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Journal ArticleDOI

A Real-Time QRS Detection Algorithm

01 Mar 1985-IEEE Transactions on Biomedical Engineering (IEEE Trans Biomed Eng)-Vol. 32, Iss: 3, pp 230-236
TL;DR: A real-time algorithm that reliably recognizes QRS complexes based upon digital analyses of slope, amplitude, and width of ECG signals and automatically adjusts thresholds and parameters periodically to adapt to such ECG changes as QRS morphology and heart rate.
Abstract: We have developed a real-time algorithm for detection of the QRS complexes of ECG signals. It reliably recognizes QRS complexes based upon digital analyses of slope, amplitude, and width. A special digital bandpass filter reduces false detections caused by the various types of interference present in ECG signals. This filtering permits use of low thresholds, thereby increasing detection sensitivity. The algorithm automatically adjusts thresholds and parameters periodically to adapt to such ECG changes as QRS morphology and heart rate. For the standard 24 h MIT/BIH arrhythmia database, this algorithm correctly detects 99.3 percent of the QRS complexes.

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Citations
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Journal ArticleDOI
TL;DR: An efficient and easy to use approach using deep learning for heartbeat segmentation, which could potentially be used in real-time tele-health monitoring systems.
Abstract: Objectives With the technological advancements in the field of tele-health monitoring, it is now possible to gather huge amount of electro-physiological signals such as the electrocardiogram (ECG). It is therefore necessary to develop models/algorithms that are capable of analysing these massive amount of data in real-time. This paper proposes a deep learning model for real-time segmentation of heartbeats. Methods The proposed DENS-ECG algorithm, combines convolutional neural network (CNN) and long short-term memory (LSTM) model to detect onset, peak, and offset of different heartbeat waveforms such as the P-waves, QRS complexes, T-waves, and No waves (NW). Using ECG as the inputs, the model learns to extract high level features through the training process, which, unlike other classical machine learning based methods, eliminates the feature engineering step. Results The proposed DENS-ECG model was trained and validated on a dataset with 105 ECG records of length 15 min each and achieved an average sensitivity and precision of 97.95% and 95.68%, respectively, using a stratified 5-fold cross validation. Additionally, the model was evaluated on an unseen dataset to examine its robustness in QRS detection, which resulted in a sensitivity of 99.61% and precision of 99.52%. Conclusion The empirical results show the flexibility and accuracy of the combined CNN-LSTM model for ECG signal delineation. Significance This paper proposes an efficient and easy to use approach using deep learning for heartbeat segmentation, which could potentially be used in real-time tele-health monitoring systems.

62 citations


Cites methods from "A Real-Time QRS Detection Algorithm..."

  • ...From Table 6, the performance of proposed DENS-ECG model is comparable with the well-known [59] algorithm for QRS detection....

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Journal ArticleDOI
TL;DR: In this paper, the authors proposed Big-ECG, a cyber-physical cardiac monitoring system for stroke management, consisting of a wearable ECG sensor, data storage and data analysis in a big data platform, and health advisory services using data analytics and medical ontology.
Abstract: Electrocardiogram (ECG) is sensitive to autonomic dysfunction and cardiac complications derived from ischemic or hemorrhage stroke and is supposed to be a potential prognostic tool in stroke identification and post-stroke treatment. ECG data generated cannot be real-time accumulated, processed, and used for enterprise-level healthcare and wellness services with the existing cardiovascular monitoring system used in hospitals. This study aims to assess the feasibility of a cyber-physical cardiac monitoring system to classify stroke patients with altered cardiac activity and healthy adults. Here, we propose Big-ECG, a cyber-physical cardiac monitoring system for stroke management, consisting of a wearable ECG sensor, data storage and data analysis in a big data platform, and health advisory services using data analytics and medical ontology. We investigated our proposed ECG-based patient monitoring system with 45 stroke patients (average age 70.8 years old, 68% men) admitted to the rehabilitation center of the hospital and 40 healthy elderly volunteers (average age 75.4 years old, 38% men). We recorded ECG at resting state using a single-channel ECG patch within three months of diagnosis of ischemic stroke (clinically confirmed). In statistical results, ECG fiducial features, RR-I, QRS, QT, ST, and heart rate variability (HRV) features, SDSD, LF/HF, LF/(LF + HF), and HF/(LF + HF) are observed as significantly distinctive biomarkers for the stroke group relative to the healthy control group. The Random Trees model presented the best classification performance (overall accuracy: 95.6%) utilizing ECG fiducial variables. This system may assist healthcare enterprises in prognosis and rehabilitation management during post-stroke treatment.

