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Mechanocardiography-Based Measurement System Indicating Changes in Heart Failure Patients during Hospital Admission and Discharge

Vasankari Tuija; Jafarian Kamal; Koskinen Juho; Airaksinen KE Juhani; Lahdenoja Olli; Koivisto Tero; Hurnanen Tero; Jaakkola Samuli; Kiviniemi Tuomas O

Mechanocardiography-Based Measurement System Indicating Changes in Heart Failure Patients during Hospital Admission and Discharge

Vasankari Tuija
Jafarian Kamal
Koskinen Juho
Airaksinen KE Juhani
Lahdenoja Olli
Koivisto Tero
Hurnanen Tero
Jaakkola Samuli
Kiviniemi Tuomas O
Katso/Avaa
sensors-22-09781.pdf (1.503Mb)
Lataukset: 

Multidisciplinary Digital Publishing Institute (MDPI)
doi:10.3390/s22249781
URI
https://www.mdpi.com/1424-8220/22/24/9781
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2022122072739
Tiivistelmä

Heart failure (HF) is a disease related to impaired performance of the heart and is a significant cause of mortality and treatment costs in the world. During its progression, HF causes worsening (decompensation) periods which generally require hospital care. In order to reduce the suffering of the patients and the treatment cost, avoiding unnecessary hospital visits is essential, as hospitalization can be prevented by medication. We have developed a data-collection device that includes a high-quality 3-axis accelerometer and 3-axis gyroscope and a single-lead ECG. This allows gathering ECG synchronized data utilizing seismo- and gyrocardiography (SCG, GCG, jointly mechanocardiography, MCG) and comparing the signals of HF patients in acute decompensation state (hospital admission) and compensated condition (hospital discharge). In the MECHANO-HF study, we gathered data from 20 patients, who each had admission and discharge measurements. In order to avoid overfitting, we used only features developed beforehand and selected features that were not outliers. As a result, we found three important signs indicating the worsening of the disease: an increase in signal RMS (root-mean-square) strength (across SCG and GCG), an increase in the strength of the third heart sound (S3), and a decrease in signal stability around the first heart sound (S1). The best individual feature (S3) alone was able to separate the recordings, giving 85.0% accuracy and 90.9% accuracy regarding all signals and signals with sinus rhythm only, respectively. These observations pave the way to implement solutions for patient self-screening of the HF using serial measurements.

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