Bathtub ECG as a Potential Alternative to Light Stress Test in Daily Life

The exercise stress test (EST) is a common procedure to evaluate cardiovascular functions. However, the EST is not suitable for daily use, is sometimes risky, and even accompanies fatal incidents of myocardial infarction, arrhythmia, and sudden death during the test. The aim of this study was to eva...

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Published inElectronics Vol. 11; no. 9; p. 1310
Main Authors Li, Tianhui, Chen, Wenxi
Format Journal Article
LanguageEnglish
Japanese
Published Basel MDPI AG 20.04.2022
Subjects
Online AccessGet full text
ISSN2079-9292
2079-9292
DOI10.3390/electronics11091310

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Abstract The exercise stress test (EST) is a common procedure to evaluate cardiovascular functions. However, the EST is not suitable for daily use, is sometimes risky, and even accompanies fatal incidents of myocardial infarction, arrhythmia, and sudden death during the test. The aim of this study was to evaluate heart rate variability (HRV) behaviors in the EST and during bathing, and to explore if daily bathing can serve as a potential alternative means of performing the EST. Electrocardiogram (ECG) signals were collected from 10 healthy subjects during the EST and bathing test (BT). The EST follows the modified Bruce protocol. ECG collection in the BT was conducted at five water temperatures ranging from 37 to 41 degrees Celsius (°C); each BT lasted 15 min. Twenty-three HRV features were used to group different bathing conditions corresponding to the EST stages using the Voronoi diagram method in terms of HRV behaviors. In all equivalent EST stages of BTs at the five water temperatures, the low stage, medium stage, and high stage account for 17.86%, 52.86%, and 29.29%, respectively. The results show that higher water temperatures and longer bathing durations in BT correspond to higher stages in the EST. The BT at the most severe condition of 41 °C and 15 min corresponds to a high EST stage in terms of HRV behavior. The results suggest that daily bathing can serve not only for healthcare monitoring but also as a reference for an at-home alternative to the EST.
AbstractList The exercise stress test (EST) is a common procedure to evaluate cardiovascular functions. However, the EST is not suitable for daily use, is sometimes risky, and even accompanies fatal incidents of myocardial infarction, arrhythmia, and sudden death during the test. The aim of this study was to evaluate heart rate variability (HRV) behaviors in the EST and during bathing, and to explore if daily bathing can serve as a potential alternative means of performing the EST. Electrocardiogram (ECG) signals were collected from 10 healthy subjects during the EST and bathing test (BT). The EST follows the modified Bruce protocol. ECG collection in the BT was conducted at five water temperatures ranging from 37 to 41 degrees Celsius (°C); each BT lasted 15 min. Twenty-three HRV features were used to group different bathing conditions corresponding to the EST stages using the Voronoi diagram method in terms of HRV behaviors. In all equivalent EST stages of BTs at the five water temperatures, the low stage, medium stage, and high stage account for 17.86%, 52.86%, and 29.29%, respectively. The results show that higher water temperatures and longer bathing durations in BT correspond to higher stages in the EST. The BT at the most severe condition of 41 °C and 15 min corresponds to a high EST stage in terms of HRV behavior. The results suggest that daily bathing can serve not only for healthcare monitoring but also as a reference for an at-home alternative to the EST.
Author Tianhui Li
Wenxi Chen
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Snippet The exercise stress test (EST) is a common procedure to evaluate cardiovascular functions. However, the EST is not suitable for daily use, is sometimes risky,...
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SubjectTerms Algorithms
Arrhythmia
Bathing
Cardiac stress tests
Cardiovascular disease
Computer industry
Data collection
ECG; bathtub; exercise stress test; heart rate variability; Voronoi diagram
Electrocardiography
Electrodes
Fitness equipment
Heart attacks
Heart rate
Monitoring systems
Neural networks
Physiology
Voronoi graphs
Water temperature
Wavelet transforms
Title Bathtub ECG as a Potential Alternative to Light Stress Test in Daily Life
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