Wajahat Hassan, Aamir Habib, Qamar-ul Islam, Saqib Saleem.
Classification of normal and arrhythmic ECG using wavelet transform based template-matching technique.
J Pak Med Assoc Jan ;67(6):843-7.

Objective: To propose a wavelet-based template matching technique to extract features for automatic classification of electrocardiogram signals of normal and arrhythmic individuals. Methods: The study was conducted from December 2014 to December 2015 at the Department of Electrical Engineering, Institute of Space Technology, Islamabad, Pakistan. Electrocardiogram signals analysed in this study were taken from the freely available database www.physionet.org. The data for normal subjects was taken from the Massachusetts Institute of Technology-Beth Israel Hospital's normal sinus rhythm database and data for diseased subjects was taken from the arrhythmia database. Results: Of the 30 subjects, there were 15(50%) normal and 15(50%) diseased subjects. The group-averaged phase difference indices of arrhythmic subjects were significantly larger than that of normal individuals (p<0.05) within the frequency range of 0.9-1.1 Hz. Moreover, the scatter plot between the phase difference index and magnitude of wavelet cross-spectrum for frequency range of 0.9-1.1 Hz demonstrated a satisfactory delineation between normal and arrhythmic individuals. Conclusion: Wavelet decomposition-based template matching technique achieved satisfactory delineation of normal and arrhythmic electrocardiogram dynamics.

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