On real-time arrhythmia detection in ECG monitors using antidictionary coding

This paper presents a real-time and memory-efficient arrhythmia detection system that uses antidictionary coding for the analysis and classification of electrocardiograms (ECGs). The measured ECG signals are encoded using a lossless antidictionary encoder, and the system subsequently uses the compression rate to distinguish between normal beats and arrhythmia. An automated training data procedure is used to construct the automatons, which are probabilistic models used to compress the ECG signals, and to determine the threshold value for detecting the arrhythmia. Real-time computer simulations with samples from the MIT-BIH arrhythmia database show that the averages of sensitivity and specificity of the proposed system are 96.6% and 94.4% for premature ventricular contraction detection, respectively. The automatons are shown to be quickly extracted from training data, and they require only 13 kilobytes. The low complexity and low memory requirements make the system particularly suitable for implementation in portable ECG monitors.