Abstract: ECG contains very important clinical information about the cardiac activities of the heart. Often the ECG signal needs to be captured for a long period of time in order to identify abnormalities in certain situations. Such signal apart of a large volume often is characterised by low quality due to the noise and other influences. In order to extract features in the ECG signal with time-varying characteristics at first need to be preprocessed with the best parameters. Also, it is useful to identify specific parts of the long lasting signal which have certain abnormalities and to direct the practitioner to those parts of the signal. In this work we present a method based on wavelet transform, standard deviation and variable threshold which achieves 100% accuracy in identifying the ECG signal peaks and heartbeat as well as identifying the standard deviation, providing a quick reference to abnormalities.
Abstract: This paper describes a new method for extracting the fetal heart rate (fHR) and the fetal heart rate variability (fHRV) signal non-invasively using abdominal maternal electrocardiogram (mECG) recordings. The extraction is based on the fundamental frequency (Fourier-s) theorem. The fundamental frequency of the mother-s electrocardiogram signal (fo-m) is calculated directly from the abdominal signal. The heart rate of the fetus is usually higher than that of the mother; as a result, the fundamental frequency of the fetal-s electrocardiogram signal (fo-f) is higher than that of the mother-s (fo-f > fo-m). Notch filters to suppress mother-s higher harmonics were designed; then a bandpass filter to target fo-f and reject fo-m is implemented. Although the bandpass filter will pass some other frequencies (harmonics), we have shown in this study that those harmonics are actually carried on fo-f, and thus have no impact on the evaluation of the beat-to-beat changes (RR intervals). The oscillations of the time-domain extracted signal represent the RR intervals. We have also shown in this study that zero-to-zero evaluation of the periods is more accurate than the peak-to-peak evaluation. This method is evaluated both on simulated signals and on different abdominal recordings obtained at different gestational ages.
Abstract: In this paper we are to find the optimum
multiwavelet for compression of electrocardiogram (ECG)
signals. At present, it is not well known which multiwavelet is
the best choice for optimum compression of ECG. In this
work, we examine different multiwavelets on 24 sets of ECG
data with entirely different characteristics, selected from MITBIH
database. For assessing the functionality of the different
multiwavelets in compressing ECG signals, in addition to
known factors such as Compression Ratio (CR), Percent Root
Difference (PRD), Distortion (D), Root Mean Square Error
(RMSE) in compression literature, we also employed the
Cross Correlation (CC) criterion for studying the
morphological relations between the reconstructed and the
original ECG signal and Signal to reconstruction Noise Ratio
(SNR). The simulation results show that the cardbal2 by the
means of identity (Id) prefiltering method to be the best
effective transformation.
Abstract: This paper presents the work of signal discrimination
specifically for Electrocardiogram (ECG) waveform. ECG signal is
comprised of P, QRS, and T waves in each normal heart beat to
describe the pattern of heart rhythms corresponds to a specific
individual. Further medical diagnosis could be done to determine any
heart related disease using ECG information. The emphasis on QRS
Complex classification is further discussed to illustrate the
importance of it. Pan-Tompkins Algorithm, a widely known
technique has been adapted to realize the QRS Complex
classification process. There are eight steps involved namely
sampling, normalization, low pass filter, high pass filter (build a band
pass filter), derivation, squaring, averaging and lastly is the QRS
detection. The simulation results obtained is represented in a
Graphical User Interface (GUI) developed using MATLAB.
Abstract: A new, combinatorial model for analyzing and inter-
preting an electrocardiogram (ECG) is presented. An application of
the model is QRS peak detection. This is demonstrated with an
online algorithm, which is shown to be space as well as time efficient.
Experimental results on the MIT-BIH Arrhythmia database show that
this novel approach is promising. Further uses for this approach are
discussed, such as taking advantage of its small memory requirements
and interpreting large amounts of pre-recorded ECG data.
Abstract: In this paper we present a novel approach for wavelet compression of electrocardiogram (ECG) signals based on the set partitioning in hierarchical trees (SPIHT) coding algorithm. SPIHT algorithm has achieved prominent success in image compression. Here we use a modified version of SPIHT for one dimensional signals. We applied wavelet transform with SPIHT coding algorithm on different records of MIT-BIH database. The results show the high efficiency of this method in ECG compression.
