胸部可穿戴传感器系统,用于连续测量血压和其他生命体征

A. Zienkiewicz, E. Vihriälä, Eveliina Seppälä, H. Ferdinando, T. Myllylä
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引用次数: 0

摘要

连续记录心率(HR)和呼吸的可穿戴健康设备在健康测量应用中是一种常见的做法。通常,这些可以提供日常生活中的健康状况和健身水平等信息。目前,缺乏能够同时提供包括血压(BP)在内的所有生命信号并经临床准确性验证的技术。其中一个原因是,可穿戴传感器通常测量来自外围设备的信号,这些信号受到血液循环的外围变化的高度影响,但也会对记录信号造成运动干扰。在本文中,我们提出了一个可穿戴的多模态传感器系统,可以连续测量HR,呼吸和BP振荡。所有传感器元件都被封装在一个小单元中,放置在胸骨上方的胸部,确保监测中央血压振荡。该设备已经在不同的环境下对自愿受试者(成人和儿童)进行了测试:静态姿势、睡眠状态和不同的生理任务。此外,用基于金标准袖带的连续血压监测装置Finometer测试了连续血压测量的准确性。我们观察到BP估计值与参考值的相关性为0.67 ~ 0.82(平均0.76)。HR和呼吸模式也被准确地遵循。我们介绍了传感器设计中使用的技术解决方案,重点介绍了通过心脏活动引起的胸部运动来量化血压的新方法。此外,我们还讨论了该解决方案的优点和挑战,以及其在家庭和门诊环境中生命信号监测的可行性。
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Wearable sensor system on chest for continuous measurement of blood pressure and other vital signs
Wearable health devices for continuous recording of heart rate (HR) and respiration are a common practice in wellness measurement applications. Typically, these can provide information such as health status and fitness level in daily life. At present, techniques that can provide all vital signals simultaneously, including blood pressure (BP), and validated for clinical accuracy, are lacking. One reason for this is that wearable sensors typically measure the signals from peripherals which are highly influenced by peripheral changes in blood circulation but also cause movement disturbances to recorder signals.In this paper, we present a wearable multimodal sensor system that allows continuous measurement of HR, respiration, and BP oscillations. All sensor elements are enclosed in a single, small-sized unit, which is placed on the chest above the sternum, ensuring monitoring of central BP oscillations. The device has been tested with voluntary subjects (adults and children) in various settings: in static positions, during sleep and in different physiological tasks. In addition, accuracy of the continuous BP measurement was tested against golden standard cuff based continuous BP monitor device, Finometer. We observed that the correlation of BP estimation with the reference had a Pearson’s coefficient in the range of 0.67 to 0.82 (mean 0.76). Both HR and breathing patterns were accurately followed as well. We present the technical solutions used in the sensors’ design, with an emphasis on the novel method to quantify BP from chest movements caused by cardiac activity. Furthermore, we discuss the advantages and challenges of the presented solution, and its feasibility for vital signals monitoring in both home and ambulatory environment.
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