Development of SVM based classification techniques for the delineation of wave components in 12-lead electrocardiogram

The automatic detection of electrocardiogram (ECG) waves namely P, QRS and T-wave is important to cardiac disease diagnosis. This paper presents an application of support vector machine (SVM) as a classifier for the delineation of ECG wave components in the 12-lead ECG signal. Digital filtering techniques are used to remove power line interference and baseline wander present in the ECG signal. Gradient of the filtered ECG signal is used as a feature for the detection of QRS-complexes, P- and T-waves. The performance of the algorithm is validated using original 12-lead ECG recordings from the standard CSE ECG database. Significant detection rate is achieved. The percentage of false positive and false negative detection is low. The method successfully detects all kind of morphologies of QRS-complexes, P- and T-waves. The onsets and offsets of the detected QRS-complexes, P- and T-waves are found to be within the tolerance limits given in CSE library.     

K-means algorithm for the detection and delineation of QRS-complexes in Electrocardiogram

Electrocardiogram (ECG) is an important bioelectrical signal used to asses the cardiac state of a patient. It consists of a recurrent wave sequence of P-wave, QRS-complex and T-wave associated with each beat. The QRS-complex is the prominent feature of the ECG. This paper presents a simple method using K-means clustering algorithm for the detection of QRS-complexes in ECG signal. Digital filters are used to remove the power line interference and baseline wander present in the ECG signal. K-means algorithm is used to classify QRS and non-QRS-region in the ECG signal. The performance of the algorithm is validated using dataset-3 of the CSE multi-lead measurement library. Detection rate of 98.66% is obtained. The percentage of false positive and false negative is 1.14% and 1.34% respectively. The mean and standard deviation of the errors between automatic and manual annotations is calculated to validate the delineation performance of the algorithm. The onsets and offsets of the detected QRS-complexes are found well within the tolerance limits as specified by the CSE library.     

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%.     

Ischemia episode detection in ECG using kernel density estimation, support vector machine and feature selection

ABSTRACT: BACKGROUND: Myocardial ischemia can be developed into more serious diseases. Early Detection of the ischemic syndrome inelectrocardiogram (ECG) more accurately and automatically can prevent it from developing into a catastrophicdisease. To this end, we propose a new method, which employs wavelets and simple feature selection. METHODS: For training and testing, the European ST-T database is used, which is comprised of 367 ischemic ST episodes in90 records. We first remove baseline wandering, and detect time positions of QRS complexes by a method basedon the discrete wavelet transform. Next, for each heart beat, we extract three features which can be used fordifferentiating ST episodes from normal: 1) the area between QRS offset and T-peak points, 2) the normalizedand signed sum from QRS offset to effective zero voltage point, and 3) the slope from QRS onset to offset point.We average the feature values for successive five beats to reduce effects of outliers. Finally we apply classifiersto those features. RESULTS: We evaluated the algorithm by kernel density estimation (KDE) and support vector machine (SVM) methods.Sensitivity and specificity for KDE were 0.939 and 0.912, respectively. The KDE classifier detects 349 ischemicST episodes out of total 367 ST episodes. Sensitivity and specificity of SVM were 0.941 and 0.923, respectively.The SVM classifier detects 355 ischemic ST episodes. CONCLUSIONS: We proposed a new method for detecting ischemia in ECG. It contains signal processing techniques of removingbaseline wandering and detecting time positions of QRS complexes by discrete wavelet transform, and featureextraction from morphology of ECG waveforms explicitly. It was shown that the number of selected featureswere sufficient to discriminate ischemic ST episodes from the normal ones. We also showed how the proposedKDE classifier can automatically select kernel bandwidths, meaning that the algorithm does not require anynumerical values of the parameters to be supplied in advance. In the case of the SVM classifier, one has to selecta single parameter.     

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.     

HMM-based Supervised Machine Learning Framework for the Detection of fECG R-R Peak Locations

ObjectiveFetal Electro Cardiogram (fECG) provides critical information on the wellbeing of a foetus heart in its developing stages in the mother's womb. The objective of this work is to extract fECG which is buried in a composite signal consisting of itself, maternal ECG (mECG) and noises contributed from various unavoidable sources. In the past, the challenge of extracting fECG from the composite signal was dealt with by Stochastic Weiner filter, model-based Kalman filter and other adaptive filtering techniques. Blind Source Separation (BSS) based Independent Component Analysis (ICA) has shown an edge over the adaptive filtering techniques as the former does not require a reference signal. Recently, data-driven machine learning techniques e.g., adaptive neural networks, adaptive neuro-fuzzy inference system, support vector machine (SVM) are also applied.MethodThis work pursues hidden Markov model (HMM)-based supervised machine learning frame-work for the determination of the location of fECG QRS complex from the composite abdominal signal. HMM is used to model the underlying hidden states of the observable time series of the extracted and separated fECG data with its QRS peak location as one of the hidden states. The state transition probabilities are estimated in the training phase using the annotated data sets. Afterwards, using the estimated HMM networks, fQRS locations are detected in the testing phase. To evaluate the proposed technique, the accuracy of the correct detection of QRS complex with respect to the correct annotation of QRS complex location is considered and quantified by the sensitivity, probability of false alarm, and accuracy.ResultsThe best results that have been achieved using the proposed method are: accuracy – 97.1%, correct detection rate (translated to sensitivity) – 100%, and false alarm rate – 2.89%.ConclusionTwo primary challenges in these methods are finding the right reference threshold for the normalization of the extracted fECG signal during the initial trials and limitation of discrete frame work of HMM signal (converted from continuous time) which only offers a countable number of levels in observations. By feeding the posterior probabilities, obtained from SVM, into HMM, as emission probabilities, can further improve the accuracy of fQRS location detection.     

