Lead quality monitoring for detection of the Optimal Snapshot Time to record resting ECG

This study presents a multichannel ECG quality monitoring system, which continuously scans the leads' status (valid/lead-off) and quality (0-100%), according to the ECG components in the low, medium and high frequency bands. The system aims to detect the optimal moment to start the record of a 10s resting ECG within the 1st minute of signal acquisition - the earliest in time, the best in all leads' quality, named `Optimal Snapshot Time' (OST) and `Best Snapshot Quality' (BestSQ). The system compares the current leads' quality to an adaptive quality threshold (AQT) whose decreasing trend is trained on 375 ECGs. The validation over 267 ECGs in the test database shows that: 87.2% of the ECGs would be recorded with a quality ≥ 95%BestSQ; 33.1% at the optimal moment OST±2.5s; 29.3% would be started earlier due to their sufficient quality >AQT; 37.2% would be recorded with a delay >2.5s due to their compromised BestSQ, not reaching the AQT level in the vicinity of OST.

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