Revisiting QRS Detection Methodologies for Portable,Wearable, Battery-Operated,and Wireless ECG Systems |
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| Authors: | Mohamed Elgendi Bj?rn Eskofier Socrates Dokos Derek Abbott |
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| Institution: | 1. Department of Computing Science, University of Alberta, Edmonton, Alberta, Canada.; 2. Pattern Recognition Lab, Friedrich-Alexander-University Erlangen-Nuremberg, Bavaria, Germany.; 3. Graduate School of Biomedical Engineering, University of New South Wales, Sydney, New South Wales, Australia.; 4. School of Electrical and Electronic Engineering, University of Adelaide, Adelaide, South Australia, Australia.; Northwestern University, United States of America, |
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| Abstract: | 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. |
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