62 citations

Book ChapterDOI
01 Jan 2017
TL;DR: Fog Computing is a low-power, intelligent, wireless, embedded computing node that carries out signal conditioning and data analytics on raw data collected from wearables or other medical sensors and offers efficient means to serve telehealth interventions.
Abstract: In the era when the market segment of Internet of Things (IoT) tops the chart in various business reports, it is apparently envisioned that the field of medicine expects to gain a large benefit from the explosion of wearables and internet-connected sensors that surround us to acquire and communicate unprecedented data on symptoms, medication, food intake, and daily-life activities impacting one’s health and wellness. However, IoT-driven healthcare would have to overcome many barriers, such as: (1) There is an increasing demand for data storage on cloud servers where the analysis of the medical big data becomes increasingly complex; (2) The data, when communicated, are vulnerable to security and privacy issues; (3) The communication of the continuously collected data is not only costly but also energy hungry; (4) Operating and maintaining the sensors directly from the cloud servers are non-trial tasks. This book chapter defined Fog Computing in the context of medical IoT. Conceptually, Fog Computing is a service-oriented intermediate layer in IoT, providing the interfaces between the sensors and cloud servers for facilitating connectivity, data transfer, and queryable local database. The centerpiece of Fog computing is a low-power, intelligent, wireless, embedded computing node that carries out signal conditioning and data analytics on raw data collected from wearables or other medical sensors and offers efficient means to serve telehealth interventions. We implemented and tested an fog computing system using the Intel Edison and Raspberry Pi that allows acquisition, computing, storage and communication of the various medical data such as pathological speech data of individuals with speech disorders, Phonocardiogram (PCG) signal for heart rate estimation, and Electrocardiogram (ECG)-based Q, R, S detection. The book chapter ends with experiments and results showing how fog computing could lessen the obstacles of existing cloud-driven medical IoT solutions and enhance the overall performance of the system in terms of computing intelligence, transmission, storage, configurable, and security. The case studies on various types of physiological data shows that the proposed Fog architecture could be used for signal enhancement, processing and analysis of various types of bio-signals.

62 citations


Cites methods from "A Real-Time QRS Detection Algorithm..."

  • ...The high-pass filter is designed by subtracting the output of first-order low-pass filter from an all-pass filter with delay of 16 samples (80ms) [45]....

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  • ...The Pan Tompkins algorithm is used for detection of QRS complex [45]....

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Journal ArticleDOI
TL;DR: The main benefit of the multi-component based cross correlation algorithm is seen to be firstly its ability to successfully detect cardiac cycles and secondly the accurate insertion of the beat markers based on pre-defined values as opposed to performing individual gradient searches for wave onsets and offsets following fiducial point location.
Abstract: The first stage in computerised processing of the electrocardiogram is beat detection. This involves identifying all cardiac cycles and locating the position of the beginning and end of each of the identifiable waveform components. The accuracy at which beat detection is performed has significant impact on the overall classification performance, hence efforts are still being made to improve this process. A new beat detection approach is proposed based on the fundamentals of cross correlation and compared with two benchmarking approaches of non-syntactic and cross correlation beat detection. The new approach can be considered to be a multi-component based variant of traditional cross correlation where each of the individual inter-wave components are sought in isolation as opposed to being sought in one complete process. Each of three techniques were compared based on their performance in detecting the P wave, QRS complex and T wave in addition to onset and offset markers for 3000 cardiac cycles. Results indicated that the approach of multi-component based cross correlation exceeded the performance of the two benchmarking techniques by firstly correctly detecting more cardiac cycles and secondly provided the most accurate marker insertion in 7 out of the 8 categories tested. The main benefit of the multi-component based cross correlation algorithm is seen to be firstly its ability to successfully detect cardiac cycles and secondly the accurate insertion of the beat markers based on pre-defined values as opposed to performing individual gradient searches for wave onsets and offsets following fiducial point location.

62 citations


Cites methods from "A Real-Time QRS Detection Algorithm..."

  • ...Two of the most commonly employed approaches to beat detection involve the use of established non-syntactic algorithms [3-5] or cross correlation (CC) algorithms [3,6]....

