QRS complex detection in ECG signals using locally adaptive weighted total variation denoising. 2017

Tanushree Sharma, and Kamalesh Kumar Sharma
Department of Electronics and Communication Engineering, Malaviya National Institute of Technology, Jaipur, Rajasthan, 302017, India. Electronic address: tanushreesharma1@gmail.com.

The QRS complex is the most prominent feature in the electrocardiogram (ECG), therefore, its detection is required for delineation of other waves and segments in the ECG and derivation of additional clinically useful information. QRS detection is complicated by factors like varying QRS morphologies, noise, artefacts and interference from tall and pointed P- and T-waves. In this paper, we propose a novel technique for QRS detection by preprocessing the ECG using weighted total variation (WTV) denoising. A local estimate of noise in the signal block under consideration is used to determine the regularization parameter in WTV minimization, which determines the amount of smoothing applied. This makes the denoising locally adaptive. The weights are chosen so as to give preference to preservation of QRS complexes over P- and T-waves while smoothing. Thus, the technique can simultaneously reduce the higher frequency noise as well as the lower frequency interference from P- and T-waves, in spite of the fact that they have overlapping spectra with the QRS complexes. The proposed method is evaluated on the MIT-BIH arrhythmia database and gives improved detection accuracy over established and state-of-the-art techniques. The technique has low computational load, therefore, it can be used for fast offline QRS detection in long duration ECG records, as well as real-time QRS detection in block-by-block processing mode. The average values of sensitivity, positive predictivity and detection error rate are 99.90%, 99.88% and 0.23%, for the offline implementation, respectively, and 99.86%, 99.85% and 0.29%, for the real-time mode, respectively.

UI MeSH Term Description Entries
D004562 Electrocardiography Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY. 12-Lead ECG,12-Lead EKG,12-Lead Electrocardiography,Cardiography,ECG,EKG,Electrocardiogram,Electrocardiograph,12 Lead ECG,12 Lead EKG,12 Lead Electrocardiography,12-Lead ECGs,12-Lead EKGs,12-Lead Electrocardiographies,Cardiographies,ECG, 12-Lead,EKG, 12-Lead,Electrocardiograms,Electrocardiographies, 12-Lead,Electrocardiographs,Electrocardiography, 12-Lead
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001145 Arrhythmias, Cardiac Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction. Arrhythmia,Arrythmia,Cardiac Arrhythmia,Cardiac Arrhythmias,Cardiac Dysrhythmia,Arrhythmia, Cardiac,Dysrhythmia, Cardiac
D012815 Signal Processing, Computer-Assisted Computer-assisted processing of electric, ultrasonic, or electronic signals to interpret function and activity. Digital Signal Processing,Signal Interpretation, Computer-Assisted,Signal Processing, Digital,Computer-Assisted Signal Interpretation,Computer-Assisted Signal Interpretations,Computer-Assisted Signal Processing,Interpretation, Computer-Assisted Signal,Interpretations, Computer-Assisted Signal,Signal Interpretation, Computer Assisted,Signal Interpretations, Computer-Assisted,Signal Processing, Computer Assisted

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