Photoplethysmography (PPG) has been widely used in noninvasive blood volume and blood flow detection since its first appearance. However, its noninvasiveness also makes the PPG signals vulnerable to noise interference and thus exhibits nonlinear and nonstationary characteristics, which have brought difficulties for the denoising of PPG signals. Ensemble empirical mode decomposition known as EEMD, which has made great progress in noise processing, is a noise-assisted nonlinear and nonstationary time series analysis method based on empirical mode decomposition (EMD). e EEMD method solves the "mode mixing" problem in EMD effectively, but it can do nothing about the "end effect," another problem in the decomposition process. In response to this problem, an improved EEMD method based on support vector regression extension (SVR-EEMD) is proposed and verified by simulated data and real-world PPG data. Experiments show that the SVR-EEMD method can solve the "end effect" efficiently to get a better decomposition performance than the traditional EEMD method and bring more benefits to the noise processing of PPG signals.
To solve the problem of real-time arrhythmia classification, this paper proposes a real-time arrhythmia classification algorithm using deep learning with low latency, high practicality, and high reliability, which can be easily applied to a real-time arrhythmia classification system. In the algorithm, a classifier detects the QRS complex position in real time for heartbeat segmentation. Then, the ECG_RRR feature is constructed according to the heartbeat segmentation result. Finally, another classifier classifies the arrhythmia in real time using the ECG_RRR feature. This article uses the MIT-BIH arrhythmia database and divides the 44 qualified records into two groups (DS1 and DS2) for training and evaluation, respectively. The result shows that the recall rate, precision rate, and overall accuracy of the algorithm’s interpatient QRS complex position prediction are 98.0%, 99.5%, and 97.6%, respectively. The overall accuracy for 5-class and 13-class interpatient arrhythmia classification is 91.5% and 75.6%, respectively. Furthermore, the real-time arrhythmia classification algorithm proposed in this paper has the advantages of practicability and low latency. It is easy to deploy the algorithm since the input is the original ECG signal with no feature processing required. And, the latency of the arrhythmia classification is only the duration of one heartbeat cycle.
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