Signal Quality Assessment of Compressively Sensed Electrocardiogram

OBJECTIVE: Develop a signal quality index (SQI) to determine the quality of compressively sensed electrocardiogram (ECG) by estimating the signal-to-noise ratio (SNR). METHODS: The SQI used random forests, with the ratio of the standard deviations of an ECG segment and a clean ECG and the Wasserstein metric between the amplitude distributions of an ECG segment and a clean ECG, as features. The SQI was tested using the Long-Term Atrial Fibrillation Database (LTAFDB) and the PhysioNet/CinC Challenge 2011 Database Set A (CinCDB). Clean ECG segments from the LTAFDB were corrupted using simulated motion artifact, with preset SNR between -12 dB and 12 dB. The CinCDB was used as-it-is. The databases were compressively sensed using three types of sensing matrices at three compression ratios (50%, 75%, and 95%). For LTAFDB, the RMSE and Spearman correlation between the SQI and the preset SNR were used for evaluation, while for CinCDB, accuracy and F1 score were used. RESULTS: The average RMSE was 3.18 dB and 3.47 dB in normal and abnormal ECG. The average Spearman correlation was 0.94 and 0.93 in normal and abnormal ECG, respectively. The average accuracy and F1 score were 0.90 and 0.88, respectively. CONCLUSION: The SQI determined the quality of compressively sensed ECG and generalized across different databases. There was no consequential effect on the SQI due to abnormal ECG or compression using different sensing matrices and compression ratios. SIGNIFICANCE: Without reconstruction, the SQI can inform which ECG should be analyzed to reduce false alarms due to contamination.