Advanced classification of ambulatory activities using spectral density distances and heart rate

2017 ◽  
Vol 34 ◽  
pp. 9-15 ◽  
Author(s):  
Hala Abdul Rahman ◽  
Di Ge ◽  
Alexis Le Faucheur ◽  
Jacques Prioux ◽  
Guy Carrault
2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
R M J Van Der Velden ◽  
D V M Verhaert ◽  
A N L Hermans ◽  
M Gawalko ◽  
D Duncker ◽  
...  

Abstract Introduction During the coronavirus disease 2019 (COVID-19) pandemic, numerous centres in Europe used on-demand photoplethysmography (PPG) technology to remotely assess heart rate and rhythm in conjunction with teleconsultations within the TeleCheck-AF project. Purpose To develop an educational structured stepwise practical guide on how to interpret PPG signals and to study typical clinical scenarios how on-demand PPG was used in the TeleCheck-AF project. Methods During an online conference, the structured stepwise practical guide on how to interpret PPG signals was discussed and further refined during an internal review process. We provide the number of respective PPG recordings and number of patients managed within a clinical scenario during the TeleCheck-AF project. Results To interpret PPG recordings, we introduce a structured stepwise practical guide and provide representative PPG recordings. In the TeleCheck-AF project, 2522 subjects collected 90.616 recordings. The majority of these recordings was classified by the PPG algorithm as sinus rhythm (57.6%), followed by atrial fibrillation (AF) (23.6%). In 9.7% of recordings the quality was too low to interpret. Other observed rhythms were tachycardia (1.4%), extra systoles (4.7%), bigeminy episodes (1.8%), trigeminy episodes (0.6%) and atrial flutter (0.2%). The most frequent clinical scenario where PPG technology was used in the TeleCheck-AF project was follow-up after AF ablation (1110 patients) followed by heart rate and rhythm assessment around (tele)consultation (966 patients), sometimes including remote PPG-guided adaption of rate or rhythm control. 275 patients were followed around cardioversion, either (semi-)acute or elective. Other possible scenarios are assessment of palpitations, assessment of symptom-rhythm correlation and monitoring during up-titration of heart failure medication. Conclusion We introduce a newly developed structured stepwise practical guide on PPG signal interpretation developed based on presented experiences from TeleCheck-AF. The present clinical scenarios for the use of on-demand PPG technology derived from the TeleCheck-AF project will help to implement PPG technology in the management of arrhythmia patients. FUNDunding Acknowledgement Type of funding sources: None. TeleCheck-AF clinical scenarios Classification of PPG recordings


2021 ◽  
Vol 15 ◽  
Author(s):  
Yang Di ◽  
Xingwei An ◽  
Wenxiao Zhong ◽  
Shuang Liu ◽  
Dong Ming

An ongoing interest towards identification based on biosignals, such as electroencephalogram (EEG), magnetic resonance imaging (MRI), is growing in the past decades. Previous studies indicated that the inherent information about brain activity may be used to identify individual during resting-state of eyes open (REO) and eyes closed (REC). Electroencephalographic (EEG) records the data from the scalp, and it is believed that the noisy EEG signals can influence the accuracies of one experiment causing unreliable results. Therefore, the stability and time-robustness of inter-individual features can be investigated for the purpose of individual identification. In this work, we conducted three experiments with the time interval of at least 2 weeks, and used different types of measures (Power Spectral Density, Cross Spectrum, Channel Coherence and Phase Lags) to extract the individual features. The Pearson Correlation Coefficient (PCC) is calculated to measure the level of linear correlation for intra-individual, and Support Vector Machine (SVM) is used to obtain the related classification accuracy. Results show that the classification accuracies of four features were 85–100% for intra-experiment dataset, and were 80–100% for fusion experiments dataset. For inter-experiments classification of REO features, the optimized frequency range is 13–40 Hz for three features, Power Spectral Density, Channel Coherence and Cross Spectrum. For inter-experiments classification of REC, the optimized frequency range is 8–40 Hz for three features, Power Spectral Density, Channel Coherence and Cross Spectrum. The classification results of Phase Lags are much lower than the other three features. These results show the time-robustness of EEG, which can further use for individual identification system.


Author(s):  
Anna Persson ◽  
Hanna Jonasson ◽  
Ingemar Fredriksson ◽  
Urban Wiklund ◽  
Christer Ahlstrom

Author(s):  
Bertha Guijarro-Berdiñas ◽  
Amparo Alonso-Betanzos ◽  
Oscar- Fontenla-Romero ◽  
Olga Garcia-Dans ◽  
Noelia Sánchez-Maroño

2000 ◽  
pp. 327-333 ◽  
Author(s):  
V Cacciatori ◽  
ML Gemma ◽  
F Bellavere ◽  
R Castello ◽  
ME De Gregori ◽  
...  

OBJECTIVE: The aim of the present study was to evaluate the impact of hypothyroidism on the autonomic regulation of the cardiovascular system by analysing separately sympathetic and parasympathetic influences on the heart. DESIGN: In seven newly diagnosed untreated hypothyroid patients we analysed power spectral density of heart rate cyclic variations at rest, while lying, and while standing. The same protocol was repeated after the induction of stable euthyroidism by levothyroxine (L-T(4)) treatment. The results were also compared with those obtained from seven age-, sex- and body mass index-matched control subjects. METHODS: Heart rate variability was evaluated by autoregressive power spectral analysis (PSA). This method allows reliable quantification of low frequency (LF) and high frequency (HF) components of the heart rate power spectral density. These are considered to be under mainly sympathetic and purely parasympathetic control respectively. In addition, heart rate variations during deep breathing, lying to standing, and Valsalva's manoeuvre were assessed. RESULTS: PSA showed a sharp reduction in the HF (parasympathetic) component in hypothyroid subjects compared with controls (lying, 29.4+/-5.4 vs 47.7+/-6.3 normalized units (NU) (means +/- s.e.m.), P<0.05; standing, 14.0+/-3.5 vs 32.1+/-3.6NU, P<0.005). Conversely, the LF (mainly sympathetic) component was higher in hypothyroid subjects than in controls (lying, 61.6+/-6.4 vs 45.4+/-6.7 NU; standing, 71.7+/-8.0 vs 53.1+/-5.6NU), this difference being significant in the standing position. Hence, the LF/HF ratio, which is considered an index of sympathovagal balance, was increased in hypothyroid subjects while both lying (2.75+/-0.6 vs 1.16+/-0.3; P<0.05) and standing (10.0+/-3.7 vs 1.85+/-0.3; P<0. 02). Total heart rate variability, expressed as total power spectral density, was lower in hypothyroid patients than in control subjects, this difference being significant in the lying position (574+/-126 vs 2302+/-994ms(2), P<0.05). In patients re-examined after L-T(4) therapy, complete normalization of cardiovascular parameters was observed (LF/HF ratio, lying, 1.26+/-0.4; standing, 2.56+/-0.8, both P<0.01 vs baseline values). The response to conventional cardiovascular autonomic tests was not significantly different between hypothyroid patients and healthy controls, and did not change in patients after therapy. CONCLUSIONS: These results suggest that, contrary to the clinical picture, thyroid hormone deficiency is associated with an increased sympathetic influence on the autonomic cardiovascular system. The changes in sympathetic function could be explained by a secondary adaptation to an altered cardiovascular responsiveness.


Sign in / Sign up

Export Citation Format

Share Document