Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model

Electrocardiography and photoplethysmography are non-invasive techniques that measure signals from the cardiovascular system. While the cycles of the two measurements are highly correlated, the correlation between the waveforms has rarely been studied. Measuring the photoplethysmogram (PPG) is much...

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Main Authors: Qunfeng Tang, Zhencheng Chen, Yanke Guo, Yongbo Liang, Rabab Ward, Carlo Menon, Mohamed Elgendi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.859763/full
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author Qunfeng Tang
Qunfeng Tang
Zhencheng Chen
Yanke Guo
Yongbo Liang
Rabab Ward
Carlo Menon
Mohamed Elgendi
Mohamed Elgendi
author_facet Qunfeng Tang
Qunfeng Tang
Zhencheng Chen
Yanke Guo
Yongbo Liang
Rabab Ward
Carlo Menon
Mohamed Elgendi
Mohamed Elgendi
author_sort Qunfeng Tang
collection DOAJ
description Electrocardiography and photoplethysmography are non-invasive techniques that measure signals from the cardiovascular system. While the cycles of the two measurements are highly correlated, the correlation between the waveforms has rarely been studied. Measuring the photoplethysmogram (PPG) is much easier and more convenient than the electrocardiogram (ECG). Recent research has shown that PPG can be used to reconstruct the ECG, indicating that practitioners can gain a deep understanding of the patients’ cardiovascular health using two physiological signals (PPG and ECG) while measuring only PPG. This study proposes a subject-based deep learning model that reconstructs an ECG using a PPG and is based on the bidirectional long short-term memory model. Because the ECG waveform may vary from subject to subject, this model is subject-specific. The model was tested using 100 records from the MIMIC III database. Of these records, 50 had a circulatory disease. The results show that a long ECG signal could be effectively reconstructed from PPG, which is, to our knowledge, the first attempt in this field. A length of 228 s of ECG was constructed by the model, which was trained and validated using 60 s of PPG and ECG signals. To segment the data, a different approach that segments the data into short time segments of equal length (and that do not rely on beats and beat detection) was investigated. Segmenting the PPG and ECG time series data into equal segments of 1-min width gave the optimal results. This resulted in a high Pearson’s correlation coefficient between the reconstructed 228 s of ECG and referenced ECG of 0.818, while the root mean square error was only 0.083 mV, and the dynamic time warping distance was 2.12 mV per second on average.
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spelling doaj.art-fea71c5a9b3f4bdfbae236fd6e8aeb022022-12-22T01:53:20ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-04-011310.3389/fphys.2022.859763859763Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based ModelQunfeng Tang0Qunfeng Tang1Zhencheng Chen2Yanke Guo3Yongbo Liang4Rabab Ward5Carlo Menon6Mohamed Elgendi7Mohamed Elgendi8School of Electronic Engineering and Automation, Guilin University of Electronic Technology, Guilin, ChinaDepartment of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, CanadaSchool of Electronic Engineering and Automation, Guilin University of Electronic Technology, Guilin, ChinaSchool of Electronic Engineering and Automation, Guilin University of Electronic Technology, Guilin, ChinaSchool of Electronic Engineering and Automation, Guilin University of Electronic Technology, Guilin, ChinaDepartment of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, CanadaBiomedical and Mobile Health Technology Laboratory, Department of Health Sciences and Technology, Zurich, SwitzerlandDepartment of Electrical and Computer Engineering, University of British Columbia, Vancouver, BC, CanadaBiomedical and Mobile Health Technology Laboratory, Department of Health Sciences and Technology, Zurich, SwitzerlandElectrocardiography and photoplethysmography are non-invasive techniques that measure signals from the cardiovascular system. While the cycles of the two measurements are highly correlated, the correlation between the waveforms has rarely been studied. Measuring the photoplethysmogram (PPG) is much easier and more convenient than the electrocardiogram (ECG). Recent research has shown that PPG can be used to reconstruct the ECG, indicating that practitioners can gain a deep understanding of the patients’ cardiovascular health using two physiological signals (PPG and ECG) while measuring only PPG. This study proposes a subject-based deep learning model that reconstructs an ECG using a PPG and is based on the bidirectional long short-term memory model. Because the ECG waveform may vary from subject to subject, this model is subject-specific. The model was tested using 100 records from the MIMIC III database. Of these records, 50 had a circulatory disease. The results show that a long ECG signal could be effectively reconstructed from PPG, which is, to our knowledge, the first attempt in this field. A length of 228 s of ECG was constructed by the model, which was trained and validated using 60 s of PPG and ECG signals. To segment the data, a different approach that segments the data into short time segments of equal length (and that do not rely on beats and beat detection) was investigated. Segmenting the PPG and ECG time series data into equal segments of 1-min width gave the optimal results. This resulted in a high Pearson’s correlation coefficient between the reconstructed 228 s of ECG and referenced ECG of 0.818, while the root mean square error was only 0.083 mV, and the dynamic time warping distance was 2.12 mV per second on average.https://www.frontiersin.org/articles/10.3389/fphys.2022.859763/fulldigital healthdata scienceintensive and critical carecardiologyelectrocadiogramvital sign analysis
spellingShingle Qunfeng Tang
Qunfeng Tang
Zhencheng Chen
Yanke Guo
Yongbo Liang
Rabab Ward
Carlo Menon
Mohamed Elgendi
Mohamed Elgendi
Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
Frontiers in Physiology
digital health
data science
intensive and critical care
cardiology
electrocadiogram
vital sign analysis
title Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
title_full Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
title_fullStr Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
title_full_unstemmed Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
title_short Robust Reconstruction of Electrocardiogram Using Photoplethysmography: A Subject-Based Model
title_sort robust reconstruction of electrocardiogram using photoplethysmography a subject based model
topic digital health
data science
intensive and critical care
cardiology
electrocadiogram
vital sign analysis
url https://www.frontiersin.org/articles/10.3389/fphys.2022.859763/full
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