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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: A significant reduction in error in detection of QRS complexes with mean error reduced to 0.75%.
Abstract: This paper examines the use of different wavelet functions for QRS complex detection in ECG. Wavelets provide time and frequency analysis simultaneously and offer flexibility with a number of wavelet functions with different properties available. This research has examined wavelet functions with different properties to determine the effects of orthogonality and time/ frequency compactness of the wavelet on the ability to correctly detect the QRS. The error in detection (false negatives and positives) is the criterion for determining the efficacy of the wavelet function. The paper reports a significant reduction in error in detection of QRS complexes with mean error reduced to 0.75%. It also reports that wavelet functions that support symmetry and compactness provide better results.

35 citations

Journal ArticleDOI
09 Sep 2019
TL;DR: This work proposes a framework for selecting the optimal micro-EMA that combines unbiased feature selection and unsupervised Agglomerative clustering, and shows that the question "How worried were you?" results in the highest accuracy when using a physiological model.
Abstract: High levels of stress during pregnancy increase the chances of having a premature or low-birthweight baby. Perceived self-reported stress does not often capture or align with the physiological and behavioral response. But what if there was a self-report measure that could better capture the physiological response? Current perceived stress self-report assessments require users to answer multi-item scales at different time points of the day. Reducing it to one question, using microinteraction-based ecological momentary assessment (micro-EMA, collecting a single in situ self-report to assess behaviors) allows us to identify smaller or more subtle changes in physiology. It also allows for more frequent responses to capture perceived stress while at the same time reducing burden on the participant. We propose a framework for selecting the optimal micro-EMA that combines unbiased feature selection and unsupervised Agglomerative clustering. We test our framework in 18 women performing 16 activities in-lab wearing a Biostamp, a NeuLog, and a Polar chest strap. We validated our results in 17 pregnant women in real-world settings. Our framework shows that the question "How worried were you?" results in the highest accuracy when using a physiological model. Our results provide further in-depth exposure to the challenges of evaluating stress models in real-world situations.

35 citations


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

  • ...After the signal was cleaned, IBIs were identified using the Pan-Tompkins algorithm [40]....

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Journal ArticleDOI
TL;DR: A deep learning-based ensemble network model for improving the performance and overcoming the problems, which can occur on a single network is proposed.
Abstract: The postmobile era will go beyond using individual smart devices and allow for user interaction by connecting various devices with sensing capabilities, such as smartphones, wearable devices, automobiles, and the Internet of Things. Wearable devices can continuously collect a variety of information on the users and their environment as the devices are worn in daily life. Because of this, real-time big data analysis technology is needed. This paper proposes a deep learning-based ensemble network model for improving the performance and overcoming the problems, which can occur on a single network. This model is designed so that the features produced by n number of single networks are combined and relearned. In addition, different parameter values are used on each single network, and the data used in the experiments are generated by the fiducial point method, which uses feature point detection, and the nonfiducial point method for periods of 1 sec and n sec. In the experiment results, in the case of fiducial point-based ECG signals, the ensemble network recognition performance shows a maximum of 0.8% higher accuracy than that of the single network. In the case of a 1 sec period nonfiducial point-based ECG signal, the ensemble network recognition performance is a minimum of 0.4% and a maximum of 1% higher than that of the single network. In the case of an n sec period, there is a maximum difference of 1.3%, and the proposed ensemble network shows better performance than the single network.

35 citations

Journal ArticleDOI
TL;DR: Time-coherent global XYZ median beat with physiologically meaningful definition of the heart vector's origin point improved predictive accuracy of SCD biomarkers.

35 citations

01 Jan 2003
TL;DR: This paper presents a hardware implementation of the Pan and Tompkins QRS detection algorithm, described in Verilog HDL (Hardware Design Language), and achieves a speed up of 250% compared to the software implementation.
Abstract: This paper presents a hardware implementation of the Pan and Tompkins QRS detection algorithm, described in Verilog HDL (Hardware Design Language). The generated source has been simulated for validation, synthesized and tested on a Xilinx FPGA (Field Programmable Gate Array) board using the European ST-T database. To the best of the authors' knowledge this is the first attempt for the hardware implementation of the Pan and Tompkins QRS detection algorithm, in reconfigurable FPGA boards. The generated hardware achieves a speed up of 250% compared to the software implementation. Given that and the vital importance of a fast and accurate QRS detection, the hardware implementation seems a promising approach.

35 citations


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

  • ...This work presents the hardware implementation of the Pan-Tompkins algorithm....

    [...]

  • ...The QRS detection algorithm introduced by Pan and Tompkins [1] is the most widely used and often cited algorithm for the extraction of QRS complexes from electrocardiograms....

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  • ...HARDWARE IMPLEMENTATION OF PAN & TOMPKINS QRS DETECTION ALGORITHM1 Christos Pavlatos*, Alexandros Dimopoulos*, G. Manis** and G. Papakonstantinou* * National Technical University of Athens Dept. of Electrical and Computer Engineering Zografou 15773, Athens Greece ** University of Ioannina Dept. of Computer Science P.O. Box 1186, Ioannina 45110 Greece {pavlatos, alexdem, papakon}@cslab.ntua.gr, manis@cs.uoi.gr Abstract1: This paper presents a hardware implementation of the Pan and Tompkins QRS detection algorithm, described in Verilog HDL (Hardware Design Language)....

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  • ...To the best of the authors’ knowledge this is the first attempt for the hardware implementation of the Pan and Tompkins QRS detection algorithm, in reconfigurable FPGA boards....

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  • ...One of the most popular QRS detection algorithms, included in virtually all biomedical signal processing textbooks, is that introduced by Pan and Tompkins in [1]....

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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