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January 1, 2019IEEE AccessOpen Access

Inter-Patient CNN-LSTM for QRS Complex Detection in Noisy ECG Signals

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Why the study?

Generalization ability across patients is critical to automated ECG analysis for big data collected from noisy wearable ECG devices.

Population

ECG signals from the MIT-BIH and European ST-T noise stress test databases

Design

Algorithm development and validation study

Authors

BYBrosnan YuenXDXiaodai DongTLTao Lű

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Overview

CNN-LSTM may improve QRS detection in noisy ECGs; leaves open prospective clinical validation before adoption.

Structured PICO

P
Population
ECG records from the MIT-BIH arrhythmia database and the European ST-T database, with simulated noise (12 dB and 0 dB SNR) to mimic wearable ECG devices.
I
Intervention
Convolutional neural network (CNN) with long short-term memory (LSTM) algorithm for QRS complex detection
C
Comparator
Pan and Tompkins, GQRS, Wavedet, Xiang et al.'s CNN, and Chandra et al.'s CNN algorithms
O
Outcome
QRS complex detection performance measured by sensitivity (recall), positive predictive value (precision), F1 score, and timing root mean square error (RMSE) of R peak positionssurrogate

A novel CNN-LSTM architecture demonstrates superior inter-patient QRS complex detection performance in noisy ECG signals compared to traditional and other machine learning algorithms.

Cite This Study

Yuen et al. (2019) studied this question.

synapsesocial.com/papers/6a76590c5beab9a4d381455fhttps://doi.org/10.1109/access.2019.2955738
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