Abstract

In this paper, we propose a novel machine learning pipeline to detect QRS complexes in very noisy wearable electrocardiogram (ECG) devices. The machine learning pipeline consists of a Butterworth filter, two wavelet convolutional neural networks (WaveletCNNs) autoencoders, an optional QRS complex inverter, a Monte Carlo k-nearest neighbours (k-NN), and a convolutional long short-term memory (ConvLSTM). WaveletCNN autoencoders filter out electrode contact noise, instrumentation noise, and motion artifact noise by using the advantages of wavelet filters and convolutional neural networks. The QRS complex inverter flips inverted QRS complexes. Monte Carlo k-NN performs automatic gain control on the ECG signals in order to normalize it. The ConvLSTM executes the final QRS complex detection by using the power of a convolutional neural network and a long short-term memory. The MIT-BIH, the European ST-T, and the Long Term ST database Noise Stress Test databases provide the training and testing ECG recordings. The proposed machine learning pipeline performs 3 standard deviations better than the state of the art QRS complex detection algorithms in terms of F 1 score for very noisy environments.

Highlights

  • Many cardiovascular diseases are diagnosed using electrocardiogram (ECG) recordings

  • The matched filter convolves a predefined template with the ECG signal in order to produce a QRS complex detection signal

  • The machine learning pipeline consists of a Butterworth filter, two wavelet convolutional neural network (WaveletCNN) autoencoders, an optional QRS complex inverter, a Monte Carlo k-nearest neighbours (k-NN), and a convolutional long short-term memory (ConvLSTM)

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Summary

INTRODUCTION

Many cardiovascular diseases are diagnosed using electrocardiogram (ECG) recordings. For example, cardiovascular diseases such as coronary artery disease, arrhythmia, and heart valve disease are detected using ECG recordings. Zihlmann et al [1] proposed a convolutional neural network (CNN) followed by a long short-term memory (LSTM) network for ECG disease classification. The matched filter convolves a predefined template with the ECG signal in order to produce a QRS complex detection signal. The machine learning pipeline consists of a Butterworth filter, two wavelet convolutional neural network (WaveletCNN) autoencoders, an optional QRS complex inverter, a Monte Carlo k-nearest neighbours (k-NN), and a convolutional long short-term memory (ConvLSTM). The Butterworth filter removes the baseline wandering of the ECG signals by attenuating the low frequency noise components. As a result of the machine learning pipeline, the detection of QRS complexes in noisy wearable ECG devices is feasible.

RELATED QRS COMPLEX DETECTION ALGORITHMS
MIT-BIH NST
PROPOSED MACHINE LEARNING PIPELINE
BUTTERWORTH FILTER
WaveletCNN AUTOENCODER 1
DIFFERENCE FILTER
WaveletCNN AUTOENCODER 2
MONTE CARLO K-NN
ConvLSTM
SIMULATIONS
CONCLUSION
Findings
LIMITATIONS AND FUTURE
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