A novel electrocardiogram parameterization algorithm and its application in myocardial infarction detection

• This study proposes a novel electrocardiogram (ECG) parameterization algorithm.
• An ECG cycle is optimally fit with a 20th order polynomial function.
• The coefficients of the fitting function are used for efficient MI detection.

The electrocardiogram (ECG) is a biophysical electric signal generated by the heart muscle, and is one of the major measurements of how well a heart functions. Automatic ECG analysis algorithms usually extract the geometric or frequency-domain features of the ECG signals and have already significantly facilitated automatic ECG-based cardiac disease diagnosis. We propose a novel ECG feature by fitting a given ECG signal with a 20th order polynomial function, defined as PolyECG-S. The PolyECG-S feature is almost identical to the fitted ECG curve, measured by the Akaike information criterion (AIC), and achieved a 94.4% accuracy in detecting the Myocardial Infarction (MI) on the test dataset. Currently ST segment elongation is one of the major ways to detect MI (ST-elevation myocardial infarction, STEMI). However, many ECG signals have weak or even undetectable ST segments. Since PolyECG-S does not rely on the information of ST waves, it can be used as a complementary MI detection algorithm with the STEMI strategy. Overall, our results suggest that the PolyECG-S feature may satisfactorily reconstruct the fitted ECG curve, and is complementary to the existing ECG features for automatic cardiac function analysis.