  Motivated by the problem of verifying the correctness of arrhythmia-detection
algorithms, we present a formalization of these algorithms in the language of
Quantitative Regular Expressions. QREs are a flexible formal language for
specifying complex numerical queries over data streams, with provable runtime
and memory consumption guarantees. The medical-device algorithms of interest
include peak detection (where a peak in a cardiac signal indicates a heartbeat)
and various discriminators, each of which uses a feature of the cardiac signal
to distinguish fatal from non-fatal arrhythmias. Expressing these algorithms'
desired output in current temporal logics, and implementing them via monitor
synthesis, is cumbersome, error-prone, computationally expensive, and sometimes
infeasible.
  In contrast, we show that a range of peak detectors (in both the time and
wavelet domains) and various discriminators at the heart of today's
arrhythmia-detection devices are easily expressible in QREs. The fact that one
formalism (QREs) is used to describe the desired end-to-end operation of an
arrhythmia detector opens the way to formal analysis and rigorous testing of
these detectors' correctness and performance. Such analysis could alleviate the
regulatory burden on device developers when modifying their algorithms. The
performance of the peak-detection QREs is demonstrated by running them on real
patient data, on which they yield results on par with those provided by a
cardiologist.
