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.

This work presents a low-complexity lossless electrocardiogram (ECG) compression ASIC for wireless sensors. Three linear predictors aiming for different signal characteristics are provided for prediction based on a history table that records of the optimum predictors for recent samples. And unlike traditional methods using a unified encoder, the prediction error is encoded by a hybrid Golomb encoder combining Exp-Golomb and Golomb-Rice and can adaptively configure the encoding scheme according to the predictor selection. The novel adaptive prediction and encoding scheme contributes to a compression rate of 2.77 for the MIT-BIH Arrhythmia database. Implemented in 40nm CMOS process, the design takes a small gate count of 1.82K with 37.6nW power consumption under 0.9V supply voltage.

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.