Development of an embedded device for real-time detection of atrial fibrillation and atrial flutter in single-channel ECG, using optimised classification based on a large training corpus
Creators: name: Auer, Eric
Publisher: name: Zenodo
Year: 2020
Subjects: ecg
atrial fibrillation
esp32
embedded system
medical engineering
open hardware
open source

description: Atrial fibrillation (A-Fib) and atrial flutter are widespread medical conditions of the heart. Loss of coordination between atrial and ventricular activities affects the smooth circulation of blood, causing an increased risk of blood clotting, which in turn elevates risk of pulmonary embolisms and cerebral infarction. However, the condition is not necessarily noticed by patients, for example through palpitations or tachycardia. A custom embedded device developed for this master's thesis helps people to evaluate whether they are experiencing atrial fibrillation at a specific moment. The device measures single-channel ECG for less than one minute and instantly classifies it as either A-Fib, normal sinus rhythm (NSR) or undecided (low measurement quality or atypical ECG). Building on an earlier proof of concept project work by the author, this thesis presents a fully integrated, custom device, using an advanced classification algorithm trained on thousands of short, annotated ECG fragments from the PTB-XL corpus. The algorithm uses morphological analysis of the averaged ECG shape, properties of the R/R interval distribution and spectral analysis of the ECG to create a feature vector used for classification. Analysis and raw ECG data can be transferred via Bluetooth at the user's discretion.<br>
description: Master's Thesis, Neural Engineering, University of Applied Sciences Saarbrücken (htwsaar) Supervisors: Prof. Dr. Oliver Scholz, Prof. Dr. rer. nat. Dr. rer. med. habil. Daniel J. Strauss
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