Key result
The two-step pre-processing tool successfully removed Gaussian and ectopic noise from ECG signals, achieving a high correlation coefficient of 0.846 and an RMSE of 7.69 × 10–5.
Why the study?
Artifacts in ECG degrade signal quality for HRV analysis, and current preprocessing methods primarily target ectopic beats without addressing technical noise.
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A novel two-step preprocessing algorithm effectively removes both Gaussian and ectopic noise from ECG signals, preserving the accuracy of heart rate variability metrics.
Artifacts in the Electrocardiogram (ECG) degrade the quality of the recorded signal and are not conducive to heart rate variability (HRV) analysis. The two types of noise most often found in ECG recordings are technical and physiological artifacts. Current preprocessing methods primarily attend to ectopic beats but do not consider technical issues that affect the ECG. A secondary aim of this study was to investigate the effect of increasing increments of artifacts on 24 of the most used HRV measures. A two-step preprocessing approach for denoising HRV is introduced which targets each type of noise separately. First, the technical artifacts in the ECG are eliminated by applying complete ensemble empirical mode decomposition with adaptive noise. The second step removes physiological artifacts from the HRV signal using a combination filter of single dependent rank order mean and an adaptive filtering algorithm. The performance of the two-step pre-processing tool showed a high correlation coefficient of 0.846 and RMSE value of 7.69 × 10 –5 for 6% of added ectopic beats and 6 dB Gaussian noise. All HRV measures studied except HF peak and LF peak are significantly affected by both types of noise. Frequency measures of Total power, HF power, and LF power and fragmentation measures; PAS, PIP, and PSS are the most sensitive to both types of noise.
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Saleem et al. (2022) studied Electrocardiogram noise and artifacts (n=129). Two-step pre-processing tool (CEEMDAN-WD and SDROM-ADF) vs. Noisy ECG signals and other filtering methods was evaluated on Correlation coefficient and root mean square error (RMSE) for denoising performance. The two-step pre-processing tool successfully removed Gaussian and ectopic noise from ECG signals, achieving a high correlation coefficient of 0.846 and an RMSE of 7.69 × 10–5.
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