Efficient Premature Ventricular Contraction Detection Based on Network Dynamics Features

Automatic detection of premature ventricular contractions (PVCs) is essential for early identification of cardiovascular abnormalities and reduction of clinical workload. As the most prevalent arrhythmia, PVCs can cause cardiac failure or sudden death. The difficulty resides in extracting features that effectively reflect the electrocardiogram (ECG) signals. Transition networks (TN), which represent the transition relationships between various phases of a time series, are advantageous for capturing temporal dynamics. Therefore, in order to recognize PVCs, each heartbeat was firstly split into serval segments; then their statistical properties were calculated for the sequence construction; finally, network topology related features were extracted from TN constructed by these sequences of statistical properties, and input into decision trees-based Gentleboost for PVC recognition. The algorithm was trained on MIT-BIH arrhythmia database (MIT-BIH-AR), and tested on St. Petersburg Institute of Cardiological Technics 12-lead arrhythmia database (INCART), wearable ECG database (WECG), and noise stress test database by four evaluation metrics: sensitivity, positive predictivity, F1-score (F1) and area under the curve (AUC). The proposed algorithm achieved an average F1 of 0.9784 and AUC of 0.9975 on MIT-BIH-AR, and proved good generalization ability on INCART and WECG with F1=0.9633 and 0.9467, AUC=0.9887 and 0.9755, respectively. The algorithm also exhibited robustness and noise immunity as evidenced by tests on sensitivity of R-wave peak offset and noise, and real-world daily life conditions. Overall, the proposed PVC detection algorithm based on TN theory offered high classification accuracy, strong robustness, and good generalization ability, with great potential for wearable mobile applications

Low Power Circuits for Smart Flexible ECG Sensors

Cardiovascular diseases (CVDs) are the world leading cause of death. In-home heart condition monitoring effectively reduced the CVD patient hospitalization rate. Flexible electrocardiogram (ECG) sensor provides an affordable, convenient and comfortable in-home monitoring solution. The three critical building blocks of the ECG sensor i.e., analog frontend (AFE), QRS detector, and cardiac arrhythmia classifier (CAC), are studied in this research. A fully differential difference amplifier (FDDA) based AFE that employs DC-coupled input stage increases the input impedance and improves CMRR. A parasitic capacitor reuse technique is proposed to improve the noise/area efficiency and CMRR. An on-body DC bias scheme is introduced to deal with the input DC offset. Implemented in 0.35m CMOS process with an area of 0.405mm2, the proposed AFE consumes 0.9W at 1.8V and shows excellent noise effective factor of 2.55, and CMRR of 76dB. Experiment shows the proposed AFE not only picks up clean ECG signal with electrodes placed as close as 2cm under both resting and walking conditions, but also obtains the distinct -wave after eye blink from EEG recording. A personalized QRS detection algorithm is proposed to achieve an average positive prediction rate of 99.39% and sensitivity rate of 99.21%. The user-specific template avoids the complicate models and parameters used in existing algorithms while covers most situations for practical applications. The detection is based on the comparison of the correlation coefficient of the user-specific template with the ECG segment under detection. The proposed one-target clustering reduced the required loops. A continuous-in-time discrete-in-amplitude (CTDA) artificial neural network (ANN) based CAC is proposed for the smart ECG sensor. The proposed CAC achieves over 98% classification accuracy for 4 types of beats defined by AAMI (Association for the Advancement of Medical Instrumentation). The CTDA scheme significantly reduces the input sample numbers and simplifies the sample representation to one bit. Thus, the number of arithmetic operations and the ANN structure are greatly simplified. The proposed CAC is verified by FPGA and implemented in 0.18m CMOS process. Simulation results show it can operate at clock frequencies from 10KHz to 50MHz. Average power for the patient with 75bpm heart rate is 13.34W

Intelligent Biosignal Processing in Wearable and Implantable Sensors

This reprint provides a collection of papers illustrating the state-of-the-art of smart processing of data coming from wearable, implantable or portable sensors. Each paper presents the design, databases used, methodological background, obtained results, and their interpretation for biomedical applications. Revealing examples are brain–machine interfaces for medical rehabilitation, the evaluation of sympathetic nerve activity, a novel automated diagnostic tool based on ECG data to diagnose COVID-19, machine learning-based hypertension risk assessment by means of photoplethysmography and electrocardiography signals, Parkinsonian gait assessment using machine learning tools, thorough analysis of compressive sensing of ECG signals, development of a nanotechnology application for decoding vagus-nerve activity, detection of liver dysfunction using a wearable electronic nose system, prosthetic hand control using surface electromyography, epileptic seizure detection using a CNN, and premature ventricular contraction detection using deep metric learning. Thus, this reprint presents significant clinical applications as well as valuable new research issues, providing current illustrations of this new field of research by addressing the promises, challenges, and hurdles associated with the synergy of biosignal processing and AI through 16 different pertinent studies. Covering a wide range of research and application areas, this book is an excellent resource for researchers, physicians, academics, and PhD or master students working on (bio)signal and image processing, AI, biomaterials, biomechanics, and biotechnology with applications in medicine

