Abstract
Ambulatory monitoring of the electrocardiogram (ECG) is a highly relevant topic in personal healthcare. A key technical challenge is overcoming artifacts from motion in order to produce ECG signals capable of being used in clinical diagnosis by a cardiologist. An electrode-tissue impedance is a signal of significant interest in reducing the motion artifact in ECG recordings on the go. A wireless system containing an ultralow-power analog front-end ECG signal acquisition, as well as the electrode-tissue impedance, is used in a validation study on multiple subjects. The goal of this paper is to study the correlation between motion artifacts and skin electrode impedance for a variety of motion types and electrodes. We have found that the correlation of the electrode-tissue impedance with the motion artifact is highly dependent on the electrode design the impedance signal (real, imaginary, absolute impedance), and artifact types (e.g., push or pull electrodes). With the chosen electrodes, we found that the highest correlation was obtained for local electrode artifacts (push, pull, electrode) followed by local skin (stretch, twist, skin) and global artifacts (walk, jog, jump). The results show that the electrode-tissue impedance can correlate with the motion artifacts for local disturbance of the electrodes and that the impedance signals can be used in motion artifact removal techniques such as adaptive filtering.
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