Enhancement of single-lead dry-electrode ECG through wavelet denoising

Abstract

Neonatal electrocardiogram (ECG) monitoring is an important diagnostic tool for identifying cardiac issues in infants at birth. Long-term remote neonatal dry-electrode ECG monitoring solutions can be an additional step for preventive healthcare measures. In these solutions, power and computationally efficient embedded signal processing techniques for denoising newborn ECGs can assist in increasing neonatal medical wearable time. Wavelet denoising is an appropriate denoising mechanism with low computational complexity that can be implemented on embedded microcontrollers for long-term remote ECG monitoring. Discrete wavelet transform (DWT) denoising for neonatal dry-electrode ECG using different wavelet families is investigated. The wavelet families and mother wavelets used include Daubechies (db1, db2, db3, db4, and db6), symlets (sym5), and coiflets (coif5). Different levels of added white Gaussian noise (AWGN) were added to 19 newborn ECG signals, and denoising was performed to select the appropriate wavelets for neonatal dry-electrode ECG. The selected wavelets then undergo real noise additions of baseline wander and electrode motion to determine their robustness and accuracy. Signal-to-noise ratio (SNR), mean squared error (MSE), and power spectral density (PSD) are used to examine denoising performance. db1, db2, and db3 wavelets are eliminated from analysis where the 30 dB AWGN led to negative SNR improvement for at least one newborn ECG, removing important ECG information. db4 and sym5 are eliminated from selection due to their different waveform morphology compared to the dry-electrode newborn ECG’s QRS complex. db6 and coif5 are selected due to their highest SNR improvement and lowest MSE of 6.26 × 10−6 and 1.65 × 10−7 compared to other wavelets, respectively. Their wavelet shapes are more like a newborn ECG’s QRS morphology, validating their selection. db6 and coif5 showed similar denoising performance, decreasing electrode motion and baseline wander noisy ECG signals by 10 dB and 14 dB, respectively. Further denoising of inherent dry-electrode noise is observed. DWT with coif5 or db6 wavelets is appropriate for denoising newborn dry-electrode ECGs for long-term neonatal dry-electrode ECG monitoring solutions under different noise types. Their similarity to newborn dry-electrode ECGs yields accurate and robust reconstructed denoised newborn dry-electrode ECG signals.