Title: Enabling Heart Self-Monitoring for All and for
AAL—Portable Device within a Complete
Telemedicine System |
Authors: Bleda, Andres L. Melgarejo Meseguer, Francisco Manuel Gimeno Blanes, Francisco Javier García-Alberola, Arcadi Rojo-Álvarez, José Luis Corral, Javier Ruiz, Ricardo Maestre, Rafael |
Editor: MDPI |
Department: Departamentos de la UMH::Ingeniería de Comunicaciones |
Issue Date: 2019-09 |
URI: https://hdl.handle.net/11000/30605 |
Abstract:
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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Keywords/Subjects: ECG arterial blood pressure sensors e-health portability atrial fibrillation detector QRS detector Sensors |
Knowledge area: CDU: Ciencias aplicadas: Ingeniería. Tecnología |
Type of document: application/pdf |
Access rights: info:eu-repo/semantics/openAccess |
DOI: https://doi.org/10.3390/s19183969 |
Appears in Collections: Artículos Ingeniería Comunicaciones
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