An Efficient Automated Algorithm for Distinguishing Normal and Abnormal ECG Signal

ObjectiveThe present study aims to simulate an alarm system for online detecting normal electrocardiogram (ECG) signals from abnormal ECG so that an individual's heart condition can be accurately and quickly monitored at any moment, and any possible serious dangers can be prevented.Materials and methodsFirst, the data from Physionet database were used to analyze the ECG signal. The data were collected equally from both males and females, and the data length varied between several seconds to several minutes. The heart rate variability (HRV) signal, which reflects heart fluctuations in different time intervals, was used due to the low spatial accuracy of ECG signal and its time constraint, as well as the similarity of this signal with the normal signal in some diseases. In this study, the proposed algorithm provided a return map as well as extracted nonlinear features of the HRV signal, in addition to the application of the statistical characteristics of the signal. Then, artificial neural networks were used in the field of ECG signal processing such as multilayer perceptron (MLP) and support vector machine (SVM), as well as optimal features, to categorize normal signals from abnormal ones.ResultsIn this paper, the area under the curve (AUC) of the ROC was used to determine the performance level of introduced classifiers. The results of simulation in MATLAB medium showed that AUC for MLP and SVM neural networks was 89.3% and 94.7%, respectively. Also, the results of the proposed method indicated that the more nonlinear features extracted from the ECG signal could classify normal signals from the patient.ConclusionThe ECG signal representing the electrical activity of the heart at different time intervals involves some important information. The signal is considered as one of the common tools used by physicians to diagnose various cardiovascular diseases, but unfortunately the proper diagnosis of disease in many cases is accompanied by an error due to limited time accuracy and hiding some important information related to this signal from the physicians' vision leading to the risks of irreparable harm for patients. Based on the results, designing the proposed alarm system can help physicians with higher speed and accuracy in the field of diagnosing normal people from patients and can be used as a complementary system in hospitals.     

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.     

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.     

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.     

超声波清洗器对大鼠心电图的影响

目的考察超声波清洗器对大鼠的影响。方法用RM6240多道生理信号采集处理系统,采用标准肢体二导联法测量正常状态和超声波清洗器工作时麻醉大鼠的心电图。结果超声波清洗器打开后2 min、15 min和30 min时,麻醉大鼠的心率显著增加,心电图的QRS波群间期显著缩短。而超声波清洗器停止工作后30 min时,大鼠心率和QRS波群间期基本恢复至正常。结论超声波清洗器工作时对大鼠心脏可产生一过性的不良影响。因此,在动物饲养或实验区内,超声波清洗器的放置应远离大鼠饲养室。     

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.     

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.     

Normalizing Electrocardiograms of Both Healthy Persons and Cardiovascular Disease Patients for Biometric Authentication

Although electrocardiogram (ECG) fluctuates over time and physical activity, some of its intrinsic measurements serve well as biometric features. Considering its constant availability and difficulty in being faked, the ECG signal is becoming a promising factor for biometric authentication. The majority of the currently available algorithms only work well on healthy participants. A novel normalization and interpolation algorithm is proposed to convert an ECG signal into multiple template cycles, which are comparable between any two ECGs, no matter the sampling rates or health status. The overall accuracies reach 100% and 90.11% for healthy participants and cardiovascular disease (CVD) patients, respectively.     

Classification of electrocardiogram signals with support vector machines and genetic algorithms using power spectral features

This paper proposes a new power spectral-based hybrid genetic algorithm-support vector machines (SVMGA) technique to classify five types of electrocardiogram (ECG) beats, namely normal beats and four manifestations of heart arrhythmia. This method employs three modules: a feature extraction module, a classification module and an optimization module. Feature extraction module extracts electrocardiogram's spectral and three timing interval features. Non-parametric power spectral density (PSD) estimation methods are used to extract spectral features. Support vector machine (SVM) is employed as a classifier to recognize the ECG beats. We investigate and compare two such classification approaches. First they are specified experimentally by the trial and error method. In the second technique the approach optimizes the relevant parameters through an intelligent algorithm. These parameters are: Gaussian radial basis function (GRBF) kernel parameter σ and C penalty parameter of SVM classifier. Then their performances in classification of ECG signals are evaluated for eight files obtained from the MIT–BIH arrhythmia database. Classification accuracy of the SVMGA approach proves superior to that of the SVM which has constant and manually extracted parameter.     

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.     

Effects of a high concentration of CO2 on electrocardiograms in the carp, Cyprinus carpio

1. The effects of a high concentration of CO2 (PCO2 = 250 mmHg and PO2 = 360 mmHg in water) and MS222 (tricaine methanesulfonate, 1/8000 or 1/5000) on the electrocardiogram (ECG) in carp were examined using five kinds of bipolar leads from the body surface. 2. In the carp anesthetized with the high concentration of CO2 for 30 min, the QRS duration, PQ interval and and direction of the QRS axis on the frontal plane significantly changed. Even after recovery from anesthesia, delay in the QRS duration was still recognized. 3. The concentration of CO2 used in this study had an anesthetic action to the same degree as 1/8000 of MS222 and had a much more severe effect on the ECG of the carp than 1/5000 of MS222.     

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%.     

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.