Detecting Heart Attacks Using Learning Classifiers

Cardiovascular diseases (CVDs) have emerged as a critical global threat to human life. The diagnosis of these diseases presents a complex challenge, particularly for inexperienced doctors, as their symptoms can be mistaken for signs of aging or similar conditions. Early detection of heart disease can help prevent heart failure, making it crucial to develop effective diagnostic techniques. Machine Learning (ML) techniques have gained popularity among researchers for identifying new patients based on past data. While various forecasting techniques have been applied to different medical datasets, accurate detection of heart attacks in a timely manner remains elusive. This article presents a comprehensive comparative analysis of various ML techniques, including Decision Tree, Support Vector Machines, Random Forest, Extreme Gradient Boosting (XGBoost), Adaptive Boosting, Multilayer Perceptron, Gradient Boosting, K-Nearest Neighbor, and Logistic Regression. These classifiers are implemented and evaluated in Python using data from over 300 patients obtained from the Kaggle cardiovascular repository in CSV format. The classifiers categorize patients into two groups: those with a heart attack and those without. Performance evaluation metrics such as recall, precision, accuracy, and the F1-measure are employed to assess the classifiers’ effectiveness. The results of this study highlight XGBoost classifier as a promising tool in the medical domain for accurate diagnosis, demonstrating the highest predictive accuracy (95.082%) with a calculation time of (0.07995 sec) on the dataset compared to other classifiers

Wearable Wireless Devices

No abstract available

Toward real-time and efficient cardiovascular monitoring for COVID-19 patients by 5G-enabled wearable medical devices: a deep learning approach

Patients with deaths from COVID-19 often have co-morbid cardiovascular disease. Real-time cardiovascular disease monitoring based on wearable medical devices may effectively reduce COVID-19 mortality rates. However, due to technical limitations, there are three main issues. First, the traditional wireless communication technology for wearable medical devices is difficult to satisfy the real-time requirements fully. Second, current monitoring platforms lack efficient streaming data processing mechanisms to cope with the large amount of cardiovascular data generated in real time. Third, the diagnosis of the monitoring platform is usually manual, which is challenging to ensure that enough doctors online to provide a timely, efficient, and accurate diagnosis. To address these issues, this paper proposes a 5G-enabled real-time cardiovascular monitoring system for COVID-19 patients using deep learning. Firstly, we employ 5G to send and receive data from wearable medical devices. Secondly, Flink streaming data processing framework is applied to access electrocardiogram data. Finally, we use convolutional neural networks and long short-term memory networks model to obtain automatically predict the COVID-19 patient’s cardiovascular health. Theoretical analysis and experimental results show that our proposal can well solve the above issues and improve the prediction accuracy of cardiovascular disease to 99.29%

Design techniques for smart and energy-efficient wireless body sensor networks

Tesis inédita de la Universidad Complutense de Madrid, Facultad de Informática, Departamento de Arquitectura de Computadores y Automática, leída el 26/10/2012Las redes inalámbricas de sensores corporales (en inglés: "wireless body sensor networks" o WBSNs) para monitorización, diagnóstico y detección de emergencias, están ganando popularidad y están llamadas a cambiar profundamente la asistencia sanitaria en los próximos años. El uso de estas redes permite una supervisión continua, contribuyendo a la prevención y el diagnóstico precoz de enfermedades, al tiempo que mejora la autonomía del paciente con respecto a otros sistemas de monitorización actuales. Valiéndose de esta tecnología, esta tesis propone el desarrollo de un sistema de monitorización de electrocardiograma (ECG), que no sólo muestre continuamente el ECG del paciente, sino que además lo analice en tiempo real y sea capaz de dar información sobre el estado del corazón a través de un dispositivo móvil. Esta información también puede ser enviada al personal médico en tiempo real. Si ocurre un evento peligroso, el sistema lo detectará automáticamente e informará de inmediato al paciente y al personal médico, posibilitando una rápida reacción en caso de emergencia. Para conseguir la implementación de dicho sistema, se desarrollan y optimizan distintos algoritmos de procesamiento de ECG en tiempo real, que incluyen filtrado, detección de puntos característicos y clasificación de arritmias. Esta tesis también aborda la mejora de la eficiencia energética de la red de sensores, cumpliendo con los requisitos de fidelidad y rendimiento de la aplicación. Para ello se proponen técnicas de diseño para reducir el consumo de energía, que permitan buscar un compromiso óptimo entre el tamaño de la batería y su tiempo de vida. Si el consumo de energía puede reducirse lo suficiente, sería posible desarrollar una red que funcione permanentemente. Por lo tanto, el muestreo, procesamiento, almacenamiento y transmisión inalámbrica tienen que hacerse de manera que se suministren todos los datos relevantes, pero con el menor consumo posible de energía, minimizando así el tamaño de la batería (que condiciona el tamaño total del nodo) y la frecuencia de recarga de la batería (otro factor clave para su usabilidad). Por lo tanto, para lograr una mejora en la eficiencia energética del sistema de monitorización y análisis de ECG propuesto en esta tesis, se estudian varias soluciones a nivel de control de acceso al medio y sistema operativo.Depto. de Arquitectura de Computadores y AutomáticaFac. de InformáticaTRUEunpu