一种测量心电和心电信号脉冲传递时间的新算法

Radjef Lilia, Omari Taha
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摘要

脉搏传递时间(PTT)是基于脉搏波形特征的生理参数,是心血管疾病(CVD)的直接指标。PTT定义为动脉脉冲从心脏到外周部位所花费的时间。它通常来源于心电图(ECG)和光容积描记图(PPG)信号的计算,并计算为心电图(ECG) r波峰值与光容积描记图(PPG)时间点之间的间隔。在这项研究中,我们提出了一种新的低复杂度的脉冲传输时间(PTT)测量算法,利用这两个信号并检测(PTT- foot)和(PTT- peak)。我们建立了一个37名受试者的数据集,其中包含同时记录的心电图和心电。(PTT)的计算包括检测(PPG)信号的峰值和脚点以及(ECG)信号的r峰。对噪声信号进行归一化和阈值检测等中间操作,以检测局部最大值和最小值,并通过加窗时间分析对算法进行改进。获得的结果对第一步是有希望的。r峰检测的平均灵敏度(SEN)和准确度(ACC)分别为97.5%和96.82%,ppg峰检测的平均灵敏度(SEN)和准确度(ACC)分别为97.77%和97.64%。PPG- foot检测的灵敏度(SEN)和准确度(ACC)分别为98.33%和94.14%。
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A NEW ALGORITHM FOR MEASURING PULSE TRANSIT TIME FROM ECG AND PPG SIGNALS
Pulse transit Time (PTT) is a physiological parameter that is based on characteristics of the pulse waveform, a direct indicator of Cardiovascular Diseases (CVD). The (PTT) is defined as the time taken for the arterial pulse to travel from the heart to a peripheral site. It is commonly derived from Electrocardiogram (ECG) and Photoplethysmogram (PPG) signal calculations and is calculated as the interval between the peak of the electrocardiogram (ECG) R-wave and a time point on the photoplethysmogram (PPG). In this study, we propose a new and lowcomplexity algorithm for the Pulse transit time (PTT) measurement, using these two signals and detecting (PTT- foot) and (PTT- peak). We built a 37 subjects dataset containing a simultaneous recording of the (ECG) and (PPG). The calculation of (PTT) consists of detecting the peak and foot points of a (PPG) and the R-peak of the (ECG) signal. Intermediate operations such as normalization and thresholding to detect the local maxima and minima, are processed on noisy signals, this algorithm is improved by a windowing temporal analysis. The obtained results are promising for the first step. The average sensitivity (SEN) and accuracy (ACC) obtained were (97.5%, and 96.82%) respectively for R-peaks detection and respectively (97.77%, and 97.64%) for (PPG-peak) detection. The sensitivity (SEN) and accuracy (ACC) of (PPG- foot) detection were (98.33%, and 94.14%).
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