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Journal Article ECG PQRST Complex Detector and Heart Rate Variability Analysis using Temporal Characteristics of Fiducial Points
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Authors
Tae Wuk Bae, Kee Koo Kwon
Issue Date
2021-04
Citation
Biomedical Signal Processing and Control, v.66, pp.1-21
ISSN
1746-8094
Publisher
Elsevier
Language
English
Type
Journal Article
DOI
https://dx.doi.org/10.1016/j.bspc.2020.102291
Project Code
20ZD1100, 대경권 지역산업 기반 ICT 융합기술 고도화 지원사업, Moon Ki Young
Abstract
The detection accuracy of fiducial points related to the main waves of electrocardiogram (ECG)?봳he PQRST complex?봠onsiderably affects the heart rate variability (HRV) accuracy in detecting heart abnormalities or cardiac arrhythmia. However, the deformations of R-, P-, and T-waves make it difficult to detect each wave's fiducial points. Herein, a ECG PQRST complex detector considering the deformation of main waves is presented for real-time ECG analysis, and HRV analysis is performed based on the detected fiducial points. It detects R-peak and makes a refined signal for detecting the PQ-ST fiducial points, utilizing the connecting line of the concave point (CLCCP) and the connecting line of the convex point (CLCVP) generated from the original signal. The QRS interval is first detected by applying a threshold to the sum of the difference between CLCCP and CLCVP. The refined signal for detecting the fiducial points of P- and T-waves is obtained by averaging the CLCVP and CLCCP for the non-QRS interval. The P- and T-points are detected using a symmetrical feature, and the associated onset and offset points are detected using an asymmetrical feature. The method achieves an R-detection performance sensitivity of 99.82%, a positive prediction of 99.81%, and a detection error rate of 0.36% against the MIT-DB and PQRST with the mean and standard deviation of 0.7 짹 7.4 ms and a root mean square error of 8.4 for QT-DB. Through detection simulation and HRV analysis, we confirm that the method accurately detects the fiducial points for deformed R, P, and T-waves.
KSP Keywords
Concave point, Detection accuracy, ECG Analysis, Fiducial points, HRV analysis, Heart Rate Variability Analysis, PQRST complex, Performance sensitivity, R-peak, Real-Time, Root mean square(RMS)
This work is distributed under the term of Creative Commons License (CCL)
(CC BY NC ND)
CC BY NC ND