휴대용 심전도 측정장치를 위한 실시간 QRS-complex 검출 알고리즘 개발

• Published in: Journal of biomedical engineering research Vol. 43; no. 4; pp. 280 - 289
• Main Authors: 안휘, 심형진, 박재순, 임종태, 정연호, An, Hwi, Shim, Hyoung-Jin, Park, Jae-Soon, Lhm, Jong-Tae, Joung, Yeun-Ho
• Format: Journal Article
• Language: Korean
• Published: 대한의용생체공학회 01.08.2022
• Subjects: 의공학; QRS-complex detection; Arrhythmia; Electrocardiogram (ECG); Pan-Tompkins algorithm; Noise Reduction
• ISSN: 1229-0807; 2288-9396

In this paper, we present a QRS-complex detection algorithm to calculate an accurate heartbeat and clearly recognize irregular rhythm from ECG signals. The conventional Pan-Tompkins algorithm brings false QRS detection in the derivative when QRS and noise signals have similar instant variation. The proposed algorithm uses amplitude differences in 7 adjacent samples to detect QRS-complex which has the highest amplitude variation. The calculated amplitude is cubed to dominate QRS-complex and the moving average method is applied to diminish the noise signal's amplitude. Finally, a decision rule with a threshold value is applied to detect accurate QRS-complex. The calculated signals with Pan-Tompkins and proposed algorithms were compared by signal-to-noise ratio to evaluate the noise reduction degree. QRS-complex detection performance was confirmed by sensitivity and the positive predictive value(PPV). Normal ECG, muscle noise ECG, PVC, and atrial fibrillation signals were achieved which were measured from an ECG simulator. The signal-to-noise ratio difference between Pan-Tompkins and the proposed algorithm were 8.1, 8.5, 9.6, and 4.7, respectively. All ratio of the proposed algorithm is higher than the Pan-Tompkins values. It indicates that the proposed algorithm is more robust to noise than the Pan-Tompkins algorithm. The Pan-Tompkins algorithm and the proposed algorithm showed similar sensitivity and PPV at most waveforms. However, with a noisy atrial fibrillation signal, the PPV for QRS-complex has different values, 42% for the Pan-Tompkins algorithm and 100% for the proposed algorithm. It means that the proposed algorithm has superiority for QRS-complex detection in a noisy environment.