Key result
Kino-cardiography distinguishes dobutamine infusion from placebo with ~97% accuracy by detecting haemodynamic changes.
Why the study?
Non-invasive remote detection of cardiac and blood displacements is important in cardiac telemedicine, but the reliability of kino-cardiography to assess dobutamine-induced haemodynamic changes was untested.
Does kino-cardiography accurately detect dobutamine-induced haemodynamic changes compared to placebo in healthy volunteers?
RCT (n=34)
Double-blind
Randomized
No
Does kino-cardiography accurately detect dobutamine-induced haemodynamic changes compared to placebo in healthy volunteers?
Kino-cardiography accurately detects dobutamine-induced haemodynamic changes, offering a potential non-invasive tool for cardiac telemedicine.
KCG may enable remote hemodynamic monitoring in telemedicine; extends ballistocardiography with 12-DOF validation in an RCT.
Non-invasive remote detection of cardiac and blood displacements is an important topic in cardiac telemedicine. Here we propose kino-cardiography (KCG), a non-invasive technique based on measurement of body vibrations produced by myocardial contraction and blood flow through the cardiac chambers and major vessels. KCG is based on ballistocardiography and measures 12 degrees-of-freedom (DOF) of body motion. We tested the hypothesis that KCG reliably assesses dobutamine-induced haemodynamic changes in healthy subjects. Using a randomized double-blinded placebo-controlled crossover study design, dobutamine and placebo were infused to 34 volunteers (25 ± 2 years, BMI 22 ± 2 kg/m², 18 females). Baseline recordings were followed by 3 sessions of increasing doses of dobutamine (5, 10, 20 μg/kg.min) or saline solution. During each session, stroke volume (SV) and cardiac output (CO) were determined by echocardiography and followed by a 90 s KCG recording. Measured linear accelerations and angular velocities were used to compute total Kinetic energy (iK) and power (Pmax). KCG sorted dobutamine infusion vs. placebo with 96.9% accuracy. Increases in SV and CO were correlated to iK (r = +0.71 and r = +0.8, respectively, p < 0.0001). Kino-cardiography, with 12-DOF, allows detecting dobutamine-induced haemodynamic changes with a high accuracy and present a major improvement over single axis ballistocardiography or seismocardiography.
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Hossein et al. (2019) conducted an RCT in Healthy subjects (n=34). Dobutamine vs. Placebo (saline solution) was evaluated on Accuracy of sorting dobutamine infusion vs. placebo using Kino-cardiography (96.9% accuracy). Kino-cardiography accurately detected dobutamine-induced haemodynamic changes, sorting dobutamine infusion from placebo with 96.9% accuracy.
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