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Journal ArticleDOI
TL;DR: An original approach to identify heartbeat morphologies and to detect R-wave events using low-order polynomial models, based on a "geometrical matching" rule evaluated using a decision function in a local moving-window procedure.
Abstract: In the framework of the electrocardiography (ECG) signals, this paper describes an original approach to identify heartbeat morphologies and to detect R-wave events. The proposed approach is based on a "geometrical matching" rule evaluated using a decision function in a local moving-window procedure. The decision function is a normalized measurement of a similarity criterion comparing the windowed input signal with the reference beat-pattern into a nonlinear-curve space. A polynomial expansion model describes the reference pattern. For the curve space, an algebraic-fitting distance is built according to the canonical equation of the unit circle. The geometrical matching approach operates in two stages, i.e., training and detection ones. In the first stage, a learning-method based on genetic algorithms allows us estimating the decision function from training beat-pattern. In the second stage, a level-detection algorithm evaluates the decision function to establish the threshold of similarity between the reference pattern and the input signal. Finally, the findings for the MIT-BIH Arrhythmia Database present about 98% of sensitivity and 99% of positive predictivity for the R-waves detection, using low-order polynomial models

62 citations


Cites methods from "A Real-Time QRS Detection Algorithm..."

  • ...Given that the GM method consists on one-channel beat detection block, we propose to evaluate this procedure on channel 1 of database [4]....

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References
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Journal ArticleDOI
TL;DR: This review asserts that most one-channel QRS detectors described in the literature can be considered as having the same basic structure and a discussion of some of the current detection schemes is presented.
Abstract: The QRS detection algorithm is an essential part of any computer-based system for the analysis of ambulatory ECG recordings. This review asserts that most one-channel QRS detectors described in the literature can be considered as having the same basic structure. A discussion of some of the current detection schemes is presented with regard to this structure. Some additional features of QRS detectors are mentioned. The evaluation of performance and the problem of multichannel detection, which is now gaining importance, are also briefly treated.

254 citations

Journal ArticleDOI
TL;DR: The problem of detecting the QRS complex in the presence of noise was analysed and an optimised threshold criterion based on FP/FN was developed.
Abstract: The problem of detecting the QRS complex in the presence of noise was analysed. Most QRS detectors contain a filter to improve the signal-to-noise ratio and compare the signal with a threshold. In an earlier paper we identified an optimal filter. Various techniques to generate threshold and detector designs were studied. Automatic gain-control circuits with a fixed threshold have a very slow response to different rhythms. Automatic threshold circuits based on simple peak-detection schemes have a fast response, but are very sensitive to sudden variations in QRS amplitudes and noise transients. None of the methods described to date present any optimisation criteria for detecting the signal (QRS complex) in the presence of noise. The probabilities of FPs (false positives) and FNs (false negatives) were investigated and an optimised threshold criterion based on FP/FN was developed. Presently, data are being collected to compare various techniques from their ROC (receiver operating characteristics).

151 citations

Journal ArticleDOI
TL;DR: An automated Holtes scanning system based on two microcomputers that detects QRS complexes and measures the QRS durations using computations of first and second derivatives, and can process Holter tapes at 60 times real time and produce printed summaries and 24 h trend plots.
Abstract: We have developed an automated Holtes scanning system based on two microcomputers. One is a preprocessor that detects QRS complexes and measures the QRS durations using computations of first and second derivatives. Thismicrocomputer interfaces to a secondmicro-computer that does arrhythmia analysis, logging, and reporting using R-R intervals and QRS durations. This system can process Holter tapes at 60 times real time and produce printed summaries and 24 h trend plots of several variables including heart rate and PVC count.

127 citations


"A Real-Time QRS Detection Algorithm..." refers methods in this paper

  • ...The slope of the R wave is a popular signal feature used to locate the QRS complex in many QRS detectors [5]....

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Journal ArticleDOI
P. A. Lynn1
TL;DR: The possibilities for extending the class of lowpass recursive digital filters to include high pass, bandpass, and bandstop filters are described, and experience with a PDP 11 computer has shown that these filters may be programmed simply using machine code, and that online operation at sampling rates up to about 8 kHz is possible.
Abstract: After reviewing the design of a class of lowpass recursive digital filters having integer multiplier and linear phase characteristics, the possibilities for extending the class to include high pass, bandpass, and bandstop (‘notch’) filters are described. Experience with a PDP 11 computer has shown that these filters may be programmed simply using machine code, and that online operation at sampling rates up to about 8 kHz is possible. The practical application of such filters is illustrated by using a notch desgin to remove mains-frequency interference from an e.c.g. waveform.

104 citations

Journal ArticleDOI
TL;DR: In this paper a new robust single lead QRS-detection algorithm is presented, allowing real-time applications and results are presented.

101 citations