. Issues related to the sEMG origin and to electrode size, interelectrode distance and location, have been discussed in a previous tutorial. Issues related to signal processing for information extraction will be discussed in a subsequent tutorial.     

Arrhythmic Heartbeat Classification Using 2D Convolutional Neural Networks

BackgroundElectrocardiogram (ECG) is a method of recording the electrical activity of the heart and it provides a diagnostic means for heart-related diseases. Arrhythmia is any irregularity of the heartbeat that causes an abnormality in the heart rhythm. Early detection of arrhythmia has great importance to prevent many diseases. Manual analysis of ECG recordings is not practical for quickly identifying arrhythmias that may cause sudden deaths. Hence, many studies have been presented to develop computer-aided-diagnosis (CAD) systems to automatically identify arrhythmias.MethodsThis paper proposes a novel deep learning approach to identify arrhythmias in ECG signals. The proposed approach identifies arrhythmia classes using Convolutional Neural Network (CNN) trained by two-dimensional (2D) ECG beat images. Firstly, ECG signals, which consist of 5 different arrhythmias, are segmented into heartbeats which are transformed into 2D grayscale images. Afterward, the images are used as input for training a new CNN architecture to classify heartbeats.ResultsThe experimental results show that the classification performance of the proposed approach reaches an overall accuracy of 99.7%, sensitivity of 99.7%, and specificity of 99.22% in the classification of five different ECG arrhythmias. Further, the proposed CNN architecture is compared to other popular CNN architectures such as LeNet and ResNet-50 to evaluate the performance of the study.ConclusionsTest results demonstrate that the deep network trained by ECG images provides outstanding classification performance of arrhythmic ECG signals and outperforms similar network architectures. Moreover, the proposed method has lower computational costs compared to existing methods and is more suitable for mobile device-based diagnosis systems as it does not involve any complex preprocessing process. Hence, the proposed approach provides a simple and robust automatic cardiac arrhythmia detection scheme for the classification of ECG arrhythmias.