A novel algorithm for ST-segment analysis is developed using the multi-resolution wavelet approach. The system detects the QRS complexes and analyses each beat using the wavelet transform to identify the characteristic points (fiducial points). These fiducial points are, iso-electric level, the J point, and onsets and offsets of the QRS complex and T wave. The algorithm determines the T onset by looking for a point of inflection between the J point and the T peak. Furthermore, detection of characteristic points by the wavelet technique reduces the effect of noise. The results show that the proposed approach gives very accurate ST levels, as compared to the conventional (empirical) technique, at higher heart rates and with different morphologies. The algorithm detects the ST-segment length in 92.3% beats with an error of 4 ms, and in 97.3% beats the error is within 8 ms. The algorithm has been implemented on a TMS320C25 based add-on DSP card connected to a PC to provide the on-line analysis and display of ST-segment data.
Timing characterisation of the ECG using wavelet transforms is a new technique in which multiscale analysis reduces the influence of noise. This technique issued to investigate the effect of noise and to estimate the errors involved in the detection of onsets and offsets of ECG waves. With appropriate choice of scales of analysis, the study shows that the errors involved in the measurement of QRS width in the presence of base-line wander are negligible. The 50 Hz power-line interference introduces a maximum error of 6.25% if it is greater than 50% of the signal amplitude. The P and T complexes are not affected by power-line interference, but the base-line wander introduces a maximum error of 9.6%. In situations with the simultaneous presence of both types of noise, the use of an optimised scale restricts the errors to within clinically acceptable limits.
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