A comparison of heartbeat detectors for the seismocardiogram

The study aimed to study the accuracy in RR time series derived from the seismocardiogram when employing different heartbeat detectors in subjects measured in a quiet environment. The ECG and seismocardiogram of 17 healthy volunteers was recorded at a sampling frequency of 5 kHz using a Biopac acquisition system. The seismocardiogram was acquired using a triaxial accelerometer (LIS344ALH, ST Microelectronics). Four detectors of the heartbeat from the seismocardiogram were employed relying either on the Continuous Wavelet Transform or bandpass filtering. The detectors adapt their parameters to the morphology of the signal by estimating mean heart rate and the bandwidth of the signal associated to the heartbeat. For all detectors, the standard deviation of the error in the obtained RR time series is in mean slightly higher than 2 ms and the percentage of obtained RR time intervals that have an error higher than 30 ms is around 3.5%. The seismocardiogram, when measured in a quiet environment, can be used instead of the ECG to obtain reliable RR time series when using proper heartbeat detectors.Peer ReviewedPostprint (published version

A unified methodology for heartbeats detection in seismocardiogram and ballistocardiogram signals

This work presents a methodology to analyze and segment both seismocardiogram (SCG) and ballistocardiogram (BCG) signals in a unified fashion. An unsupervised approach is followed to extract a template of SCG/BCG heartbeats, which is then used to fine-tune temporal waveform annotation. Rigorous performance assessment is conducted in terms of sensitivity, precision, Root Mean Square Error (RMSE) and Mean Absolute Error (MAE) of annotation. The methodology is tested on four independent datasets, covering different measurement setups and time resolutions. A wide application range is therefore explored, which better characterizes the robustness and generality of the method with respect to a single dataset. Overall, sensitivity and precision scores are uniform across all datasets (p > 0.05 from the Kruskal–Wallis test): the average sensitivity among datasets is 98.7%, with 98.2% precision. On the other hand, a slight yet significant difference in RMSE and MAE scores was found (p < 0.01) in favor of datasets with higher sampling frequency. The best RMSE scores for SCG and BCG are 4.5 and 4.8 ms, respectively; similarly, the best MAE scores are 3.3 and 3.6 ms. The results were compared to relevant recent literature and are found to improve both detection performance and temporal annotation errors

An Adaptive Feature Extraction Algorithm for Classification of Seismocardiographic Signals

This paper proposes a novel adaptive feature extraction algorithm for seismocardiographic (SCG) signals. The proposed algorithm divides the SCG signal into a number of bins, where the length of each bin is determined based on the signal change within that bin. For example, when the signal variation is steeper, the bins are shorter and vice versa. The proposed algorithm was used to extract features of the SCG signals recorded from 7 healthy individuals (Age: 29.4$\pm$4.5 years) during different lung volume phases. The output of the feature extraction algorithm was fed into a support vector machines classifier to classify SCG events into two classes of high and low lung volume (HLV and LLV). The classification results were compared with currently available non-adaptive feature extraction methods for different number of bins. Results showed that the proposed algorithm led to a classification accuracy of ~90%. The proposed algorithm outperformed the non-adaptive algorithm, especially as the number of bins was reduced. For example, for 16 bins, F1 score for the adaptive and non-adaptive methods were 0.91$\pm$0.05 and 0.63$\pm$0.08, respectively

A novel broadband forcecardiography sensor for simultaneous monitoring of respiration, infrasonic cardiac vibrations and heart sounds

