Abstract
There is an increasing need to find new ways of managing the European healthcare models due to the demographic and socio-economic challenges that result from the fast ageing of the population. In particular, the increasing number of elderly people directly entails an increasing number of patients with cardiovascular diseases and, in particular, with Congestive Heart Failure (CHF) issues. Although with limited physical activity, this type of patients usually remains at home, outside the hospital environment. However, this disease causes that their health status continues to worsen with episodes of crisis leading to acute deterioration. These episodes, which require emergency and long-time hospital admissions, are always preceded by noticeable changes in several physiological parameters. In this context, accurate and reliable remote monitoring solutions based on state-of-the-art technologies take a main role in order to predict the deterioration of CHF patients and improve their quality of life. In the present paper a prototype of an implemented non-invasive, wearable sensor platform for Congestive Heart Failure (CHF) patients is shown and described. The platform monitors all the required parameters from sensors, collects and processes the data in a mobile platform and sends the data to a server. Specifically, the present solution monitors the electrocardiogram (ECG), potassium blood content (obtained from ECG), average energy expenditure evaluation through activity recognition, skin temperature and sweating. The energy expenditure for all the activities was estimated with a mean absolute error of 0.85 MET. The error on HR measurements was lower than the 10 %.
Similar content being viewed by others
Notes
Sensor may also use BT LE, ZigBee, Ant + and other protocols. However in this very moment the majority of biosensors and smartphones use only BT. Nevertheles, solution is modular and capable to use any other standard.
References
Dickstein K, Cohen-Solal A, Filippatos G, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Eur Heart J. 2008;29:2388–442.
Klersy C, De Silvestri A, Gabutti G, et al. A meta-analysis of remote monitoring of heart failure patients. J Am Coll Cardiol. 2009;54:1683–94.
Puddu PE, Morgan JM, Torromeo C, Curzen N, Schiariti M, Bonfiglio S. A clinical observational study in the CHIRON project1: Rationale and expected results. Proc. of the 10th International Conference on Smart Homes and Health Telematics (ICOST), 2012. p. 74–82.
Pantelopoulos A, Bourbakis NG. A survey on wearable sensor-based systems for health monitoring and prognosis. IEEE Trans Syst Man Cybern Part C Appl Rev. 2010;40(no.1):1–12.
HeartCycle project, http://www.heartcycle.eu/
MyHeart project, http://www.hitech-projects.com/euprojects/myheart/
Shimmer research, http://www.shimmer-research.com
Sensirion AG, http://wwww.sensirion.com
Sund-Levander M, Grodzinsky E, Loyd D, et al. Sweden errors in body temperature assessment related to individual variation, measuring technique and equipment. Int J Nurs Pract. 2004;10:216–23.
Bao L, Intille SS. Activity recognition from User-Annotated acceleration data pervasive computing. Pervasive Comput. 2004;3001:1–17.
Žbogar M, Gjoreski H, Kozina S, Luštrek M. Improving accelerometer based activity recognition, proc. 15th International multiconference. Inf Soc. 2012(167–170).
Kozina S, Luštrek M, Gams M. Dynamical signal segmentation for activity recognition. In: Proceedings STAMI 2011, IJCAI 2011 pp. 93–98 (2011).
Hall M, Frank E, Holmes G, Pfahringer B, Reutemann P, Witten IH. The WEKA data mining software: an update. SIGKDD Explor. 2009;11(1):10–8.
Bouten CV, Westerterp KR, Verduin M, Janssen JD. Assessment of energy expenditure for physical activity using a triaxial accelerometer. J Med Sci Sports Exerc. 1994;26(12):1516–23.
Kononenko I. Estimating attributes: Analysis and extensions of RELIEF. Proc. European Conference on Machine Learning, 171–182, 1994.
Kozina S, Gjoreski H, Gams M, Luštrek M. Three-layer activity recognition combining domain knowledge and meta-classification. J Med Biol Eng. accepted for publication.
Pan J, Tompkins WJ. A real-time QRS detection algorithm. IEEE Trans Biomed Eng. 1985;32:230–6.
Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett Jr DR, Tudor-Locke C, et al. Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43:1575–81.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Solar, H., Fernández, E., Tartarisco, G. et al. A non invasive, wearable sensor platform for multi-parametric remote monitoring in CHF patients. Health Technol. 3, 99–109 (2013). https://doi.org/10.1007/s12553-013-0045-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12553-013-0045-8