Wave recognition in ECG signals by Hidden Markov Models (HMMs) relies
on the stationary assumption for the set of parameters used to describ
e ECG waves. This approach seems unnatural and consequently generates
severe errors in practice. A new class of HMMs called Modified Continu
ous Variable Duration HMMs is proposed to account for the specific pro
perties of the ECG signal. An application of the latter, coupled with
a multiresolution front-end analysis of the ECG is presented. Results
show these methods can increase the performance of ECG recognition com
pared to classical HMMs.