Abstract:

Automatic detection of heart beats constitutes the basis for electrocardiogram (ECG) analysis and mainly relies on detecting QRS complexes. Detection is typically performed by analyzing the ECG signal. However, when signal quality is low, it often leads to the triggering of false alarms. A contemporary approach to reduce false alarm rate is to use multimodal data such as arterial blood pressure (ABP) or photoplethysmogram (PPG) signals. To leverage the correlated temporal nature of these signals, a probabilistic data fusion model for heart beat detection is proposed. A hidden Markov model is used to decode waveforms into segments. A Bayesian network is employed for capturing intersegmental coupling between waveforms and detecting heart beats. The performance of the proposed system was evaluated on a dataset provided by PhysioNet Challenge 2014: Robust Detection of Heart Beats in Multimodal Data. The proposed method is comparatively analyzed with a baseline hidden Markov model method for ECG and an improvement of 9% in sensitivity and 26% in positive predictivity is observed. The efficiency of the proposed model is also compared with related data fusion methods and a comparable performance is found. The robustness of the method is analyzed by inducting Gaussian noise into the dataset. A performance gain of 31% both in sensitivity and positive predictivity is obtained in the worst case where both ECG and ABP are noisy with -6 dB signal-to-noise ratio.

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