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Peer Reviewed Chapter
Chapter Name : Machine Learning Algorithms for Real Time ECG and EEG Signal Analysis in Wearable Devices

Author Name : Suberiya Begum S, C.Gethara Gowri, Niaz A. Salam

Copyright: ©2025 | Pages: 38

DOI: 10.71443/9789349552036-04

Received: 21/09/2025 Accepted: 06/12/2025 Published: 14/01/2026

Abstract

The rapid evolution of wearable devices has transformed the landscape of healthcare, enabling continuous, real-time monitoring of physiological signals such as Electrocardiogram (ECG) and Electroencephalogram (EEG). This book chapter explores the integration of machine learning algorithms for real-time ECG and EEG signal analysis in wearable health technologies, emphasizing their potential to revolutionize patient care through early diagnosis and proactive health management. The chapter addresses critical challenges in signal acquisition, including noise, motion artifacts, and sensor limitations, while highlighting advanced techniques for signal preprocessing and feature extraction. Machine learning models, particularly deep learning approaches like Convolutional Neural Networks (CNNs) and Long Short-Term Memory (LSTM) networks, are examined for their efficacy in classifying ECG and EEG signals with high accuracy. Moreover, data augmentation strategies and their impact on model performance are discussed, offering solutions to the common issue of limited and imbalanced healthcare datasets. The chapter also delves into performance and efficiency considerations, focusing on optimizing machine learning algorithms to balance accuracy, speed, and energy consumption for real-time processing in resource-constrained wearable devices. Finally, the potential applications of these systems in detecting cardiovascular and neurological events, along with the future direction of personalized healthcare using AI-powered wearables, are explored. This work provides a comprehensive overview of the cutting-edge advancements in machine learning for wearable ECG and EEG signal analysis, offering valuable insights for researchers, developers, and healthcare professionals.

Introduction

Wearable devices have become a transformative force in the healthcare sector, offering continuous, non-invasive monitoring of physiological signals like Electrocardiogram (ECG) and Electroencephalogram (EEG) [1]. These devices provide real-time data collection, enabling timely detection of abnormal events and early diagnosis of various health conditions [2]. Unlike traditional diagnostic tools, which typically require hospital visits and sporadic testing, wearable sensors can monitor individuals' health continuously, thereby identifying patterns and deviations in a patient's condition that would otherwise go unnoticed [3]. This constant surveillance of heart and brain activity provides a wealth of data that is valuable for both preventative healthcare and chronic disease management, allowing for a more proactive approach to patient care [4]. As the demand for real-time monitoring grows, it is crucial to understand the challenges and opportunities posed by integrating machine learning algorithms into these wearable devices to enable effective analysis and interpretation of ECG and EEG signals [5].

Machine learning has emerged as a key enabler for extracting meaningful insights from the vast amounts of data generated by wearable devices [6]. Traditional methods of signal analysis often struggle to capture the complex and non-linear patterns inherent in ECG and EEG signals, which vary greatly across individuals and health conditions [7]. By using machine learning algorithms, particularly deep learning models such as Convolutional Neural Networks (CNNs) and Long Short-Term Memory (LSTM) networks, these signals can be analyzed for subtle abnormalities that may otherwise go undetected [8]. These algorithms automatically learn relevant features from raw signal data, eliminating the need for manual feature extraction and reducing the reliance on domain-specific expertise [9]. As a result, machine learning models can provide more accurate and reliable classifications of ECG and EEG data, which is crucial for real-time monitoring applications [10].

Real-time ECG and EEG signal analysis presents unique challenges, particularly in terms of computational efficiency and accuracy [11]. Wearable devices, while offering great potential for continuous health monitoring, are often constrained by limited processing power, memory, and battery life [12]. These constraints make it difficult to run complex machine learning algorithms that typically require significant computational resources [13]. For real-time analysis, it is essential to strike a balance between model complexity and efficiency. Deep learning models, while offering high accuracy, often come with increased computational costs that may not be feasible for resource-constrained wearable devices [14]. Thus, lightweight models and optimization techniques, such as quantization, pruning, and hybrid approaches that combine traditional signal processing methods with machine learning, are critical for enabling real-time performance without compromising on accuracy [15].