Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review

This paper presents a review of the techniques found in the literature that aim to achieve a robust heartbeat detection from fusing multi-modal physiological signals (e.g., electrocardiogram (ECG), blood pressure (BP), artificial blood pressure (ABP), stroke volume (SV), photoplethysmogram (PPG), el...

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Main Authors: Javier Tejedor, Constantino A. García, David G. Márquez, Rafael Raya, Abraham Otero
Format: Article
Language:English
Published: MDPI AG 2019-10-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/19/21/4708
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author Javier Tejedor
Constantino A. García
David G. Márquez
Rafael Raya
Abraham Otero
author_facet Javier Tejedor
Constantino A. García
David G. Márquez
Rafael Raya
Abraham Otero
author_sort Javier Tejedor
collection DOAJ
description This paper presents a review of the techniques found in the literature that aim to achieve a robust heartbeat detection from fusing multi-modal physiological signals (e.g., electrocardiogram (ECG), blood pressure (BP), artificial blood pressure (ABP), stroke volume (SV), photoplethysmogram (PPG), electroencephalogram (EEG), electromyogram (EMG), and electrooculogram (EOG), among others). Techniques typically employ ECG, BP, and ABP, of which usage has been shown to obtain the best performance under challenging conditions. SV, PPG, EMG, EEG, and EOG signals can help increase performance when included within the fusion. Filtering, signal normalization, and resampling are common preprocessing steps. Delay correction between the heartbeats obtained over some of the physiological signals must also be considered, and signal-quality assessment to retain the <i>best</i> signal/s must be considered as well. Fusion is usually accomplished by exploiting regularities in the RR intervals; by selecting the most promising signal for the detection at every moment; by a voting process; or by performing simultaneous detection and fusion using Bayesian techniques, hidden Markov models, or neural networks. Based on the results of the review, guidelines to facilitate future comparison of the performance of the different proposals are given and promising future lines of research are pointed out.
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spelling doaj.art-43869174fcc740a690ac43681f9cefde2022-12-22T02:18:53ZengMDPI AGSensors1424-82202019-10-011921470810.3390/s19214708s19214708Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A ReviewJavier Tejedor0Constantino A. García1David G. Márquez2Rafael Raya3Abraham Otero4Department of Information Technology, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Boadilla del Monte, 28668 Madrid, SpainDepartment of Information Technology, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Boadilla del Monte, 28668 Madrid, SpainDepartment of Information Technology, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Boadilla del Monte, 28668 Madrid, SpainDepartment of Information Technology, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Boadilla del Monte, 28668 Madrid, SpainDepartment of Information Technology, Escuela Politécnica Superior, Universidad San Pablo-CEU, CEU Universities, Campus Montepríncipe, Boadilla del Monte, 28668 Madrid, SpainThis paper presents a review of the techniques found in the literature that aim to achieve a robust heartbeat detection from fusing multi-modal physiological signals (e.g., electrocardiogram (ECG), blood pressure (BP), artificial blood pressure (ABP), stroke volume (SV), photoplethysmogram (PPG), electroencephalogram (EEG), electromyogram (EMG), and electrooculogram (EOG), among others). Techniques typically employ ECG, BP, and ABP, of which usage has been shown to obtain the best performance under challenging conditions. SV, PPG, EMG, EEG, and EOG signals can help increase performance when included within the fusion. Filtering, signal normalization, and resampling are common preprocessing steps. Delay correction between the heartbeats obtained over some of the physiological signals must also be considered, and signal-quality assessment to retain the <i>best</i> signal/s must be considered as well. Fusion is usually accomplished by exploiting regularities in the RR intervals; by selecting the most promising signal for the detection at every moment; by a voting process; or by performing simultaneous detection and fusion using Bayesian techniques, hidden Markov models, or neural networks. Based on the results of the review, guidelines to facilitate future comparison of the performance of the different proposals are given and promising future lines of research are pointed out.https://www.mdpi.com/1424-8220/19/21/4708fusionelectrocardiogramphysiological signalsheartbeat detection
spellingShingle Javier Tejedor
Constantino A. García
David G. Márquez
Rafael Raya
Abraham Otero
Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
Sensors
fusion
electrocardiogram
physiological signals
heartbeat detection
title Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
title_full Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
title_fullStr Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
title_full_unstemmed Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
title_short Multiple Physiological Signals Fusion Techniques for Improving Heartbeat Detection: A Review
title_sort multiple physiological signals fusion techniques for improving heartbeat detection a review
topic fusion
electrocardiogram
physiological signals
heartbeat detection
url https://www.mdpi.com/1424-8220/19/21/4708
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AT davidgmarquez multiplephysiologicalsignalsfusiontechniquesforimprovingheartbeatdetectionareview
AT rafaelraya multiplephysiologicalsignalsfusiontechniquesforimprovingheartbeatdetectionareview
AT abrahamotero multiplephysiologicalsignalsfusiontechniquesforimprovingheartbeatdetectionareview