Key result
Pathological ECG signals yield ~10% lower compression efficiency and worse quality than physiological signals.
Why the study?
No study has primarily focused on the possible effects of ECG pathologies on the performance of compression algorithms.
Do ECG pathologies affect the efficiency and quality of compression algorithms?
Do ECG pathologies affect the efficiency and quality of compression algorithms?
Pathological ECG signals are compressed with lower efficiency and quality compared to physiological signals, highlighting the need to consider ECG pathologies when evaluating compression algorithms.
May require pathology-aware ECG compression in monitoring systems; hypothesis-generating for adaptive algorithms in clinical data handling.
The performance of ECG signals compression is influenced by many things. However, there is not a single study primarily focused on the possible effects of ECG pathologies on the performance of compression algorithms. This study evaluates whether the pathologies present in ECG signals affect the efficiency and quality of compression. Single-cycle fractal-based compression algorithm and compression algorithm based on combination of wavelet transform and set partitioning in hierarchical trees are used to compress 125 15-leads ECG signals from CSE database. Rhythm and morphology of these signals are newly annotated as physiological or pathological. The compression performance results are statistically evaluated. Using both compression algorithms, physiological signals are compressed with better quality than pathological signals according to 8 and 9 out of 12 quality metrics, respectively. Moreover, it was statistically proven that pathological signals were compressed with lower efficiency than physiological signals. Signals with physiological rhythm and physiological morphology were compressed with the best quality. The worst results reported the group of signals with pathological rhythm and pathological morphology. This study is the first one which deals with effects of ECG pathologies on the performance of compression algorithms. Signal-by-signal rhythm and morphology annotations (physiological/pathological) for the CSE database are newly published.
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Němcová et al. (2021) studied ECG signals (n=125). Pathological ECG features vs. Physiological ECG features was evaluated on Compression efficiency (average value length, avL in bps) using the SCyF algorithm (p=6.75E-28). Pathological ECG signals were compressed with significantly lower efficiency (mean avL 1.0730 vs 0.9723 bps) and lower quality compared to physiological signals.
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