Key result
Wearable gyroscope-derived heart rate variability parameters match reference ECG measurements in supine patients.
Why the study?
Heart rate variability indexes are typically derived from ECG, but mechanical signals recorded with accelerometers and gyroscopes are affected by body posture, warranting evaluation of their feasibility.
Does a skin-interfaced IMU accurately estimate linear and non-linear heart rate variability indexes compared to a reference ECG in healthy volunteers?
Cross-Sectional (n=21)
No
Does a skin-interfaced IMU accurately estimate linear and non-linear heart rate variability indexes compared to a reference ECG in healthy volunteers?
Answers are grounded in this paper and cite their sources.
Heart-induced mechanical signals measured with a single skin-interfaced IMU on the chest can accurately assess linear and non-linear heart rate variability compared to ECG, particularly in a supine position.
Heart rate variability (HRV) indexes are becoming useful in various applications, from better diagnosis and prevention of diseases to predicting stress levels. Typically, HRV indexes are retrieved from the heart's electrical activity collected with an electrocardiographic signal (ECG). Heart-induced mechanical signals recorded from the body's surface can be utilized to record the mechanical activity of the heart and, in turn, extract HRV indexes from interbeat intervals (IBIs). Among others, accelerometers and gyroscopes can be used to register IBIs from precordial accelerations and chest wall angular velocities. However, unlike electrical signals, the morphology of mechanical ones is strongly affected by body posture. In this paper, we investigated the feasibility of estimating the most common linear and non-linear HRV indexes from accelerometer and gyroscope data collected with a wearable skin-interfaced Inertial Measurement Unit (IMU) positioned at the xiphoid level. Data were collected from 21 healthy volunteers assuming two common postures (i.e., seated and lying). Results show that using the gyroscope signal in the lying posture allows accurate results in estimating IBIs, thus allowing extracting of linear and non-linear HRV parameters that are not statistically significantly different from those extracted from reference ECG.
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Čukić et al. (2023) conducted a cross-sectional in Healthy volunteers (n=21). Wearable skin-interfaced IMU (accelerometer and gyroscope) vs. Reference single-lead ECG was evaluated on Estimation of linear and non-linear HRV parameters compared to reference ECG. Using a wearable gyroscope to capture mechanical heart signals in a lying posture allowed extraction of linear and non-linear heart rate variability parameters not statistically significantly different from reference ECG.
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