Constructing a Guided Filter by Exploiting the Butterworth Filter for ECG Signal Enhancement

Electrocardiogram (ECG) signal enhancement is necessary in telemedicine. In such ECG monitoring systems, noises like muscle artifacts, electrode motion and baseline wander are often embedded in the ECG signals during acquisition and transmission. In this study, a novel method is proposed for the ECG signal enhancement based on the finding that ECG signals extracted over a big data share significant similarities in the morphology for a particular person. We construct a guided filter and reform it by a Butterworth high-pass filter. The Butterworth high-pass filter is utilized to remove the baseline wander. The advantageous edge-preserving guided filter is then applied to remove the rest noise, of which frequencies are between the ECG signals. Very promising results with high accuracy and the edge-preserving features have been achieved in the comparative experiments. We evaluated the proposed denoising method using ECG signals from the MIT-BIH Arrhythmia database and the Noise Stress Test database. The experimental results demonstrate that the proposed method achieves better signal-to-noise ratio (SNR) and lower root mean square error (RMSE) when compared to the wavelet with subband dependent thresholding (WT-Subband), Back Propagation Neural Network and Stockwell transform methods. Using the proposed method, the average output SNR ranges from 8.57 to 19.28 dB, and the average RMSE is less than 0.41.