Straightforward and robust QRS detection algorithm for wearable cardiac monitor

This Letter presents a fairly straightforward and robust QRS detector for wearable cardiac monitoring applications. The first stage of the QRS detector contains a powerful ℓ1-sparsity filter with overcomplete hybrid dictionaries for emphasising the QRS complexes and suppressing the baseline drifts, powerline interference and large P/T waves. The second stage is a simple peak-finding logic based on the Gaussian derivative filter for automatically finding locations of R-peaks in the ECG signal. Experiments on the standard MIT-BIH arrythmia database show that the method achieves an average sensitivity of 99.91% and positive predictivity of 99.92%. Unlike existing methods, the proposed method improves detection performance under small-QRS, wide-QRS complexes and noisy conditions without using the searchback algorithms.