This database includes 25 long-term ECG recordings of human subjects with atrial fibrillation (mostly paroxysmal).

Physikalisch-Technische Bundesanstalt (PTB), the National Metrology Institute of Germany, has provided this compilation of digitized ECGs for research, algorithmic benchmarking or teaching purposes to the users of PhysioNet. The ECGs were collected from healthy volunteers and patients with different heart diseases by Professor Michael Oeff, M.D.

The MIT-BIH Arrhythmia Database contains 48 half-hour excerpts of two-channel ambulatory ECG recordings, obtained from 47 subjects studied by the BIH Arrhythmia Laboratory between 1975 and 1979. Twenty-three recordings were chosen at random from a set of 4000 24-hour ambulatory ECG recordings collected from a mixed population of inpatients (about 60%) and outpatients (about 40%) at Boston's Beth Israel Hospital; the remaining 25 recordings were selected from the same set to include less common but clinically significant arrhythmias that would not be well-represented in a small random sample.

The 2017 PhysioNet/CinC Challenge aims to encourage the development of algorithms to classify, from a single short ECG lead recording (between 30 s and 60 s in length), whether the recording shows normal sinus rhythm, atrial fibrillation (AF), an alternative rhythm, or is too noisy to be classified. There are various types of cardiac arrhythmias that may be classified by: Origin: atrial arrhythmia, junctional arrhythmia, or ventricular arrhythmia. Rate: tachycardia ( > 100 beats per minute (bpm) in adults) or bradycardia ( < 60 bpm in adults). Mechanism: automaticity, re-entry, triggered. AV Conduction: normal, delayed, blocked. Duration: non-sustained (less than 30 s) or sustained (30 s or longer).

This database includes 22 half-hour ECG recordings of subjects who experienced episodes of sustained ventricular tachycardia, ventricular flutter, and ventricular fibrillation.

This database of two-channel ECG recordings has been created for use in the Computers in Cardiology Challenge 2001, an open competition with the goal of developing automated methods for predicting paroxysmal atrial fibrillation (PAF). See the challenge announcement for information about the competition, and see Predicting Onset of Atrial Fibrillation for a brief overview of the clinical problem, its significance, and suggestions for further reading on the subject.

The 2016 PhysioNet/CinC Challenge aims to encourage the development of algorithms to classify heart sound recordings collected from a variety of clinical or nonclinical (such as in-home visits) environments. The aim is to identify, from a single short recording (10-60s) from a single precordial location, whether the subject of the recording should be referred on for an expert diagnosis.

This database, collected at the Children’s Hospital Boston, consists of EEG recordings from pediatric subjects with intractable seizures. Subjects were monitored for up to several days following withdrawal of anti-seizure medication in order to characterize their seizures and assess their candidacy for surgical intervention. The recordings are grouped into 23 cases and were collected from 22 subjects (5 males, ages 3–22; and 17 females, ages 1.5–19).

This database consists of 75 annotated recordings extracted from 32 Holter records. Each record is 30 minutes long and contains 12 standard leads, each sampled at 257 Hz, with gains varying from 250 to 1100 analog-to-digital converter units per millivolt.

The data consist of 70 records, divided into a learning set of 35 records (a01 through a20, b01 through b05, and c01 through c10), and a test set of 35 records (x01 through x35), all of which may be downloaded from this page. Recordings vary in length from slightly less than 7 hours to nearly 10 hours each. Each recording includes a continuous digitized ECG signal, a set of apnea annotations (derived by human experts on the basis of simultaneously recorded respiration and related signals), and a set of machine-generated QRS annotations (in which all beats regardless of type have been labeled normal). In addition, eight recordings (a01 through a04, b01, and c01 through c03) are accompanied by four additional signals (Resp C and Resp A, chest and abdominal respiratory effort signals obtained using inductance plethysmography; Resp N, oronasal airflow measured using nasal thermistors; and SpO2, oxygen saturation).

The electrocardiogram (ECG) is a non-invasive representation of the electrical activity of the heart. Although the twelve-lead ECG is the standard diagnostic screening system for many cardiological issues, the limited accessibility of twelve-lead ECG devices provides a rationale for smaller, lower-cost, and easier to use devices. While single-lead ECGs are limiting [1], reduced-lead ECG systems hold promise, with evidence that subsets of the standard twelve leads can capture useful information [2], [3], [4] and even be comparable to twelve-lead ECGs in some limited contexts. In 2017 we challenged the public to classify AF from a single-lead ECG, and in 2020 we challenged the public to diagnose a much larger number of cardiac problems using twelve-lead recordings. However, there is limited evidence to demonstrate the utility of reduced-lead ECGs for capturing a wide range of diagnostic information.

In this year’s Challenge, we ask the following question: ‘Will two do?’ This year’s Challenge builds on last year’s Challenge [5], which asked participants to classify cardiac abnormalities from twelve-lead ECGs. We are asking you to build an algorithm that can classify cardiac abnormalities from twelve-lead, six-lead, four-lead, three-lead, and two-lead ECGs. We will test each algorithm on databases of these reduced-lead ECGs, and the differences in performances of the algorithms on these databases will reveal the utility of reduced-lead ECGs in comparison to standard twelve-lead EGCs.