The precordial mechanical vibrations generated by cardiac contractions have a rich frequency spectrum. While the lowest frequencies can be palpated, the higher infrasonic frequencies are usually captured by the seismocardiogram (SCG) signal and the audible ones correspond to heart sounds. Forcecardiography (FCG) is a non-invasive technique that measures these vibrations via force sensing resistors (FSR). This study presents a new piezoelectric sensor able to record all heart vibrations simultaneously, as well as a respiration signal. The new sensor was compared to the FSR-based one to assess its suitability for FCG. An electrocardiogram (ECG) lead and a signal from an electro-resistive respiration band (ERB) were synchronously acquired as references on six healthy volunteers (4 males, 2 females) at rest. The raw signals from the piezoelectric and the FSR-based sensors turned out to be very similar. The raw signals were divided into four components: Forcerespirogram (FRG), Low-Frequency FCG (LF-FCG), High- Frequency FCG (HF-FCG) and heart sounds (HS-FCG). A beat-by-beat comparison of FCG and ECG signals was carried out by means of regression, correlation and Bland–Altman analyses, and similarly for respiration signals (FRG and ERB). The results showed that the infrasonic FCG components are strongly related to the cardiac cycle (R2 > 0.999, null bias and Limits of Agreement (LoA) of ± 4.9 ms for HF-FCG; R2 > 0.99, null bias and LoA of ± 26.9 ms for LF-FCG) and the FRG inter-breath intervals are consistent with ERB ones (R2 > 0.99, non-significant bias and LoA of ± 0.46 s). Furthermore, the piezoelectric sensor was tested against an accelerometer and an electronic stethoscope: synchronous acquisitions were performed to quantify the similarity between the signals. ECG-triggered ensemble averages (synchronized with R-peaks) of HF-FCG and SCG showed a correlation greater than 0.81, while those of HS-FCG and PCG scored a correlation greater than 0.85. The piezoelectric sensor demonstrated superior performances as compared to the FSR, providing more accurate, beat-by-beat measurements. This is the first time that a single piezoelectric sensor demonstrated the ability to simultaneously capture respiration, heart sounds, an SCG-like signal (i.e., HF-FCG) and the LF-FCG signal, which may provide information on ventricular emptying and filling events. According to these preliminary results the novel piezoelectric FCG sensor stands as a promising device for accurate, unobtrusive, long-term monitoring of cardiorespiratory functions and paves the way for a wide range of potential applications, both in the research and clinical fields. However, these results should be confirmed by further analyses on a larger cohort of subjects, possibly including also pathological patients

A Morphological Approach To Identify Respiratory Phases Of Seismocardiogram

Respiration affects the cardiovascular system significantly and the morphology of signals relevant to the heart changes with respiration. Such changes have been used to extract respiration signal from electrocardiogram (ECG). It is also shown that accelerometers placed on the body can be used to extract respiration signals. It has been demonstrated that the signal morphology for seismocardiogram, the lower frequency band of chest accelerations, is different between inhale and exhale. For instance, systolic time intervals (STI), which provide a quantitative estimation of left ventricular performance, vary between inhale and exhale phases. In other words, heart beats happening in exhale phase are different compared to those in inhale phase. Thus, our main goal in this thesis is investigating feasibility of finding an automatic morphological based method to identify respiratory phases of heart cycles. In this thesis, forty signal recordings from twenty subjects were used. In each recording, the reference respiratory belt signal, three dimensional (3D) chest acceleration signals, and electrocardiogram signals were recorded. The first stage was is choosing a proper estimated respiratory signal. The second stage, was the automatic respiratory phase detection of heart cycles using the selected estimated respiratory signal. The result shows that among estimated respiratory signals, accelerometer-derived respiration (ADR), in z-direction, has a potential m to identify respiratory phase of heart cycles with total accuracy of about 77%

A Novel Broadband Forcecardiography Sensor for Simultaneous Monitoring of Respiration, Infrasonic Cardiac Vibrations and Heart Sounds

