Wearable ECG Quality Assessment: A Deep Learning and Ambulatory Context-Awareness Approach

This paper presents and evaluates a Deep Learning-based (DL-based) Signal Quality Assessment (SQA) model to distinguish between clean and noisy ambulatory Electrocardiograms (ECG). The model is trained on Copenhagen Center for Health Technology-Contextualized Arrhythmia Database (CACHET-CADB), which, to the best of our knowledge, is the first ambulatory ECG database with both physical and patient-reported contextual data. The model shows stable performance on different databases such as MIT-databases and the latest PyhsioNet/Cinc Challenge 2021 databases. Subsequently, the paper demonstrates how complicated ECG noise can be investigated by the SQA model and the physical contextual data.