Effective processing and analysis of physiological data requires specialized software. We have developed a large collection of such software over the past thirty years, and much of it is contained within the WFDB (Waveform Database) Software Package. The WFDB Software Package comprises over 70 applications for signal processing and automated analysis. A comprehensive collection of documentation, including tutorials and reference manuals, is also included in the package. The package is written in highly portable C and can be used on all popular platforms, including GNU/Linux, MacOS, MS-Windows, and all versions of Unix. The package has also been ported to other popular languages, including Matlab and Python.

Retrospectively collected medical data has the opportunity to improve patient care through knowledge discovery and algorithm development. Broad reuse of medical data is desirable for the greatest public good, but data sharing must be done in a manner which protects patient privacy. Here we present Medical Information Mart for Intensive Care (MIMIC)-IV, a large deidentified dataset of patients admitted to the emergency department or an intensive care unit at the Beth Israel Deaconess Medical Center in Boston, MA. MIMIC-IV contains data for over 65,000 patients admitted to an ICU and over 200,000 patients admitted to the emergency department. MIMIC-IV incorporates contemporary data and adopts a modular approach to data organization, highlighting data provenance and facilitating both individual and combined use of disparate data sources. MIMIC-IV is intended to carry on the success of MIMIC-III and support a broad set of applications within healthcare.

Saitama Heart Database Atrial Fibrillation (SHDB-AF) is a novel open-sourced Holter ECG database from Japan, containing data from 122 unique subjects with paroxysmal atrial fibrillation. Among the 128 recordings, 98 contain raw ECG data with rhythm annotations at the beat level, manually performed by a cardiology fellow. The remaining recordings consist only of ECG traces without annotations. The dataset was collected as part of a study evaluating the generalization performance of a deep learning atrial fibrillation event detection model across different distribution shifts.

Electrocardiography (ECG) is a key diagnostic tool to assess the cardiac condition of a patient. Automatic ECG interpretation algorithms as diagnosis support systems promise large reliefs for the medical personnel - only on the basis of the number of ECGs that are routinely taken. However, the development of such algorithms requires large training datasets and clear benchmark procedures. In our opinion, both aspects are not covered satisfactorily by existing freely accessible ECG datasets.

The PTB-XL ECG dataset is a large dataset of 21799 clinical 12-lead ECGs from 18869 patients of 10 second length. The raw waveform data was annotated by up to two cardiologists, who assigned potentially multiple ECG statements to each record. The in total 71 different ECG statements conform to the SCP-ECG standard and cover diagnostic, form, and rhythm statements. To ensure comparability of machine learning algorithms trained on the dataset, we provide recommended splits into training and test sets. In combination with the extensive annotation, this turns the dataset into a rich resource for the training and the evaluation of automatic ECG interpretation algorithms. The dataset is complemented by extensive metadata on demographics, infarction characteristics, likelihoods for diagnostic ECG statements as well as annotated signal properties.

MIMIC-ED is a large, freely available database of emergency department (ED) admissions at the Beth Israel Deaconess Medical Center between 2011 and 2019. As of MIMIC-ED v1.0, the database contains 448,972 ED stays. Vital signs, triage information, medication reconciliation, medication administration, and discharge diagnoses are available. All data are deidentified to comply with the Health Information Portability and Accountability Act (HIPAA) Safe Harbor provision. MIMIC-ED is intended to support a diverse range of education initiatives and research studies.

The MIMIC-IV-ECG module contains approximately 800,000 diagnostic electrocardiograms across nearly 160,000 unique patients. These diagnostic ECGs use 12 leads and are 10 seconds in length. They are sampled at 500 Hz. This subset contains all of the ECGs for patients who appear in the MIMIC-IV Clinical Database. When a cardiologist report is available for a given ECG, we provide the needed information to link the waveform to the report. The patients in MIMIC-IV-ECG have been matched against the MIMIC-IV Clinical Database, making it possible to link to information across the MIMIC-IV modules.

The MIT-BIH Polysomnographic Database is a collection of recordings of multiple physiologic signals during sleep. Subjects were monitored in Boston's Beth Israel Hospital Sleep Laboratory for evaluation of chronic obstructive sleep apnea syndrome, and to test the effects of constant positive airway pressure (CPAP), a standard therapeutic intervention that usually prevents or substantially reduces airway obstruction in these subjects.

MIMIC-III is a large, freely-available database comprising deidentified health-related data associated with over forty thousand patients who stayed in critical care units of the Beth Israel Deaconess Medical Center between 2001 and 2012. The database includes information such as demographics, vital sign measurements made at the bedside (~1 data point per hour), laboratory test results, procedures, medications, caregiver notes, imaging reports, and mortality (including post-hospital discharge).MIMIC supports a diverse range of analytic studies spanning epidemiology, clinical decision-rule improvement, and electronic tool development. It is notable for three factors: it is freely available to researchers worldwide; it encompasses a diverse and very large population of ICU patients; and it contains highly granular data, including vital signs, laboratory results, and medications.

The PhysioNet Resource is intended to stimulate current research and new investigations in the study of complex biomedical and physiologic signals. It offers free web access to large collections of recorded physiologic signals (PhysioBank) and related open-source software (PhysioToolkit).