Abstract: Electrocardiogram (ECG) segmentation is necessary
to help reduce the time consuming task of manually annotating
ECG-s. Several algorithms have been developed to segment the ECG
automatically. We first review several of such methods, and then
present a new single lead segmentation method based on Adaptive
piecewise constant approximation (APCA) and Piecewise derivative
dynamic time warping (PDDTW). The results are tested on the QT
database. We compared our results to Laguna-s two lead method. Our
proposed approach has a comparable mean error, but yields a slightly
higher standard deviation than Laguna-s method.
Abstract: Noise level has critical effects on the diagnostic
performance of signal-averaged electrocardiogram (SAECG), because
the true starting and end points of QRS complex would be masked by
the residual noise and sensitive to the noise level. Several studies and
commercial machines have used a fixed number of heart beats
(typically between 200 to 600 beats) or set a predefined noise level
(typically between 0.3 to 1.0 μV) in each X, Y and Z lead to perform
SAECG analysis. However different criteria or methods used to
perform SAECG would cause the discrepancies of the noise levels
among study subjects. According to the recommendations of 1991
ESC, AHA and ACC Task Force Consensus Document for the use of
SAECG, the determinations of onset and offset are related closely to
the mean and standard deviation of noise sample. Hence this study
would try to perform SAECG using consistent root-mean-square
(RMS) noise levels among study subjects and analyze the noise level
effects on SAECG. This study would also evaluate the differences
between normal subjects and chronic renal failure (CRF) patients in
the time-domain SAECG parameters.
The study subjects were composed of 50 normal Taiwanese and 20
CRF patients. During the signal-averaged processing, different RMS
noise levels were adjusted to evaluate their effects on three time
domain parameters (1) filtered total QRS duration (fQRSD), (2) RMS
voltage of the last QRS 40 ms (RMS40), and (3) duration of the low
amplitude signals below 40 μV (LAS40). The study results
demonstrated that the reduction of RMS noise level can increase
fQRSD and LAS40 and decrease the RMS40, and can further increase
the differences of fQRSD and RMS40 between normal subjects and
CRF patients. The SAECG may also become abnormal due to the
reduction of RMS noise level. In conclusion, it is essential to establish
diagnostic criteria of SAECG using consistent RMS noise levels for
the reduction of the noise level effects.
Abstract: The processing of the electrocardiogram (ECG) signal consists essentially in the detection of the characteristic points of
signal which are an important tool in the diagnosis of heart diseases. The most suitable are the detection of R waves. In this paper, we
present various mathematical tools used for filtering ECG using digital filtering and Discreet Wavelet Transform (DWT) filtering. In
addition, this paper will include two main R peak detection methods
by applying a windowing process: The first method is based on calculations derived, the second is a time-frequency method based on
Dyadic Wavelet Transform DyWT.
Abstract: The technological concepts such as wireless hospital
and portable cardiac telemetry system require the development of
physiological signal acquisition devices to be easily integrated into
the hospital database. In this paper we present the low cost, portable
wireless ECG acquisition hardware that transmits ECG signals to a
dedicated computer.The front end of the system obtains and
processes incoming signals, which are then transmitted via a
microcontroller and wireless Bluetooth module. A monitoring
purpose Bluetooth based end user application integrated with patient
database management module is developed for the computers. The
system will act as a continuous event recorder, which can be used to
follow up patients who have been resuscitatedfrom cardiac arrest,
ventricular tachycardia but also for diagnostic purposes for patients
with arrhythmia symptoms. In addition, cardiac information can be
saved into the patient-s database of the hospital.
Abstract: The aim of this study was to remove the two principal
noises which disturb the surface electromyography signal
(Diaphragm). These signals are the electrocardiogram ECG artefact
and the power line interference artefact. The algorithm proposed
focuses on a new Lean Mean Square (LMS) Widrow adaptive
structure. These structures require a reference signal that is correlated
with the noise contaminating the signal. The noise references are
then extracted : first with a noise reference mathematically
constructed using two different cosine functions; 50Hz (the
fundamental) function and 150Hz (the first harmonic) function for
the power line interference and second with a matching pursuit
technique combined to an LMS structure for the ECG artefact
estimation. The two removal procedures are attained without the use
of supplementary electrodes. These techniques of filtering are
validated on real records of surface diaphragm electromyography
signal. The performance of the proposed methods was compared with
already conducted research results.
