Noninvasive beat-to-beat detection of ventricular late potentials

The detection of ventricular late potentials is a subject of some clinical interest. Most techniques currently being investigated rely on signal averaging to extract the microvolt signals from the considerable amounts of noise which are present. Although this approach produces useful results, it does remove any beat-to-beat variations from the signal, and also requires that the signal be present for a considerable number of beats. The paper describes a technique for detecting ventricular late potentials from the body surface, which preserves beat-to-beat variations. The most important aspect of this technique is the use of an adaptive signal enhancer to minimise random noise. Representative results for one normal and two pathological subjects are presented and discussed. A comparison with signal averaging is made and the effectiveness of adaptive signal enhancement is illustrated.