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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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TL;DR: A novel deep learning approach for ECG beat classification is proposed that is not only more efficient than the state of the art in terms of accuracy, but also competitive in Terms of sensitivity and specificity.

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TL;DR: This SoC is designed so the integration and interaction of circuit blocks accomplish an integrated, flexible, and reconfigurable wireless BSN SoC capable of autonomous power management and operation from harvested power, thus prolonging the node lifetime indefinitely.
Abstract: This paper presents an ultra-low power batteryless energy harvesting body sensor node (BSN) SoC fabricated in a commercial 130 nm CMOS technology capable of acquiring, processing, and transmitting electrocardiogram (ECG), electromyogram (EMG), and electroencephalogram (EEG) data. This SoC utilizes recent advances in energy harvesting, dynamic power management, low voltage boost circuits, bio-signal front-ends, subthreshold processing, and RF transmitter circuit topologies. The SoC is designed so the integration and interaction of circuit blocks accomplish an integrated, flexible, and reconfigurable wireless BSN SoC capable of autonomous power management and operation from harvested power, thus prolonging the node lifetime indefinitely. The chip performs ECG heart rate extraction and atrial fibrillation detection while only consuming 19 μW, running solely on harvested energy. This chip is the first wireless BSN powered solely from a thermoelectric harvester and/or RF power and has lower power, lower minimum supply voltage (30 mV), and more complete system integration than previously reported wireless BSN SoCs.

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Journal ArticleDOI
TL;DR: The usefulness of the proposed method, called automatic multiscale-based peak detection (AMPD), is shown by applying the AMPD algorithm to simulated and real-world signals.
Abstract: We present a new method for automatic detection of peaks in noisy periodic and quasi-periodic signals. The new method, called automatic multiscale-based peak detection (AMPD), is based on the calculation and analysis of the local maxima scalogram, a matrix comprising the scale-dependent occurrences of local maxima. The usefulness of the proposed method is shown by applying the AMPD algorithm to simulated and real-world signals.

303 citations


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

  • ...To demonstrate the capability of the proposed AMPD algorithm, (i) the system of ordinary differential equations given by (5) was solved for the parameter values σ = 10, ρ = 28, β = 8/3, and [1,3000] t ; and (ii) the peaks of the time series x(t) were detected....

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Journal ArticleDOI
TL;DR: It is shown that as long as the sources are reasonably spectrally disjoint then they can identify and approximately separate out individual sources, but when the sources have substantially overlapping spectra both identification using standard ICA and linear separation are no longer possible.

299 citations

Journal ArticleDOI
TL;DR: A substantial proportion of the between-individual variance in relationships between PAI, accelerometry, and HR is captured with simple calibration procedures, feasible for use in epidemiological studies.
Abstract: Combining accelerometry with heart rate (HR) monitoring may improve precision of physical activity measurement. Considerable variation exists in the relationships between physical activity intensity (PAI) and HR and accelerometry, which may be reduced by individual calibration. However, individual calibration limits feasibility of these techniques in population studies, and less burdensome, yet valid, methods of calibration are required. We aimed to evaluate the precision of different individual calibration procedures against a reference calibration procedure: a ramped treadmill walking-running test with continuous measurement of PAI by indirect calorimetry in 26 women and 25 men [mean (SD): 35 (9) yr, 1.69 (0.10) m, 70 (14) kg]. Acceleration (along the longitudinal axis of the trunk) and HR were measured simultaneously. Alternative calibration procedures included treadmill testing without calorimetry, submaximal step and walk tests with and without calorimetry, and nonexercise calibration using sleeping HR and gender. Reference accelerometry and HR models explained >95% of the between-individual variance in PAI (P < 0.001). This fraction dropped to 73 and 81%, respectively, for accelerometry and HR models calibrated with treadmill tests without calorimetry. Step-test calibration captured 62-64% (accelerometry) and 68% (HR) of the variance between individuals. Corresponding values were 63-76% and 59-61% for walk-test calibration. There was only little benefit of including calorimetry during step and walk calibration for HR models. Nonexercise calibration procedures explained 54% (accelerometry) and 30% (HR) of the between-individual variance. In conclusion, a substantial proportion of the between-individual variance in relationships between PAI, accelerometry, and HR is captured with simple calibration procedures, feasible for use in epidemiological studies.

294 citations


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

  • ...The HR sensor detects the location of the QRS complex by a differential voltage threshold method and subsequent interpolation and records the intervals between R waves [interbeat interval (IBI)] and average HR, ignoring indiscernible waveforms (10, 44)....

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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