An R-peak detection method with a high noise tolerance is presented in this paper. This method utilizes a customized deep convolution neural network (DCNN) to extract morphological and temporal features from sliced electrocardiogram (ECG) signals. The proposed network adopts multiple parallel dilated convolution layers to analyze features from diverse fields of view. A sliding window slices the original ECG signals into segments, and then the network calculates one segment at a time and outputs every point's probability of belonging to the R-peak regions. After a binarization and a deburring operation, the occurrence time of the R-peaks can be located. Experimental results based on the MIT-BIH database show that the R-peak detection accuracies can be significantly improved under high intensity of the electrode motion artifact or muscle artifact noise, which reveals a higher performance than state-of-the-art methods.

This paper presents an automated patient-specific ECG classification algorithm, which integrates long short-term memory (LSTM) and convolutional neural networks (CNN). While LSTM extracts the temporal features, such as the heart rate variance (HRV) and beat-to-beat correlation from sequential heartbeats, CNN captures detailed morphological characteristics of the current heartbeat. To further improve the classification performance, adaptive segmentation and re-sampling are applied to align the heartbeats of different patients with various heart rates. In addition, a novel clustering method is proposed to identify the most representative patterns from the common training data. Evaluated on the MIT-BIH arrhythmia database, our algorithm shows the superior accuracy for both ventricular ectopic beats (VEB) and supraventricular ectopic beats (SVEB) recognition. In particular, the sensitivity and positive predictive rate for SVEB increase by more than 8.2% and 8.8%, respectively, compared with the prior works. Since our patient-specific classification does not require manual feature extraction, it is potentially applicable to embedded devices for automatic and accurate arrhythmia monitoring.