Key result
BLiSS outperforms existing ECG denoising algorithms, achieving ~5 dB average signal-to-noise ratio gains.
Why the study?
ECG denoising under non-stationary muscle artifact must suppress noise while preserving ectopic beat morphology.
Does the BLiSS beat-local, signal-quality-informed Kalman smoother improve continuous ECG denoising (∆SNR) and ectopic beat (PVC and SVEB) waveform reconstruction under non-stationary muscle artifact compared to existing Kalman-based and EMG-focused denoising algorithms?
Does the BLiSS beat-local, signal-quality-informed Kalman smoother improve continuous ECG denoising (∆SNR) and ectopic beat (PVC and SVEB) waveform reconstruction under non-stationary muscle artifact compared to existing Kalman-based and EMG-focused denoising algorithms?
The BLiSS algorithm provides superior continuous ECG denoising gain and ectopic QRS-region waveform preservation under non-stationary muscle artifact without relying on preceding-beat morphology priors, though whole-beat SVEB and P-wave preservation remain superior with AWWF + AMAF.
Answers are grounded in this paper and cite their sources.
BLiSS may aid artifact-robust ECG monitoring; leaves open prospective clinical validation before routine adoption.
ECG denoising under non-stationary muscle artifact (MA) must suppress noise while preserving ectopic morphology. We propose BLiSS, a beat-local, signal- quality-informed state-space smoothing algorithm. Following fixed wavelet- Wiener filtering and R-peak detection, raw-beat quality sets the measurement variance of a constant-velocity Kalman filter and Rauch–Tung–Striebel smoother, without neighbouring-beat morphology priors. BLiSS was compared with three Kalman-based and two EMG-focused algorithms, including adaptive wavelet- Wiener filtering with adaptive moving-average filtering (AWWF + AMAF), on non-paced MIT-BIH Arrhythmia recordings under constant-level, step, burst, and alternating MA. Targeted event-overlapping bursts assessed premature ventricular contraction (PVC) and supraventricular ectopic beat (SVEB) recon- struction. BLiSS achieved the largest average SNR gain among the evaluated methods for each contamination profile (4.44–5.38 dB), with the largest margins over AWWF + AMAF under step and burst MA. It also achieved the low- est mean PVC QRS-region normalized root-mean-square error (NRMSE; 0.217), PVC amplitude mean absolute error (0.194 mV), and SVEB QRS-region NRMSE (0.241). AWWF + AMAF achieved lower SVEB whole-beat NRMSE (0.501 versus 0.596) and lower P-peak timing error in a small atrial subgroup. Abla- tions supported beat-specific measurement weighting and backward smoothing; a preceding-beat prior increased PVC error. BLiSS therefore achieved the high- est mean denoising gain and the lowest mean ectopic QRS-region errors, while whole-beat and P-wave preservation remained limitations.
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Khanh Duy Tran (2026) studied Cardiac arrhythmias with simulated non-stationary muscle artifact on ambulatory ECG (n=43). BLiSS (Beat-Local, Signal-Quality-Informed Kalman Smoother) vs. AWWF + AMAF, IRM, AKFB, HKF, and ADAEKF-AR3 was evaluated on Premature ventricular contraction (PVC) QRS-region normalized root-mean-square error (NRMSE) under event-overlapping muscle artifact bursts (95% CI 0.162-0.297). BLiSS achieved the highest average SNR gain across all muscle-artifact profiles (4.44-5.38 dB) and the lowest mean PVC QRS-region NRMSE (0.217) compared with existing ECG denoising algorithms.
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