Abstract:The object of the proposed paper is to design and analyze the performance of a non-contact heart rate variability (HRV) measuring device based on ultrasound transducers. The rationale behind non-contact HRV measurement is the goal of obtaining a means of long term monitoring of a patient’s heart performance. Due to its complexity as a non-contact measuring device, influential physical quantities, error source and other perturbations were thoroughly investigated. For medical purposes it is of utmost importance … Show more
“…Novel phone-based reflectance PPG measurements provide improved accessibility but face the same inherent limitations as transmittance PPG as well as reduced signal quality 14,15 . Other state-of-the-art methods used for approximation of HRV lack feasibility outside of a lab-based setting 16 .Figure 1An in vivo comparison of ECG (black), SPG (blue), and PPG (red) waveforms measured from a single subject. Because of the pulse transit time from the chest (ECG) to the finger (SPG/PPG), the ECG has its R peak before the SPG peak.…”
Heart rate variability (HRV) provides insight into cardiovascular health and autonomic function. Electrocardiography (ECG) provides gold standard HRV measurements but is inconvenient for continuous acquisition when monitored from the extremities. Optical techniques such as photoplethysmography (PPG), often found in health and wellness trackers for heart rate measurements, have been used to estimate HRV peripherally but decline in accuracy during increased physical stress. Speckleplethysmography (SPG) is a recently introduced optical technique that provides benefits over PPG, such as increased signal amplitude and reduced susceptibility to temperature-induced vasoconstriction. In this research, we compare SPG and PPG to ECG for estimation of HRV during an orthostatic challenge performed by 17 subjects. We find that SPG estimations of HRV are highly correlated to ECG HRV for both time and frequency domain parameters and provide increased accuracy over PPG estimations of HRV. The results suggest SPG measurements are a viable alternative for HRV estimation when ECG measurements are impractical.
“…Novel phone-based reflectance PPG measurements provide improved accessibility but face the same inherent limitations as transmittance PPG as well as reduced signal quality 14,15 . Other state-of-the-art methods used for approximation of HRV lack feasibility outside of a lab-based setting 16 .Figure 1An in vivo comparison of ECG (black), SPG (blue), and PPG (red) waveforms measured from a single subject. Because of the pulse transit time from the chest (ECG) to the finger (SPG/PPG), the ECG has its R peak before the SPG peak.…”
Heart rate variability (HRV) provides insight into cardiovascular health and autonomic function. Electrocardiography (ECG) provides gold standard HRV measurements but is inconvenient for continuous acquisition when monitored from the extremities. Optical techniques such as photoplethysmography (PPG), often found in health and wellness trackers for heart rate measurements, have been used to estimate HRV peripherally but decline in accuracy during increased physical stress. Speckleplethysmography (SPG) is a recently introduced optical technique that provides benefits over PPG, such as increased signal amplitude and reduced susceptibility to temperature-induced vasoconstriction. In this research, we compare SPG and PPG to ECG for estimation of HRV during an orthostatic challenge performed by 17 subjects. We find that SPG estimations of HRV are highly correlated to ECG HRV for both time and frequency domain parameters and provide increased accuracy over PPG estimations of HRV. The results suggest SPG measurements are a viable alternative for HRV estimation when ECG measurements are impractical.
“…Similarly, the width of the QRS pulse can be estimated with the VM1 and follows a high correlation and accuracy with the BIOPAC-obtained signal. It should be noted that the BIOPAC system is widely used in the bio-signal research field [27][28][29]. The BIOPAC physiological measurement system, BIOPAC MP150 was used to obtain ECG data.…”
During recent decades, the elderly population has grown rapidly, and the number of patients with chronic heart-related diseases has exploded. Many of them (e.g., congestive heart failure, some types of arrhythmia) require close medical supervision, imposing a major burden on healthcare resources in most western economies. Telemedicine is clearly emerging as a viable solution for health care to become sustainable by enabling medical monitoring at home without direct professional help, which would greatly reduce assistance costs. Specifically, continuous or frequent arterial blood pressure (ABP) and electrocardiogram (ECG) monitoring are important tools in the follow-up of many of these patients. A multipurpose (e.g. ABP and ECG) monitoring device that requires no medical assistance is highly desirable and would be of great value to patients. One such solution is presented and validated in this work. This paper presents the details of the proposed remote heart self-monitoring system, the testing procedure, and test results.
“…The BIOPAC system is widely used in the biosignal research field [38,39,40]. The BIOPAC physiological measurement system, so-called BIOPAC MP150, was used to obtain ECG data.…”
During the last decades there has been a rapidly growing elderly population and the number of patients with chronic heart-related diseases has exploded. Many of them (such as those with congestive heart failure or some types of arrhythmias) require close medical supervision, thus imposing a big burden on healthcare costs in most western economies. Specifically, continuous or frequent Arterial Blood Pressure (ABP) and electrocardiogram (ECG) monitoring are important tools in the follow-up of many of these patients. In this work, we present a novel remote non-ambulatory and clinically validated heart self-monitoring system, which allows ABP and ECG monitoring to effectively identify clinically relevant arrhythmias. The system integrates digital transmission of the ECG and tensiometer measurements, within a patient-comfortable support, easy to recharge and with a multi-function software, all of them aiming to adapt for elderly people. The main novelty is that both physiological variables (ABP and ECG) are simultaneously measured in an ambulatory environment, which to our best knowledge is not readily available in the clinical market. Different processing techniques were implemented to analyze the heart rhythm, including pause detection, rhythm alterations and atrial fibrillation, hence allowing early detection of these diseases. Our results achieved clinical quality both for in-lab hardware testing and for ambulatory scenario validations. The proposed active assisted living (AAL) Sensor-based system is an end-to-end multidisciplinary system, fully connected to a platform and tested by the clinical team from beginning to end.
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