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Updated: Oct 18, 2025

Conformable Wearable Electrodes: From Fabrication to Electrophysiological Assessment
Published on: July 22, 2022
ECG simulator with configurable skin-electrode impedance and artifacts emulation.
Daniel Almeida1,2,3, João Costa1,2, André Lourenço1,4,5
1ISEL-Instituto Superior de Engenharia de Lisboa, Instituto Politécnico de Lisboa, Lisboa, Portugal.
This study introduces an innovative electrocardiogram (ECG) simulator that models skin-electrode impedance and interference. The simulator helps developers and clinicians identify artifacts that may mimic arrhythmias, improving ECG device development and diagnostic accuracy.
Area of Science:
- Biomedical Engineering
- Signal Processing
- Wearable Technology
Background:
- Electrocardiograms (ECG) are increasingly recorded using everyday objects like wearables and smart devices.
- Diverse applications include health monitoring, performance optimization, and authentication.
Purpose of the Study:
- To design and implement an innovative ECG simulator.
- To model dynamic skin-electrode interface properties and signal artifacts.
- To aid in the development and validation of ECG systems.
Main Methods:
- Developed an ECG simulator with adjustable skin-electrode impedance (1 nF-255 nF, 4 kΩ-996 kΩ).
- Incorporated emulation of time-dependent impedance, differential/common-mode interference, and lead-off events.
- Validated system functionality with a commercial ECG front-end, achieving <0.1 dB SNR degradation.
Main Results:
- Skin-electrode interface significantly impacts acquired ECG waveforms.
- Impedance imbalance, particularly resistive, can create artifacts mimicking arrhythmias.
- Demonstrated the simulator's utility in hardware/software ECG development and clinical training.
Conclusions:
- The proposed ECG simulator accurately models real-world signal acquisition challenges.
- It provides a valuable tool for recognizing and mitigating skin-electrode impedance artifacts.
- Enhances the reliability of ECG devices and diagnostic interpretation.
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