Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
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 burd...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-09-01
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| Series: | Sensors |
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| Online Access: | https://www.mdpi.com/1424-8220/19/18/3969 |
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| author | Andrés-Lorenzo Bleda Francisco-Manuel Melgarejo-Meseguer Francisco-Javier Gimeno-Blanes Arcadi García-Alberola José Luis Rojo-Álvarez Javier Corral Ricardo Ruiz Rafael Maestre-Ferriz |
| author_facet | Andrés-Lorenzo Bleda Francisco-Manuel Melgarejo-Meseguer Francisco-Javier Gimeno-Blanes Arcadi García-Alberola José Luis Rojo-Álvarez Javier Corral Ricardo Ruiz Rafael Maestre-Ferriz |
| author_sort | Andrés-Lorenzo Bleda |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T08:55:12Z |
| format | Article |
| id | doaj.art-3cacc60d13bc4e1aba0e8b581ed9ecd0 |
| institution | Directory Open Access Journal |
| issn | 1424-8220 |
| language | English |
| last_indexed | 2024-04-13T08:55:12Z |
| publishDate | 2019-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Sensors |
| spelling | doaj.art-3cacc60d13bc4e1aba0e8b581ed9ecd02022-12-22T02:53:18ZengMDPI AGSensors1424-82202019-09-011918396910.3390/s19183969s19183969Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine SystemAndrés-Lorenzo Bleda0Francisco-Manuel Melgarejo-Meseguer1Francisco-Javier Gimeno-Blanes2Arcadi García-Alberola3José Luis Rojo-Álvarez4Javier Corral5Ricardo Ruiz6Rafael Maestre-Ferriz7CETEM-Technologic Centre of Furniture and Wood of Region de Murcia, 30510 Yecla, SpainDepartament of Internal Medicine, Murcia University, 30001 Murcia, SpainDepartament of Communication Engineering, Miguel Hernández University, 03202 Elche, SpainDepartament of Internal Medicine, Murcia University, 30001 Murcia, SpainDepartment of Signal Theory and Communications and Telematic Systemss and Computation, Rey Juan Carlos University, 28943 Fuenlabrada, SpainRGB Medical Devices, 28037 Madrid, SpainRGB Medical Devices, 28037 Madrid, SpainCETEM-Technologic Centre of Furniture and Wood of Region de Murcia, 30510 Yecla, SpainDuring 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.https://www.mdpi.com/1424-8220/19/18/3969ECGarterial blood pressuresensorse-healthportabilityatrial fibrillation detectorQRS detector |
| spellingShingle | Andrés-Lorenzo Bleda Francisco-Manuel Melgarejo-Meseguer Francisco-Javier Gimeno-Blanes Arcadi García-Alberola José Luis Rojo-Álvarez Javier Corral Ricardo Ruiz Rafael Maestre-Ferriz Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System Sensors ECG arterial blood pressure sensors e-health portability atrial fibrillation detector QRS detector |
| title | Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System |
| title_full | Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System |
| title_fullStr | Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System |
| title_full_unstemmed | Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System |
| title_short | Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System |
| title_sort | enabling heart self monitoring for all and for aal portable device within a complete telemedicine system |
| topic | ECG arterial blood pressure sensors e-health portability atrial fibrillation detector QRS detector |
| url | https://www.mdpi.com/1424-8220/19/18/3969 |
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