Signal averaging in stress test and Holter systems

H. Palacios, D. Rodríguez, J. Castro, V. Gomez, J. Jorquera, T. Magdhal
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Abstract

A signal averaging technique is presented as a high quality alternative for filtering and cleaning ECG signals. A basic mathematical approach is first presented, with emphasis on the bandwidth reduction due to imperfect synchronism, when the QRS complex and R wave peak are used for synchronizing and alignment. A very reliable method is presented, especially designed for noisy ECG signals; in this method several thresholds are generated, based on the history of the successive cycles; thresholds for the amplitude of high pass filtered ECG signals and their first derivatives are generated in an adaptive and stable way. Finally, results are shown for several typical cases, including static averaging and dynamic real-time averaging.<>
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压力测试和动态心电图系统的信号平均
提出了一种信号平均技术作为滤波和清洗心电信号的高质量替代方案。首先提出了一种基本的数学方法,重点研究了当使用QRS复合体和R波峰进行同步和对准时,由于不完全同步而导致的带宽减少。针对有噪声的心电信号,提出了一种非常可靠的方法;在该方法中,根据连续周期的历史生成若干阈值;高通滤波后的心电信号及其一阶导数的幅值阈值自适应稳定生成。最后,给出了静态平均和动态实时平均几个典型实例的计算结果。
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