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Detection and classification of qrs complexes from the ecg recordings

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2008
Koç, Bengi
Electrocardiography (ECG) is the most important noninvasive tool used for diagnosing heart diseases. An ECG interpretation program can help the physician state the diagnosis correctly and take the corrective action. Detection of the QRS complexes from the ECG signal is usually the first step for an interpretation tool. The main goal in this thesis was to develop robust and high performance QRS detection algorithms, and using the results of the QRS detection step, to classify these beats according to their different pathologies. In order to evaluate the performances, these algorithms were tested and compared in Massachusetts Institute of Technology Beth Israel Hospital (MIT-BIH) database, which was developed for research in cardiac electrophysiology. In this thesis, four promising QRS detection methods were taken from literature and implemented: a derivative based method (Method I), a digital filter based method (Method II), Tompkin’s method that utilizes the morphological features of the ECG signal (Method III) and a neural network based QRS detection method (Method IV). Overall sensitivity and positive predictivity values above 99% are achieved with each method, which are compatible with the results reported in literature. Method III has the best overall performance among the others with a sensitivity of 99.93% and a positive predictivity of 100.00%. Based on the detected QRS complexes, some features were extracted and classification of some beat types were performed. In order to classify the detected beats, three methods were taken from literature and implemented in this thesis: a Kth nearest neighbor rule based method (Method I), a neural network based method (Method II) and a rule based method (Method III). Overall results of Method I and Method II have sensitivity values above 92.96%. These findings are also compatible with those reported in the related literature. The classification made by the rule based approach, Method III, did not coincide well with the annotations provided in the MIT-BIH database. The best results were achieved by Method II with the overall sensitivity value of 95.24%.