Abstract :
This paper describes how one can design a computer program and implement
it on an ordinary PC or PDA for detecting very long duration electrocardiogram
(ECG) PQRST events with processing capability (time complexity) of less than 1300
clock/samples, with an accuracy of more than 99.86%. For detecting and delineating QRS
complexes, a noise-robust instantaneous concavity analysis was applied. For detecting
and delineating P- and T-waves, the analysis of local extremums of the QRS-eliminated
signal was used. The proposed method was applied to several databases (more than
1,000,000 beats; normal or abnormal) with dierent sampling frequencies and bit-rates.
After application of the algorithm, the average detection sensitivity, Se = 99:96%, and
positive predictivity, P+ = 99:94%, were obtained for the QRS complex. The average
delineation errors were about ??3:0 msec, 2.5 msec and 2.8 msec for P-QRS-T events,
respectively. By implementing the proposed algorithm computer program to selected
databases, the required variation for the core parameter sets of the program was about
0:0% for all sampling frequencies and bit rates. The maximum computational complexity
required during application of the method to databases was estimated to be lower than
1300 clocks/sample. These merits make the algorithm eligible for implementation by a
mobile-phone or PDA.