Key result
Redesigned steering wheel ECG achieves ~92% accuracy for heartbeat detection during real-world driving.
Why the study?
Continuous and unobtrusive cardiac monitoring during driving is medically attractive but technically challenging due to motion artifacts, contact variability, and changing illumination.
Observational (n=23)
No
A steering wheel-integrated ECG provides reliable in-vehicle heartbeat detection, with only marginal improvements observed when augmented by camera-based sensors.
Supports in-vehicle cardiac monitoring feasibility; extends multimodal concepts but leaves open validation in patients.
Continuous and unobtrusive cardiac monitoring during driving is medically attractive but technically challenging due to motion artifacts, contact variability, and changing illumination. Building on our previously developed multimodal sensing platform that integrates steering wheel electrocardiography (ECG), photoplethysmography (PPG), and a camera (RGB), in this paper, we (i) propose an improved electrode design for steering wheel ECG acquisition, (ii) integrate infrared and thermal cameras, and (iii) combine these modalities for robust heartbeat detection under real-world driving conditions. We record data from 23 healthy adults on a standardized 55 km route that includes urban, rural, and highway segments. During each drive, we acquire a ground truth ECG using electrodes attached to the driver’s upper body. We use convolutional neural network models with early fusion, signal-based late fusion, sensor-based late fusion, and hybrid fusion. The steering wheel ECG achieves the highest single-modality performance (F1-score = 91.92%). Augmenting ECG with iPPG-RGB and iPPG-IR raises the F1-score to 92.14%. The vision-based signals provide limited complementary information but do not compensate for complete steering wheel electrocardiogram (ECG) loss. In future work, we will increase the reliability of physiological recordings by using data from the vehicle’s controller area network (CAN) bus.
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Bollmann et al. (2026) conducted an observational in Healthy adults (n=23). Steering wheel ECG and multimodal camera system vs. Ground truth upper body ECG was evaluated on Heartbeat detection performance (F1-score). A redesigned steering wheel ECG achieved a mean F1-score of 91.92% for heartbeat detection during real-world driving, which marginally improved to 92.14% when augmented with RGB and RGB-IR cameras.
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