A1 Refereed original research article in a scientific journal

Mechanocardiography-Based Measurement System Indicating Changes in Heart Failure Patients during Hospital Admission and Discharge




AuthorsKoivisto Tero, Lahdenoja Olli, Hurnanen Tero, Koskinen Juho, Jafarian Kamal, Vasankari Tuija, Jaakkola Samuli, Kiviniemi Tuomas O, Airaksinen KE Juhani

PublisherMultidisciplinary Digital Publishing Institute (MDPI)

Publication year2022

JournalSensors

Article number9781

Volume22

Issue24

DOIhttps://doi.org/10.3390/s22249781

Web address https://www.mdpi.com/1424-8220/22/24/9781

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/177298590


Abstract

Heart failure (HF) is a disease related to impaired performance of the heart and is a significant cause of mortality and treatment costs in the world. During its progression, HF causes worsening (decompensation) periods which generally require hospital care. In order to reduce the suffering of the patients and the treatment cost, avoiding unnecessary hospital visits is essential, as hospitalization can be prevented by medication. We have developed a data-collection device that includes a high-quality 3-axis accelerometer and 3-axis gyroscope and a single-lead ECG. This allows gathering ECG synchronized data utilizing seismo- and gyrocardiography (SCG, GCG, jointly mechanocardiography, MCG) and comparing the signals of HF patients in acute decompensation state (hospital admission) and compensated condition (hospital discharge). In the MECHANO-HF study, we gathered data from 20 patients, who each had admission and discharge measurements. In order to avoid overfitting, we used only features developed beforehand and selected features that were not outliers. As a result, we found three important signs indicating the worsening of the disease: an increase in signal RMS (root-mean-square) strength (across SCG and GCG), an increase in the strength of the third heart sound (S3), and a decrease in signal stability around the first heart sound (S1). The best individual feature (S3) alone was able to separate the recordings, giving 85.0% accuracy and 90.9% accuracy regarding all signals and signals with sinus rhythm only, respectively. These observations pave the way to implement solutions for patient self-screening of the HF using serial measurements.


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Last updated on 2024-26-11 at 21:26