The precordial mechanical vibrations generated by cardiac contractions have a rich frequency spectrum. While the lowest frequencies can be palpated, the higher infrasonic frequencies are usually captured by the seismocardiogram (SCG) signal and the audible ones correspond to heart sounds. Forcecardiography (FCG) is a non-invasive technique that measures these vibrations via force sensing resistors (FSR). This study presents a new piezoelectric sensor able to record all heart vibrations simultaneously, as well as a respiration signal. The new sensor was compared to the FSR-based one to assess its suitability for FCG. An electrocardiogram (ECG) lead and a signal from an electro-resistive respiration band (ERB) were synchronously acquired as references on six healthy volunteers (4 males, 2 females) at rest. The raw signals from the piezoelectric and the FSR-based sensors turned out to be very similar. The raw signals were divided into four components: Forcerespirogram (FRG), Low-Frequency FCG (LF-FCG), High-Frequency FCG (HF-FCG) and heart sounds (HS-FCG). A beat-by-beat comparison of FCG and ECG signals was carried out by means of regression, correlation and Bland–Altman analyses, and similarly for respiration signals (FRG and ERB). The results showed that the infrasonic FCG components are strongly related to the cardiac cycle (R2 > 0.999, null bias and Limits of Agreement (LoA) of ± 4.9 ms for HF-FCG; R2 > 0.99, null bias and LoA of ± 26.9 ms for LF-FCG) and the FRG inter-breath intervals are consistent with ERB ones (R2 > 0.99, non-significant bias and LoA of ± 0.46 s). Furthermore, the piezoelectric sensor was tested against an accelerometer and an electronic stethoscope: synchronous acquisitions were performed to quantify the similarity between the signals. ECG-triggered ensemble averages (synchronized with R-peaks) of HF-FCG and SCG showed a correlation greater than 0.81, while those of HS-FCG and PCG scored a correlation greater than 0.85. The piezoelectric sensor demonstrated superior performances as compared to the FSR, providing more accurate, beat-by-beat measurements. This is the first time that a single piezoelectric sensor demonstrated the ability to simultaneously capture respiration, heart sounds, an SCG-like signal (i.e., HF-FCG) and the LF-FCG signal, which may provide information on ventricular emptying and filling events. According to these preliminary results the novel piezoelectric FCG sensor stands as a promising device for accurate, unobtrusive, long-term monitoring of cardiorespiratory functions and paves the way for a wide range of potential applications, both in the research and clinical fields. However, these results should be confirmed by further analyses on a larger cohort of subjects, possibly including also pathological patients

A Hidden Markov Model for Seismocardiography

This is the author accepted manuscript. The final version is available from Institute of Electrical and Electronics Engineers (IEEE) via the DOI in this record.We propose a hidden Markov model approach for processing seismocardiograms. The seismocardiogram morphology is learned using the expectation-maximization algorithm, and the state of the heart at a given time instant is estimated by the Viterbi algorithm. From the obtained Viterbi sequence, it is then straightforward to estimate instantaneous heart rate, heart rate variability measures, and cardiac time intervals (the latter requiring a small number of manual annotations). As is shown in the conducted experimental study, the presented algorithm outperforms the state-of-the-art in seismocardiogram-based heart rate and heart rate variability estimation. Moreover, the isovolumic contraction time and the left ventricular ejection time are estimated with mean absolute errors of about 5 [ms] and 9 [ms], respectively. The proposed algorithm can be applied to any set of inertial sensors; does not require access to any additional sensor modalities; does not make any assumptions on the seismocardiogram morphology; and explicitly models sensor noise and beat-to-beat variations (both in amplitude and temporal scaling) in the seismocardiogram morphology. As such, it is well suited for low-cost implementations using off-the-shelf inertial sensors and targeting, e.g., at-home medical services

Signal Processing Methods for Heart Rate Detection Using the Seismocardiogram

Cardiac diseases are one of the major causes of death. Heart monitoring/diagnostic techniques have been developed over decades to address this concern. Monitoring a vital sign such as heart rate is a powerful technique for heart abnormalities detection (e.g., arrhythmia). The novelty of this work is that offers new heart rate detection methods which are both robust and adaptive compared to existing heart rate detec- tion methods. Utilized data sets in this research have been provided from two sources of PhysioNet and a research group. In this work, utilized methods for heart rate detection include Signal Energy Thresholding (SET), Empirical Mode Decomposition (EMD) and Empirical Wavelet Transform (EWT). To the best of the author’s knowledge, this work is the first to use EMD and EWT for heart rate detection from Seismocardiogram (SCG) signal. Obtained result from applying SET to ECG signal is selected as our ground truth. Then, all three methods are used for heart rate detection from the SCG signal. The average error of SET method, EWT and EMD respectively 13.9 ms, 13.8 ms and 16 ms. Based on the obtained results, EMD and EWT are promising techniques for heart rate detection and interpretation from the SCG signal. Another contribution of this work is arrhythmia detection using EWT. EWT provides us with the instantaneous frequency changes of the corresponding modes to ECG signal. Based on the estimated power spectral density of each mode, power spectral density of arrhythmia affected ECG is higher (≥ 50dB) compared to the power spectral density of a normal ECG (≤ 20dB). This provides the potential for arrhythmia detection using EWT