• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.4
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• pp.945-952
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• 2013

The R wave of QRS complex is the most prominent feature in ECG because of its specific shape; therefore it is taken as a reference in ECG feature extraction. But R wave detection suffers from the fact that frequency bands of the noise/other components such as P/T waves overlap with that of QRS complex. ECG signal processing must consider efficiency for hardware and software resources available in processing for miniaturization and low power. In other words, the design of algorithm that exactly detects QRS region using minimal computation by analyzing the person's physical condition and/or environment is needed. Therefore, efficient QRS detection based on SOM(Subtractive Operation Method) is presented in this paper. For this purpose, we detected R wave through the preprocessing method using morphological filter, empirical threshold, and subtractive signal. Also, we applied dynamic backward searching method for efficient detection. The performance of R wave detection is evaluated by using MIT-BIH arrhythmia database. The achieved scores indicate the average of 99.41% in R wave detection.

• Journal of the Korean Institute of Intelligent Systems
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• v.23 no.6
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• pp.519-526
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• 2013

ECG signal has the feature that is repeated in a cycle of P, Q, R, S, and T waves and is sampled at a high sampling frequency in general. By using the feature of periodic ECG signals, maximizing compression efficiency while minimizing the loss of important information for diagnosis is required. However, the periodic characteristics of such amplitude and period is not constant by measuring time and patients. Even though measured at the same time, the patient's characteristics display different periodic intervals. In this paper, an adaptive multi-level coding is provided by coding adaptively the dominant and non-dominant signal interval of the ECG signal. The proposed method can maximize the compression efficiency by using a multi-level code that applies different compression ratios considering information loss associated with the dominant signal intervals and non-dominant signal intervals. For the case of long time measurement, this method has a merit of maximizing compression ratio compared with existing compression methods that do not use the periodicity of the ECG signal and for the lossless compression coding of non-dominant signal intervals, the method has an advantage that can be stored without loss of information. The effectiveness of the ECG signal compression is proved throughout the experiment on ECG signal of MIT-BIH arrhythmia database.

• Journal of Biomedical Engineering Research
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• v.19 no.3
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• pp.251-260
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• 1998

The Holter monitoring system is a widely used noninvasive diagnostic tool for ambulatory patient who may be at risk from latent life-threatening cardiac abnormalities. In this paper, we design a high performance intelligent holter monitoring system which is characterized by the small-sized and the low-power consumption. The system hardware consists of one-chip microcontroller(68HC11E9), ECG preprocessing circuit, and flash memory card. ECG preprocessing circuit is made of ECG preamplifier with gain of 250, 500 and 1000, the bandpass filter with bandwidth of 0.05-100Hz, the auto-balancing circuit and the saturation-calibrating circuit to eliminate baseline wandering, ECG signal sampled at 240 samples/sec is converted to the digital signal. We use a linear recursive filter and preprocessing algorithm to detect the ECG parameters which are QRS complex, and Q-R-T points, ST-level, HR, QT interval. The long-term acquired ECG signals and diagnostic parameters are compressed by the MFan(Modified Fan) and the delta modulation method. To easily interface with the PC based analyzer program which is operated in DOS and Windows, the compressed data, that are compatible to FFS(flash file system) format, are stored at the flash memory card with SBF(symmetric block format).

• Clinical and Experimental Pediatrics
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• v.46 no.5
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• pp.490-494
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• 2003

Purpose : We'd like to determine the incidence of congenital heart disease and arrhythmia in elementary school children in Busan, and to provide adequate prevention and treatment. Methods : A total of 23,802(male 12,909, female 10,893) 1st grade elementary school children living in Busan were studied. All children were 7-8 years old. We obtained their medical history by questionnaire and checked elecrocardiography(ECG). Subsequent screening tests including a 2nd ECG, chest X-ray, phonocardiogram and CBC for the students who had abnormal findings at the first screening test. The third screening test was done for students who had cardiac murmurs or abnormal ECG findings in the second screening test by echocardiogram, treadmill test and 24-hour Holter monitoring. Results : Among 23,802 children participants, 605(2.54%) had abnormal ECG findings at the first screening test. Q wave abnormality(0.58%) was observed most frequently, and complete right bundle branch block(RBBB)(0.26%), sinus tachycardia(0.24%), right axis deviation(0.22%) and ventricular premature contraction(VPC)(0.21%) followed in order. Four hundred and twenty four children participated in the second ECG screening test. Two hundred and two children(47.6%) had an abnormality such as sinus tachycardia(18.8%), VPC(17.8%), or complete RBBB(17.3%). After completing the third examination including echocardiogram, we couldn't find the students with ventricular tachycardia (VT) or SVT at the third arrhythmia screening test. Conclusion : A high incidence of arrhythmia was found in the 1st grade elementary school children in Busan despite their healthy appearances, although fatal heart diseases were not noted. Early diagnosis, adequate preventative measures and treatment will prevent and decrease the frequency of emergent situations like syncope and sudden death.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.12
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• pp.126-134
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• 2017

There have been numerous studies on extracting the R-peak from electrocardiogram (ECG) signals. However, most of the detection methods are complicated to implement in a real-time portable electrocardiograph device and have the disadvantage of requiring a large amount of calculations. R-peak detection requires pre-processing and post-processing related to baseline drift and the removal of noise from the commercial power supply for ECG data. An adaptive filter technique is widely used for R-peak detection, but the R-peak value cannot be detected when the input is lower than a threshold value. Moreover, there is a problem in detecting the P-peak and T-peak values due to the derivation of an erroneous threshold value as a result of noise. We propose a robust R-peak detection algorithm with low complexity and simple computation to solve these problems. The proposed scheme removes the baseline drift in ECG signals using an adaptive filter to solve the problems involved in threshold extraction. We also propose a technique to extract the appropriate threshold value automatically using the minimum and maximum values of the filtered ECG signal. To detect the R-peak from the ECG signal, we propose a threshold neighborhood search technique. Through experiments, we confirmed the improvement of the R-peak detection accuracy of the proposed method and achieved a detection speed that is suitable for a mobile system by reducing the amount of calculation. The experimental results show that the heart rate detection accuracy and sensitivity were very high (about 100%).