Abstract: Electrocardiogram (ECG) segmentation is necessary to help reduce the time consuming task of manually annotating ECG's. Several algorithms have been developed to segment the ECG automatically. We first review several of such methods, and then present a new single lead segmentation method based on Adaptive piecewise constant approximation (APCA) and Piecewise derivative dynamic time warping (PDDTW). The results are tested on the QT database. We compared our results to Laguna's two lead method. Our proposed approach has a comparable mean error, but yields a slightly higher standard deviation than Laguna's method.
Abstract: An electrocardiogram (ECG) feature extraction system
based on the calculation of the complex resonance frequency
employing Prony-s method is developed. Prony-s method is applied
on five different classes of ECG signals- arrhythmia as a finite sum
of exponentials depending on the signal-s poles and the resonant
complex frequencies. Those poles and resonance frequencies of the
ECG signals- arrhythmia are evaluated for a large number of each
arrhythmia. The ECG signals of lead II (ML II) were taken from
MIT-BIH database for five different types. These are the ventricular
couplet (VC), ventricular tachycardia (VT), ventricular bigeminy
(VB), and ventricular fibrillation (VF) and the normal (NR). This
novel method can be extended to any number of arrhythmias.
Different classification techniques were tried using neural networks
(NN), K nearest neighbor (KNN), linear discriminant analysis (LDA)
and multi-class support vector machine (MC-SVM).
Abstract: Capacitive electrocardiogram (ECG) measurement is an attractive approach for long-term health monitoring. However, there is little literature available on its implementation, especially for multichannel system in standard ECG leads. This paper begins from the design criteria for capacitive ECG measurement and presents a multichannel limb-lead capacitive ECG system with conductive fabric tapes pasted on a double layer PCB as the capacitive sensors. The proposed prototype system incorporates a capacitive driven-body (CDB) circuit to reduce the common-mode power-line interference (PLI). The presented prototype system has been verified to be stable by theoretic analysis and practical long-term experiments. The signal quality is competitive to that acquired by commercial ECG machines. The feasible size and distance of capacitive sensor have also been evaluated by a series of tests. From the test results, it is suggested to be greater than 60 cm2 in sensor size and be smaller than 1.5 mm in distance for capacitive ECG measurement.
Abstract: TELMES project aims to develop a securized
multimedia system devoted to medical consultation teleservices. It
will be finalized with a pilot system for a regional telecenters
network that connects local telecenters, having as support
multimedia platforms. This network will enable the implementation
of complex medical teleservices (teleconsulations, telemonitoring,
homecare, urgency medicine, etc.) for a broader range of patients
and medical professionals, mainly for family doctors and those
people living in rural or isolated regions. Thus, a multimedia,
scalable network, based on modern IT&C paradigms, will result. It
will gather two inter-connected regional telecenters, in Iaşi and
Piteşti, Romania, each of them also permitting local connections of
hospitals, diagnostic and treatment centers, as well as local networks
of family doctors, patients, even educational entities. As
communications infrastructure, we aim to develop a combined fixmobile-
internet (broadband) links. Other possible communication
environments will be GSM/GPRS/3G and radio waves. The
electrocardiogram (ECG) acquisition, internet transmission and
local analysis, using embedded technologies, was already
successfully done for patients- telemonitoring.
Abstract: Diabetes mellitus (DM) is frequently characterized by
autonomic nervous dysfunction. Analysis of heart rate variability
(HRV) has become a popular noninvasive tool for assessing the
activities of autonomic nervous system (ANS). In this paper, changes
in ANS activity are quantified by means of frequency and time
domain analysis of R-R interval variability. Electrocardiograms
(ECG) of 16 patients suffering from DM and of 16 healthy volunteers
were recorded. Frequency domain analysis of extracted normal to
normal interval (NN interval) data indicates significant difference in
very low frequency (VLF) power, low frequency (LF) power and
high frequency (HF) power, between the DM patients and control
group. Time domain measures, standard deviation of NN interval
(SDNN), root mean square of successive NN interval differences
(RMSSD), successive NN intervals differing more than 50 ms (NN50
Count), percentage value of NN50 count (pNN50), HRV triangular
index and triangular interpolation of NN intervals (TINN) also show
significant difference between the DM patients and control group.
