An Efficient R-R Interval Detection for ECG Monitoring System

Takashi KOHAMA  Shogo NAKAMURA  Hiroshi HOSHINO  

Publication
IEICE TRANSACTIONS on Information and Systems   Vol.E82-D   No.10   pp.1425-1432
Publication Date: 1999/10/25
Online ISSN: 
DOI: 
Print ISSN: 0916-8532
Type of Manuscript: PAPER
Category: Medical Electronics and Medical Information
Keyword: 
ECG,  electrocardiogram,  R-R interval,  arrhythmia,  

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Summary: 
The recording of electrocardiogram (ECG) signals for the purpose of finding arrhythmias takes 24 hours. Generally speaking, changes in R-R intervals are used to detect arrhythmias. Our purpose is to develop an algorithm which efficiently detects R-R intervals. This system uses the R-wave position to calculate R-R intervals and then detects any arrhythmias. The algorithm searches for only the short time duration estimated from the most recent R-wave position in order to detect the next R-wave efficiently. We call this duration a WINDOW. A WINDOW is decided according to a proposed search algorithm so that the next R-wave can be expected in the WINDOW. In a case in which an S-wave is enhanced for some reason such as the manner in which the electrodes are installed in the system, the S-wave positions are taken to calculate the peak intervals instead of the R-wave. However, baseline wander and noise contained in the ECG signal have a deterrent effect on the accuracy with which the R-wave or the S-wave position is determined. In order to improve detection, the ECG signal is preprocessed using a Band-Pass Filter (BPF) which is composed of simple Cascaded Integrator Comb (CIC) filters. The American Heart Association (AHA) database was used in the simulation with the proposed algorithm. Accurate detection of the R-wave position was achieved in 99% of cases and efficient extraction of R-R intervals was possible.