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Monitoring heart activity from electrocardiograms (ECG) is crucial to avoid unnecessary fatalities; therefore, detection of QRS complex is fundamental to automated ECG monitoring. Continuous, portable 24/7 ECG monitoring requires wireless technology with constraints on power, bandwidth, area, and resolution. In order to provide continuous remote monitoring of patients and fast transmission of data to medical personnel for instantaneous intervention, we propose a methodology that converts analog inputs into pulses for ultralow power implementation. The signal encoding scheme is the time-based integrate and fire (IF) sampler from which a set of signal descriptors in the pulse domain are proposed. Furthermore, a logical decision rule for QRS detection based on morphological checking is derived. The proposed decision logic depends exclusively on relational and logical operators resulting in ultrafast recognition and can be implemented using combinatorial logic hardware to guarantee power consumption orders of magnitude lower than any microprocessor device. The algorithm was evaluated using the MIT-BIH arrhythmia database and results show that our algorithm performance is comparable to the state-of-the art software-based detection.

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