Exploring the feasibility of real-time on-device ECG biometric classification using quantized neural networks
Martin Berki1, Anton Mateasik1,2, Michal Micjan1
1Institute of Electronics and Photonics, Slovak University of Technology, Bratislava, Slovakia.
Frontiers in Digital Health
|February 19, 2026
Summary
This study introduces an embedded deep learning system for real-time electrocardiogram (ECG) biometric classification on wearable devices. The system achieves high accuracy in identifying individuals using ECG patterns, enhancing privacy and enabling personalized healthcare.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence
- Wearable Technology
Background:
- Continuous personalized healthcare monitoring is crucial.
- Electrocardiogram (ECG) signals offer unique biometric patterns.
- Current systems often rely on cloud connectivity, raising privacy and efficiency concerns.
Purpose of the Study:
- To develop and evaluate a proof-of-concept embedded deep learning system for real-time ECG biometric classification on wearable Holter devices.
- To reduce reliance on continuous cloud connectivity for ECG analysis.
- To enhance data privacy and reduce power consumption in wearable health monitoring.
Main Methods:
- A quantized convolutional neural network (CNN) was deployed on an STM32H7 microcontroller.
- An initial signal quality assessment stage was incorporated for robust processing.
- The system was evaluated on the PTB Diagnostic ECG Database using subject-specific training.
Main Results:
- The embedded system achieved an F1 score of 94.51% and 94.68% classification accuracy on 5-second ECG segments.
- Average inference time was 1.35 seconds, enabling real-time operation on resource-constrained hardware.
- On-device inference demonstrated improved data privacy and reduced data transmission.
Conclusions:
- The embedded implementation proves the feasibility of integrating lightweight ECG biometrics into wearable systems.
- This approach enhances privacy, reduces power consumption, and minimizes data transmission.
- Potential for future extensions includes personalized healthcare monitoring and early anomaly detection.
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