A Novel System Identification Technique for Improved Wearable Hemodynamics Assessment

Autor: Omer T. Inan, Andrew D. Wiens
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Popis: Recent advances have led to renewed interest in ballistocardiography (BCG), a non-invasive measure of the small reaction forces on the body from cardiovascular events. A broad range of platforms have been developed and verified for BCG measurement including beds, chairs, and weighing scales: while the body is coupled to such a platform, the cardiogenic movements of the center-of-mass (COM) are measured. Wearable BCG, measured with an accelerometer affixed to the body, may enable continuous, or more regular, monitoring during the day; however, the signals from such wearable BCGs represent local or distal accelerations of skin and tissue rather than the displacement of the body's COM. In this paper we propose a novel method to reconstruct the COM BCG from a wearable sensor via a training step to remove these local effects. Preliminary validation of this method was performed with fifteen subjects: the wearable sensor was placed at three locations on the surface of the body while COM BCG measurements were recorded simultaneously with a modified weighing scale. A regularized system identification approach was used to reconstruct the COM BCG from the wearable signal. Preliminary results suggest that the relationship between local and central forces is highly dependent on both the individual and the location where the wearable sensor is placed on the body and that these differences can be resolved via calibration to accurately measure changes in cardiac output and contractility from a wearable sensor. Such measurements could be highly effective, for example, for improved monitoring of heart failure patients at home.
Databáze: OpenAIRE