基于物联网的高血压患者HRV远程监测系统

R. Kirtana, Y. V. Lokeswari
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引用次数: 34

摘要

心率变异性(HRV)是连续心跳间隔时间变化的量度。HRV分析对与心血管疾病、糖尿病、与自主节律障碍(如高血压)相关的疾病状态和大量慢性退行性疾病相关的风险高度敏感。HRV对各种疾病的敏感性使得医生越来越多地使用它作为诊断、预后工具和评估所提供治疗的有效性。通常伴有或无心脏事件史的边缘性高血压患者易发生中风和心脏死亡。对这类高风险病例的心率变异参数进行监测将有助于在需要的时候提供充分的医疗护理。本文提出了一种基于物联网(IoT)技术的低成本、易用的边缘型高血压患者HRV远程监测系统。在该系统中,利用基于无线Zigbee的脉冲传感器推导出HRV参数。Arduino使用MQTT协议将患者数据传输到服务器。应用服务器收集HRV数据并绘制图形。在紧急情况下,通过短信服务通知照顾者和医生,以便提供适当的医疗帮助。虽然目前还没有HRV分析系统在远程医生的帮助下,在高血压患者的高风险时刻发出警报,但拟议的系统旨在实现这一目标。该系统结合了Zigbee和WiFi技术的双重优势。通过这样做,它成功地实现了远程健康监测系统在低成本、远程、安全、及时和易于使用方面的所有理想特征,为拯救生命服务。
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An IoT based remote HRV monitoring system for hypertensive patients
Heart Rate Variability (HRV) is a measure of variation in the time interval between consecutive heart beats. HRV analysis is highly sensitive for risks linked with Cardiovascular disease, Diabetic Mellitus, disease states associated with Autonomic Dysrhythmia such as Hypertension and a large array of chronic degenerative medical condition. Sensitivity of HRV towards various medical condition accounts for its increased usage by doctors as a diagnostic, prognostic tool and to evaluate the effectiveness of the treatment offered. Often borderline hypertensive patients with and without history of a cardiac event are subjected to stroke as well as cardiac mortality at high risk. Monitoring of HRV parameters for such cases of high risk will prove useful in providing adequate medical care at needed times. In this paper, the authors propose a low-cost and easy to use Remote HRV Monitoring System based on the Internet of Things (IoT) technology for borderline Hypertensive patients. In the proposed system, HRV parameters are derived using Wireless Zigbee based pulse sensor. Arduino transmits patient data to server using MQTT protocol. The application server collects HRV data and plots graphs. In case of an emergency situation, the care taker and doctor are intimated through Short Message Service (SMS) for providing adequate medical help. While there are currently no HRV analysis systems that alerts at times of high risk for hypertensive patients along with the aid of a remote doctor, the proposed system aims at achieving the same. The proposed system combines the dual benefits of Zigbee and WiFi technology. By doing so, it successfully fulfils all the ideal traits of a remote health monitoring system in terms of low-cost, long range, security, promptness and easy-to-use that serves in saving lives.
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