Authors: Mohamed Elgendi, Ian Norton, Matt Brearley, Derek Abbott, Dale Schuurmans
Background: Analyzing acceleration photoplethysmogram (APG) signals measured after exercise is challenging. In this paper, a novel algorithm that can detect a waves and consequently b waves under these conditions is proposed. Accurate a and b wave detection is an important rst step for the assessment of arterial stiness and other cardiovascular parameters. Methods: Nine algorithms based on xed thresholding are compared, and a new algorithm is introduced to improve the detection rate using a testing set of heat stressed APG signals containing a total of 1,540 heart beats. Results: The new a detection algorithm demonstrates the highest overall detection accuracy|99.78% sensitivity, 100% positive predictivity|over signals that suer from 1) non-stationary eects, 2)irregular heartbeats, and 3) low amplitude waves. In addition, the proposed b detection algorithm achieved an overall sensitivity of 99.78% and a positive predictivity of 99.95%. Conclusions: The proposed algorithm presents an advantage for real-time applications by avoiding human intervention in threshold determination.
Comments: 26 Pages. The paper is published in Biomedical Engineering Online and its citation is: Elgendi M, Norton I, Brearley M, Abbott D, Schuurmans D (2014) Detection of a and b waves in the acceleration photoplethysmogram. Biomedical Engineering Online 13: 139.
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