“…In the past, SQA has been widely exploited on adult ECGs in order to reject those signals suffering from unacceptable noise level, and as such possibly leading to incorrect clinical interpretations (Del Rio et al, 2011;Satija et al, 2018). Different signal quality indexes (SQIs) were proposed and adopted, to allow for automatic accurate estimation of R peak (Johnson et al, 2015) and robust HR estimation (Li et al, 2007;Orphanidou et al, 2015), to reduce alarms associated to false arrhythmia and HR (Allen and Murray, 1996;Wang, 2002;Li and Clifford, 2012;Behar et al, 2013;Daluwatte et al, 2016;Shahriari et al, 2018), or, more generally, to identify clinically acceptable ECGs (Behar et al, 2012;Clifford et al, 2012;Di Marco et al, 2012;Zhao and Zhang, 2018), even in real-time monitoring mobile devices (Redmond et al, 2008;Langley et al, 2011;Moody, 2011;Silva et al, 2011;Hayn et al, 2012;Martinez-Tabares et al, 2012;Liu et al, 2018), or along with their noise level quantification (Johannesen and Galeotti, 2012;.…”