Abstract

BackgroundLong-term electrocardiogram (ECG) is one of the important diagnostic assistant approaches in capturing intermittent cardiac arrhythmias. Combination of miniaturized wearable holters and healthcare platforms enable people to have their cardiac condition monitored at home. The high computational burden created by concurrent processing of numerous holter data poses a serious challenge to the healthcare platform. An alternative solution is to shift the analysis tasks from healthcare platforms to the mobile computing devices. However, long-term ECG data processing is quite time consuming due to the limited computation power of the mobile central unit processor (CPU).MethodsThis paper aimed to propose a novel parallel automatic ECG analysis algorithm which exploited the mobile graphics processing unit (GPU) to reduce the response time for processing long-term ECG data. By studying the architecture of the sequential automatic ECG analysis algorithm, we parallelized the time-consuming parts and reorganized the entire pipeline in the parallel algorithm to fully utilize the heterogeneous computing resources of CPU and GPU.ResultsThe experimental results showed that the average executing time of the proposed algorithm on a clinical long-term ECG dataset (duration 23.0 ± 1.0 h per signal) is 1.215 ± 0.140 s, which achieved an average speedup of 5.81 ± 0.39× without compromising analysis accuracy, comparing with the sequential algorithm. Meanwhile, the battery energy consumption of the automatic ECG analysis algorithm was reduced by 64.16%. Excluding energy consumption from data loading, 79.44% of the energy consumption could be saved, which alleviated the problem of limited battery working hours for mobile devices.ConclusionThe reduction of response time and battery energy consumption in ECG analysis not only bring better quality of experience to holter users, but also make it possible to use mobile devices as ECG terminals for healthcare professions such as physicians and health advisers, enabling them to inspect patient ECG recordings onsite efficiently without the need of a high-quality wide-area network environment.

Highlights

  • Long-term electrocardiogram (ECG) is one of the important diagnostic assistant approaches in capturing intermittent cardiac arrhythmias

  • This paper aimed to propose a novel parallel automatic ECG analysis algorithm based on mobile graphics processing unit (GPU)

  • The performance of the sequential and parallel algorithm in detecting atrial premature heartbeats (APB), ventricular premature heartbeats (VPB), BG, TG, and normal sinus heartbeats (NB) was evaluated on the synthetic dataset

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Summary

Introduction

Long-term electrocardiogram (ECG) is one of the important diagnostic assistant approaches in capturing intermittent cardiac arrhythmias. The high computational burden created by concurrent processing of numerous holter data poses a serious challenge to the healthcare platform. Long-term ECG data processing is quite time consuming due to the limited computation power of the mobile central unit processor (CPU). Concurrent processing of long-term ECG data, which is an important assistant approach to capture intermittent cardiac arrhythmias, tortures the healthcare platform heavily. Most ECG heartbeat classification methods are time-consuming, especially for processing long-term ECGs such as 24-h long ECGs. healthcare cloud platforms have been widely built to collect and manage ECG data from large populations, it is technically infeasible to provide prompt feedback for a large number of concurrent ECG analysis requests for even a median platform managing ten thousands of users

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