Abstract

PurposeElectrocardiogram (ECG) signals collected from wearable devices are easily corrupted with surrounding noise and artefacts, where the signal-to-noise ratio (SNR) of wearable ECG signals is significantly lower than that from hospital ECG machines. To meet the requirements for monitoring heart disease via wearable devices, eliminating useless or poor-quality ECG signals (e.g., lead-falls and low SNRs) can be solved by signal quality assessment algorithms.MethodsTo compensate for the deficiency of the existing ECG quality assessment system, a wearable ECG signal dataset from heart disease patients collected by Lenovo H3 devices was constructed. Then, this paper compares the performance of three machine learning algorithms, i.e., the traditional support vector machine (SVM), least-squares SVM (LS-SVM) and long short-term memory (LSTM) algorithms. Different non-morphological signal quality indices (i.e., the approximate entropy (ApEn), sample entropy (SaEn), fuzzy measure entropy (FMEn), Hurst exponent (HE), kurtosis (K) and power spectral density (PSD) features) extracted from the original ECG signals are fed into the three algorithms as input.ResultsThe true positive rate, true negative rate, sensitivity and accuracy are used to evaluate the performance of each method, and the LSTM algorithm achieves the best results on these metrics (97.14%, 86.8%, 97.46% and 95.47%, respectively).ConclusionsAmong the three algorithms, the LSTM-based quality assessment method is the most suitable for the signals collected by the Lenovo H3 devices. The results also show that the combination of statistical features can effectively evaluate the quality of ECG signals.

Highlights

  • According to [1], the total number of people with cardiovascular disease (CVD) in China is approximately 290 million people, and it is the main cause of death

  • A wearable ECG signal dataset is established for the study of ECG quality assessment for practical applications

  • To find the most suitable classifier for evaluating the quality of wearable ECG signals, three machine learning algorithms are compared with the statistical features and power spectral density (PSD) characteristics derived from the original dataset

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Summary

Introduction

According to [1], the total number of people with cardiovascular disease (CVD) in China is approximately 290 million people, and it is the main cause of death. Most cardiac arrhythmias cannot be confirmed because they are transient, paroxysmal, and sometimes asymptomatic. Hospitals currently use ambulatory devices (e.g., Holter monitors) to provide real-time dynamic monitoring of patients with suspected heart disease, typically over 24 h. They are accurate, these devices are expensive, uncomfortable to wear and affect patients’ daily physiological activities. Over the past few years, a number of wearable devices

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