Patient-Specific Electrocardiogram Monitoring by Model-Based Stochastic Anomaly Detection

A novel model-based method for patient-specific detection of deformed electrocardiogram (ECG) beats is proposed and tested. Five parameters of a patient-specific nonlinear ECG model are estimated from data by nonlinear least-squares optimization. The normal variability of the model parameters is captured by estimated probability density functions. A binary classifier, based on stochastic anomaly detection methods, along with a pre-tuned classification threshold, is employed for detecting the abnormal ECG beats. We demonstrate the utility of the proposed approach by validating it on annotated arrhythmia data recorded under clinical conditions.