A1 Refereed original research article in a scientific journal

Investigating the estimation of cardiac time intervals using gyrocardiography




AuthorsDehkordi P, Tavakolian K, Tadi MJ, Zakeri V, Khosrow-khavar F

PublisherIOP PUBLISHING LTD

Publication year2020

JournalPhysiological Measurement

Journal name in sourcePHYSIOLOGICAL MEASUREMENT

Journal acronymPHYSIOL MEAS

Article numberARTN 055004

Volume41

Issue5

Number of pages12

ISSN0967-3334

DOIhttps://doi.org/10.1088/1361-6579/ab87b2

Web address https://iopscience.iop.org/article/10.1088/1361-6579/ab87b2


Abstract
Objective: Assessment of cardiac time intervals (CTIs) is essential for monitoring cardiac performance. Recently, gyrocardiography (GCG) has been introduced as a non-invasive technology for cardiac monitoring. GCG measures the chest's angular precordial vibrations caused by myocardium wall motion using a gyroscope sensor attached to the sternum. In this study, we investigated the accuracy and reproducibility of estimating CTIs from the GCG recordings of 50 adults.Approach: We proposed five fiducial points for the GCG waveforms associated with the opening and closure of aortic and mitral valves. Two annotators annotated the suggested points on each cardiac cycle. The points were compared to the corresponding opening and closing of cardiac valves delineated on Tissue Doppler imaging (TDI) recordings. The fiducial points were annotated on seismocardiography (SCG) and impedance cardiography (ICG) signals recorded simultaneously.Main results: For estimating the timing of mitral valve closure, aortic valve opening, aortic valve closure, and mitral valve opening, 40%, 67%, 75%, and 70% of GCG annotations fell in the corresponding echocardiography ranges, respectively. The results showed moderate-to-excellent (r = 0.4-0.92; p-value < 0.01) correlation between the measured and the reference CTls. A myocardial performance index (Tei index) adapted using joint GCG and SCG resulted in a moderate correlation (r = 0.4; p-value < 0.001).Significance: The findings showed that the CTIs can be easily measured using GCG. Also, we found that using SCG and GCG recordings together could provide an opportunity to estimate CTIs more accurately, and make it possible to calculate the Tei index as an indicator of myocardial performance.



Last updated on 2024-26-11 at 22:43