Diagnosis of Heart Failure using High Quality Ballistocardiography and Respiratory Effort Signals: A Pilot Study

Shen Feng, Han Zhang, Andong Bao, Pengtao Sun, Xiaomu Luo, Guanyang Lin, Huan Cen, Sinan Chen, Yuexia Liu, Wenning He, Zhiqiang Pang
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Abstract

Purpose: To enable the in-home diagnosis of heart failure (HF) based on morphological features of high quality ballistocardiography (BCG) signals and respiratory effort. Methods: Non-contact vital signs including BCG and respiratory effort signals from 25 subjects (11 HF, 14 non-heart failure (Non-HF)) were collected using a force sensor-based medical equipment. By assessing the recorded BCG signals w.r.t signal quality indexes, a steady-state BCG template is modeled by using consecutive high quality BCG signals, from which morphological features including the amplitude, time, area and energy features of signal wave groups are extracted to distinguish the HF and Non-HF subjects. Results: It is validated that a total 13 morphological features of BCG and respiratory effort signals showed differences between HF and Non-HF subjects. Using typical classifiers for discriminating HF and Non-HF subjects yields the accuracy, sensitivity and specificity of 92%, 80% and 100%. Conclusion: The acquisition and analysis of high quality BCG signals has the potential of identifying HF disease.
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使用高质量的弹道心动图和呼吸努力信号诊断心力衰竭:一项初步研究
目的:基于高质量的BCG信号形态学特征和呼吸力,实现心衰(HF)的家庭诊断。方法:采用基于力传感器的医疗设备采集25例(HF 11例,非心力衰竭14例)患者的非接触生命体征,包括卡介苗和呼吸力信号。通过评估记录的BCG信号w.r.t信号质量指标,利用连续的高质量BCG信号建立稳态BCG模板,提取信号波组的幅度、时间、面积和能量等形态特征,区分高频和非高频受试者。结果:证实了HF和非HF患者卡介苗的13个形态学特征和呼吸努力信号存在差异。使用典型分类器区分HF和非HF受试者的准确率、灵敏度和特异性分别为92%、80%和100%。结论:采集和分析高质量的卡介苗信号具有识别HF疾病的潜力。
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