Beat-to-beat detection of His-Purkinje system signals using adaptive filters

  • H. A. M. Al-Nashash
  • S. W. Kelly
  • D. J. E. Taylor
Physiological Measurement


Noninvasive techniques to record the activation wave from the His-Purkinje system have so far depended largely on signal averaging. Although this approach produces representative signals, any beat-to-beat variations are removed by the averaging process. These beat-to-beat variations are important in the diagnosis of many heart abnormalities, particularly arrhythmias. The paper describes an experimental system which can detect His-Purkinje system electrograms at the body surface while preserving beat-to-beat variations. The system uses a number of different techniques, but an important feature is the use of an adaptive filter to reduce additive noise. The experimental system is not real-time, as the adaptive filtering is performed offine using software, but a real-time hardware implementation is quite feasible. The system's ability to detect beat-to-beat variations has produced a number of interesting results, which are discussed. These include a cyclic variation in a normal subject, believed to be due to the modulating effects of breathing, and signals from a patient suffering from second degree A-V block.


Adaptive filters Arrhythmias His-Purkinje signals Noninvasive techniques Signal processing 


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Copyright information

© IFMBE 1988

Authors and Affiliations

  • H. A. M. Al-Nashash
    • 1
  • S. W. Kelly
    • 1
  • D. J. E. Taylor
    • 2
  1. 1.Medical Electronics Research Group, Electronic Engineering LaboratoriesUniversity of Kent at CanterburyCanterburyUK
  2. 2.Cardiac DepartmentKent & Canterbury HospitalCanterburyUK

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