Abächerli Roger, Isaksen Jonas, Schmid Ramun, Leber Remo, Schmid Hans-Jakob, Generali Gianluca
Signal Processing and Research, Research and Development, Schiller AG, Baar, Switzerland.
Cardiovascular Research Institute, University Hospital Basel, Basel, Switzerland.
PLoS One. 2016 Mar 3;11(3):e0150207. doi: 10.1371/journal.pone.0150207. eCollection 2016.
Since the introduction of digital electrocardiographs, high-pass filters have been necessary for successful analog-to-digital conversion with a reasonable amplitude resolution. On the other hand, such high-pass filters may distort the diagnostically significant ST-segment of the ECG, which can result in a misleading diagnosis. We present an inverting filter that successfully undoes the effects of a 0.05 Hz single pole high-pass filter. The inverting filter has been tested on more than 1600 clinical ECGs with one-minute durations and produces a negligible mean RMS-error of 3.1*10(-8) LSB. Alternative, less strong inverting filters have also been tested, as have different applications of the filters with respect to rounding of the signals after filtering. A design scheme for the alternative inverting filters has been suggested, based on the maximum strength of the filter. With the use of the suggested filters, it is possible to recover the original DC-coupled ECGs from AC-coupled ECGs, at least when a 0.05 Hz first order digital single pole high-pass filter is used for the AC-coupling.
自从数字心电图机问世以来,为了以合理的幅度分辨率成功进行模数转换,高通滤波器就成为了必需。另一方面,这种高通滤波器可能会扭曲心电图中具有诊断意义的ST段,从而导致误诊。我们提出了一种反相滤波器,它能够成功消除0.05Hz单极点高通滤波器的影响。该反相滤波器已在1600多个时长为一分钟的临床心电图上进行了测试,产生的平均均方根误差可忽略不计,为3.1×10⁻⁸最低有效位。还测试了其他强度较弱的反相滤波器,以及滤波器在滤波后信号舍入方面的不同应用。基于滤波器的最大强度,提出了一种替代反相滤波器的设计方案。使用所建议的滤波器,可以从交流耦合心电图中恢复原始的直流耦合心电图,至少在将0.05Hz一阶数字单极点高通滤波器用于交流耦合时是这样。