Abstract: This paper describes a new supervised fusion (hybrid)
electrocardiogram (ECG) classification solution consisting of a new
QRS complex geometrical feature extraction as well as a new version
of the learning vector quantization (LVQ) classification algorithm
aimed for overcoming the stability-plasticity dilemma. Toward this
objective, after detection and delineation of the major events of ECG
signal via an appropriate algorithm, each QRS region and also its
corresponding discrete wavelet transform (DWT) are supposed as
virtual images and each of them is divided into eight polar sectors.
Then, the curve length of each excerpted segment is calculated
and is used as the element of the feature space. To increase the
robustness of the proposed classification algorithm versus noise,
artifacts and arrhythmic outliers, a fusion structure consisting of
five different classifiers namely as Support Vector Machine (SVM),
Modified Learning Vector Quantization (MLVQ) and three Multi
Layer Perceptron-Back Propagation (MLP–BP) neural networks with
different topologies were designed and implemented. The new proposed
algorithm was applied to all 48 MIT–BIH Arrhythmia Database
records (within–record analysis) and the discrimination power of the
classifier in isolation of different beat types of each record was
assessed and as the result, the average accuracy value Acc=98.51%
was obtained. Also, the proposed method was applied to 6 number
of arrhythmias (Normal, LBBB, RBBB, PVC, APB, PB) belonging
to 20 different records of the aforementioned database (between–
record analysis) and the average value of Acc=95.6% was achieved.
To evaluate performance quality of the new proposed hybrid learning
machine, the obtained results were compared with similar peer–
reviewed studies in this area.
Abstract: Electrocardiogram (ECG) data compression algorithm
is needed that will reduce the amount of data to be transmitted, stored
and analyzed, but without losing the clinical information content. A
wavelet ECG data codec based on the Set Partitioning In Hierarchical
Trees (SPIHT) compression algorithm is proposed in this paper. The
SPIHT algorithm has achieved notable success in still image coding.
We modified the algorithm for the one-dimensional (1-D) case and
applied it to compression of ECG data.
By this compression method, small percent root mean square
difference (PRD) and high compression ratio with low
implementation complexity are achieved. Experiments on selected
records from the MIT-BIH arrhythmia database revealed that the
proposed codec is significantly more efficient in compression and in
computation than previously proposed ECG compression schemes.
Compression ratios of up to 48:1 for ECG signals lead to acceptable
results for visual inspection.
Abstract: The application of Neural Network for disease
diagnosis has made great progress and is widely used by physicians.
An Electrocardiogram carries vital information about heart activity and physicians use this signal for cardiac disease diagnosis which
was the great motivation towards our study. In our work, tachycardia
features obtained are used for the training and testing of a Neural
Network. In this study we are using Fuzzy Probabilistic Neural
Networks as an automatic technique for ECG signal analysis. As
every real signal recorded by the equipment can have different
artifacts, we needed to do some preprocessing steps before feeding it
to our system. Wavelet transform is used for extracting the
morphological parameters of the ECG signal. The outcome of the
approach for the variety of arrhythmias shows the represented
approach is superior than prior presented algorithms with an average
accuracy of about %95 for more than 7 tachy arrhythmias.
Abstract: In this paper, we propose a method to reduce the
various kinds of noise while gathering and recording the
electrocardiogram (ECG) signal. Because of the defects of former
method in the noise elimination of ECG signal, we use translation
invariant (TI) multiwavelet denoising method to the noise elimination.
The advantage of the proposed method is that it may not only remain
the geometrical characteristics of the original ECG signal and keep the
amplitudes of various ECG waveforms efficiently, but also suppress
impulsive noise to some extent. The simulation results indicate that the
proposed method are better than former removing noise method in
aspects of remaining geometrical characteristics of ECG signal and the
signal-to-noise ratio (SNR).