R-wave detection is a prerequisite for the extraction and recognition of ECG signal feature parameters. In the analysis and diagnosis of exercise electrocardiograms, accurate and real-time detection of QRS complexes is very important for the prevention and monitoring of heart disease. This paper proposes a lightweight R-wave real-time detection method for exercise ECG signals. After real-time denoising of the exercise ECG signal, the median line is used to correct the baseline, and the first-order difference processing is performed on the differential square signal. Max-Min Threshold (MMT) is used to realize real-time R-wave detection of the exercise ECG signal. The abovementioned method was verified by using the measured data in the MIT-BIH ECG database of the Massachusetts Institute of Technology and the exercise plate experiment. The R-wave detection rates were 99.93% and 99.98%, respectively. Experimental results show that this method has high accuracy and low computational complexity and is suitable for wearable devices and motion process monitoring.
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