Tracking Tidal Volume From Holter and Wearable Armband Electrocardiogram Monitoring

A novel method for tracking the tidal volume (TV) from electrocardiogram (ECG) is presented. The method is based on the amplitude of ECG-derived respiration (EDR) signals. Three different morphology-based EDR signals and three different amplitude estimation methods have been studied, leading to a to...

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Published inIEEE journal of biomedical and health informatics Vol. 28; no. 6; pp. 3457 - 3465
Main Authors Lazaro, Jesus, Reljin, Natasa, Bailon, Raquel, Gil, Eduardo, Noh, Yeonsik, Laguna, Pablo, Chon, Ki H.
Format Journal Article
LanguageEnglish
Published United States IEEE 01.06.2024
The Institute of Electrical and Electronics Engineers, Inc. (IEEE)
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Abstract A novel method for tracking the tidal volume (TV) from electrocardiogram (ECG) is presented. The method is based on the amplitude of ECG-derived respiration (EDR) signals. Three different morphology-based EDR signals and three different amplitude estimation methods have been studied, leading to a total of 9 amplitude-EDR (AEDR) signals per ECG channel. The potential of these AEDR signals to track the changes in TV was analyzed. These methods do not need a calibration process. In addition, a personalized-calibration approach for TV estimation is proposed, based on a linear model that uses all AEDR signals from a device. All methods have been validated with two different ECG devices: a commercial Holter monitor, and a custom-made wearable armband. The lowest errors for the personalized-calibration methods, compared to a reference TV, were −3.48% [−17.41% / 12.93%] (median [first quartile / third quartile]) for the Holter monitor, and 0.28% [−10.90% / 17.15%] for the armband. On the other hand, medians of correlations to the reference TV were higher than 0.8 for uncalibrated methods, while they were higher than 0.9 for personal-calibrated methods. These results suggest that TV changes can be tracked from ECG using either a conventional (Holter) setup, or our custom-made wearable armband. These results also suggest that the methods are not as reliable in applications that induce small changes in TV, but they can be potentially useful for detecting large changes in TV, such as sleep apnea/hypopnea and/or exacerbations of a chronic respiratory disease.
AbstractList A novel method for tracking the tidal volume (TV) from electrocardiogram (ECG) is presented. The method is based on the amplitude of ECG-derived respiration (EDR) signals. Three different morphology-based EDR signals and three different amplitude estimation methods have been studied, leading to a total of 9 amplitude-EDR (AEDR) signals per ECG channel. The potential of these AEDR signals to track the changes in TV was analyzed. These methods do not need a calibration process. In addition, a personalized-calibration approach for TV estimation is proposed, based on a linear model that uses all AEDR signals from a device. All methods have been validated with two different ECG devices: a commercial Holter monitor, and a custom-made wearable armband. The lowest errors for the personalized-calibration methods, compared to a reference TV, were −3.48% [−17.41% / 12.93%] (median [first quartile / third quartile]) for the Holter monitor, and 0.28% [−10.90% / 17.15%] for the armband. On the other hand, medians of correlations to the reference TV were higher than 0.8 for uncalibrated methods, while they were higher than 0.9 for personal-calibrated methods. These results suggest that TV changes can be tracked from ECG using either a conventional (Holter) setup, or our custom-made wearable armband. These results also suggest that the methods are not as reliable in applications that induce small changes in TV, but they can be potentially useful for detecting large changes in TV, such as sleep apnea/hypopnea and/or exacerbations of a chronic respiratory disease.
A novel method for tracking the tidal volume (TV) from electrocardiogram (ECG) is presented. The method is based on the amplitude of ECG-derived respiration (EDR) signals. Three different morphology-based EDR signals and three different amplitude estimation methods have been studied, leading to a total of 9 amplitude-EDR (AEDR) signals per ECG channel. The potential of these AEDR signals to track the changes in TV was analyzed. These methods do not need a calibration process. In addition, a personalized-calibration approach for TV estimation is proposed, based on a linear model that uses all AEDR signals from a device. All methods have been validated with two different ECG devices: a commercial Holter monitor, and a custom-made wearable armband. The lowest errors for the personalized-calibration methods, compared to a reference TV, were -3.48% [-17.41% / 12.93%] (median [first quartile / third quartile]) for the Holter monitor, and 0.28% [-10.90% / 17.15%] for the armband. On the other hand, medians of correlations to the reference TV were higher than 0.8 for uncalibrated methods, while they were higher than 0.9 for personal-calibrated methods. These results suggest that TV changes can be tracked from ECG using either a conventional (Holter) setup, or our custom-made wearable armband. These results also suggest that the methods are not as reliable in applications that induce small changes in TV, but they can be potentially useful for detecting large changes in TV, such as sleep apnea/hypopnea and/or exacerbations of a chronic respiratory disease.
Author Bailon, Raquel
Reljin, Natasa
Gil, Eduardo
Noh, Yeonsik
Lazaro, Jesus
Laguna, Pablo
Chon, Ki H.
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Snippet A novel method for tracking the tidal volume (TV) from electrocardiogram (ECG) is presented. The method is based on the amplitude of ECG-derived respiration...
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SubjectTerms Adult
Amplitudes
Apnea
Biomedical monitoring
Calibration
Customization
ECG-derived respiration
ECG-derived tidal volume
EKG
electrocardiogram (ECG)
Electrocardiography
Electrocardiography - instrumentation
Electrocardiography - methods
Electrocardiography, Ambulatory - instrumentation
Electrocardiography, Ambulatory - methods
Estimation
Female
Heart rate
Humans
Male
Middle Aged
Monitoring
Principal component analysis
Quartiles
Respiratory diseases
Signal Processing, Computer-Assisted
Sleep disorders
Tidal Volume - physiology
Tracking
Wearable devices
Wearable Electronic Devices
Wearable technology
Young Adult
Title Tracking Tidal Volume From Holter and Wearable Armband Electrocardiogram Monitoring
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