An Improved Method with High Anti-interference Ability for R Peak Detection in Wearable Devices

The rapid development of the wearable electrocardiogram monitoring equipment increases the requirements for R peak detection in wearable devices. An improved method called ISC algorithm is proposed with high anti-interference ability for R peak detection in wearable devices based on a simple basic algorithm called SC algorithm. The proposed method is characterized by using the updated amplitude selection threshold, updated slope comparison threshold and RR interval judgement to reduce false positives and false negatives. For data from MIT-BIH Arrhythmia Database, the positive predictivity P+ of ISC algorithm can reach 99.12%, and the sensitivity Se of ISC algorithm is more than 95%. For MIT-BIH Noise Stress Test Database, the accuracy of ISC algorithm for both sensitivity Se and positive predictivity P+ can exceed 94% under three common noise, baseline wander, muscle artifact, and electrode motion artifact, where the positive predictivity P+ of ISC algorithm is 44.46% higher than that of SC algorithm on average. For wearable devices in exercise, even under the exercise intensity of 7 km per hour, the average positive predictivity P+ of ISC algorithm is 99.32%, which is 60.93% higher than that of SC algorithm. The high anti-interference ability shows that ISC algorithm is suitable for R peak detection in wearable devices. (C) 2020 AGBM. Published by Elsevier Masson SAS. All rights reserved.