def _find_spike(signal, points): """ Looks for a pacemaker spike in a signal fragment, applying fixed thresholds on wave duration, angles and amplitude. These thresholds are the following: - The duration of the spike must be shorter than 30ms. - The ascent and descent angles of the spike must be higher than 75ยบ in common ECG scale. - The amplitude of the spike must be at least 0.2 mV (2mm) in the edge with lower amplitude. - The falling edge must be of lower amplitude than the rising edge. Parameters ---------- signal: Numpy array containing the signal information referenced by the wave object. points: Relevant points detected on the signal. Returns ------- out: Tuple with three integer values, which are the begin, peak, and end of the detected spike. If no spikes were detected, returns None. """ #Angle between two points angle = lambda a, b : math.atan(dg2mm(abs(signal[b]-signal[a])/sp2mm(b-a))) #First we search for the left edge of the spike. spike = [] for i in xrange(1, len(points)-3): for j in xrange(i+1, len(points)-2): pts = points[i:j+1] llim = pts[-1] #There can be no peaks inside the left edge. if (llim-pts[0] > C.SPIKE_DUR or (len(pts) >= 3 and len(get_peaks(signal[pts])) > 0)): break #The end of the left edge must be a peak. if len(get_peaks(signal[llim-1:llim+2])) < 1: continue #Left edge candidate ledge = abs(signal[pts[0]] - signal[llim]) if (ledge >= C.SPIKE_EDGE_AMP and angle(pts[0], llim) >= math.radians(85)): #Right edge delineation. ulim = min(int(pts[0]+C.SPIKE_DUR), points[-1]) rsig = signal[llim:ulim+1] if len(rsig) < 3: break rpks = get_peaks(rsig) if np.any(rpks): ulim = llim + rpks[0] ulim = ulim-1 if ulim-1 in points else ulim ulim = ulim+1 if ulim+1 in points else ulim while ulim > llim: redge = abs(signal[ulim] - signal[llim]) if redge < C.SPIKE_EDGE_AMP: break if (redge-ledge < C.SPIKE_ECGE_DIFF and angle(llim, ulim) >= math.radians(75)): #Spike candidate detected spike.append((pts[0], llim, ulim)) break ulim -= 1 if not spike or max(sp[0] for sp in spike) >= min(sp[-1] for sp in spike): return None #We get the spike with highest energy. return max(spike, key = lambda spk: np.sum(np.diff(signal[spk[0]:spk[-1]+1])**2))
def _paced_qrs_delineation(signal, points, peak, baseline): """ Checks if a sequence of waves is a paced heartbeat. The main criteria is the presence of a spike at the beginning of the beat, followed by at least one significant wave. """ try: #Gets the slope between two points. slope = lambda a, b : abs(dg2mm((signal[b]-signal[a])/sp2mm(b-a))) #First we search for the spike. spike = _find_spike(signal, points) verify(spike) if not spike[-1] in points: points = np.insert(points, bisect.bisect(points, spike[-1]), spike[-1]) #Now we get relevant points, checking some related constraints. bpts = points[points <= spike[0]] apts = points[points >= spike[-1]] verify(len(apts) >= 2) #Before and after the spike there must be a significant slope change. verify(slope(spike[0], spike[1]) > 2.0 * slope(bpts[-2], bpts[-1])) verify(slope(spike[1], spike[-1]) > 2.0 * slope(apts[0], apts[1])) #Now we look for the end of the QRS complex, by applying the same #clustering strategy than regular QRS, but only for the end. slopes = (signal[apts][1:]-signal[apts][:-1])/(apts[1:]-apts[:-1]) features = [] for i in xrange(len(slopes)): #The features are the slope in logarithmic scale and the distance to #the peak. features.append([math.log(abs(slopes[i])+1.0), abs(apts[i+1] - peak)]) features = whiten(features) #We initialize the centroids in the extremes (considering what is #interesting of each feature for us) fmin = np.min(features, 0) fmax = np.max(features, 0) valid = np.where(kmeans2(features, np.array([[fmin[0], fmax[1]], [fmax[0], fmin[1]]]), minit = 'matrix')[1])[0] verify(np.any(valid)) end = apts[valid[-1]+1] #The duration of the QRS complex after the spike must be more than 2 #times the duration of the spike. verify((end-apts[0]) > 2.0 * (spike[-1]-spike[0])) #The amplitude of the qrs complex must higher than 0.5 the amplitude #of the spike. sgspike = signal[spike[0]:spike[-1]+1] sgqrs = signal[apts[0]:end+1] verify(np.ptp(sgqrs) > ph2dg(0.5)) verify(np.ptp(sgqrs) > 0.5 * np.ptp(sgspike)) #There must be at least one peak in the QRS fragment. qrspt = signal[apts[apts <= end]] verify(len(qrspt) >= 3) verify(abs(signal[end] - signal[spike[0]]) <= ph2dg(0.3) or len(get_peaks(qrspt)) > 0) #The area of the rest of the QRS complex must be higher than the spike. verify(np.sum(np.abs(sgspike-sgspike[0])) < np.sum(np.abs(sgqrs-sgspike[0]))) #The distance between the beginning of the spike and the baseline #cannot be more than the 30% of the amplitude of the complex. verify(abs(signal[spike[0]]-baseline) < 0.3 * np.ptp(signal[spike[0]:end+1])) #At last, we have found the paced QRS limits. return Iv(spike[0], end) except InconsistencyError: return None