Cargando…

Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System

During the last decades there has been a rapidly growing elderly population and the number of patients with chronic heart-related diseases has exploded. Many of them (such as those with congestive heart failure or some types of arrhythmias) require close medical supervision, thus imposing a big burd...

Descripción completa

Detalles Bibliográficos
Autores principales: Bleda, Andrés-Lorenzo, Melgarejo-Meseguer, Francisco-Manuel, Gimeno-Blanes, Francisco-Javier, García-Alberola, Arcadi, Rojo-Álvarez, José Luis, Corral, Javier, Ruiz, Ricardo, Maestre-Ferriz, Rafael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767459/
https://www.ncbi.nlm.nih.gov/pubmed/31540042
http://dx.doi.org/10.3390/s19183969
_version_ 1783454922455384064
author Bleda, Andrés-Lorenzo
Melgarejo-Meseguer, Francisco-Manuel
Gimeno-Blanes, Francisco-Javier
García-Alberola, Arcadi
Rojo-Álvarez, José Luis
Corral, Javier
Ruiz, Ricardo
Maestre-Ferriz, Rafael
author_facet Bleda, Andrés-Lorenzo
Melgarejo-Meseguer, Francisco-Manuel
Gimeno-Blanes, Francisco-Javier
García-Alberola, Arcadi
Rojo-Álvarez, José Luis
Corral, Javier
Ruiz, Ricardo
Maestre-Ferriz, Rafael
author_sort Bleda, Andrés-Lorenzo
collection PubMed
description During the last decades there has been a rapidly growing elderly population and the number of patients with chronic heart-related diseases has exploded. Many of them (such as those with congestive heart failure or some types of arrhythmias) require close medical supervision, thus imposing a big burden on healthcare costs in most western economies. Specifically, continuous or frequent Arterial Blood Pressure (ABP) and electrocardiogram (ECG) monitoring are important tools in the follow-up of many of these patients. In this work, we present a novel remote non-ambulatory and clinically validated heart self-monitoring system, which allows ABP and ECG monitoring to effectively identify clinically relevant arrhythmias. The system integrates digital transmission of the ECG and tensiometer measurements, within a patient-comfortable support, easy to recharge and with a multi-function software, all of them aiming to adapt for elderly people. The main novelty is that both physiological variables (ABP and ECG) are simultaneously measured in an ambulatory environment, which to our best knowledge is not readily available in the clinical market. Different processing techniques were implemented to analyze the heart rhythm, including pause detection, rhythm alterations and atrial fibrillation, hence allowing early detection of these diseases. Our results achieved clinical quality both for in-lab hardware testing and for ambulatory scenario validations. The proposed active assisted living (AAL) Sensor-based system is an end-to-end multidisciplinary system, fully connected to a platform and tested by the clinical team from beginning to end.
format Online
Article
Text
id pubmed-6767459
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-67674592019-10-02 Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System Bleda, Andrés-Lorenzo Melgarejo-Meseguer, Francisco-Manuel Gimeno-Blanes, Francisco-Javier García-Alberola, Arcadi Rojo-Álvarez, José Luis Corral, Javier Ruiz, Ricardo Maestre-Ferriz, Rafael Sensors (Basel) Article During the last decades there has been a rapidly growing elderly population and the number of patients with chronic heart-related diseases has exploded. Many of them (such as those with congestive heart failure or some types of arrhythmias) require close medical supervision, thus imposing a big burden on healthcare costs in most western economies. Specifically, continuous or frequent Arterial Blood Pressure (ABP) and electrocardiogram (ECG) monitoring are important tools in the follow-up of many of these patients. In this work, we present a novel remote non-ambulatory and clinically validated heart self-monitoring system, which allows ABP and ECG monitoring to effectively identify clinically relevant arrhythmias. The system integrates digital transmission of the ECG and tensiometer measurements, within a patient-comfortable support, easy to recharge and with a multi-function software, all of them aiming to adapt for elderly people. The main novelty is that both physiological variables (ABP and ECG) are simultaneously measured in an ambulatory environment, which to our best knowledge is not readily available in the clinical market. Different processing techniques were implemented to analyze the heart rhythm, including pause detection, rhythm alterations and atrial fibrillation, hence allowing early detection of these diseases. Our results achieved clinical quality both for in-lab hardware testing and for ambulatory scenario validations. The proposed active assisted living (AAL) Sensor-based system is an end-to-end multidisciplinary system, fully connected to a platform and tested by the clinical team from beginning to end. MDPI 2019-09-14 /pmc/articles/PMC6767459/ /pubmed/31540042 http://dx.doi.org/10.3390/s19183969 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bleda, Andrés-Lorenzo
Melgarejo-Meseguer, Francisco-Manuel
Gimeno-Blanes, Francisco-Javier
García-Alberola, Arcadi
Rojo-Álvarez, José Luis
Corral, Javier
Ruiz, Ricardo
Maestre-Ferriz, Rafael
Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title_full Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title_fullStr Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title_full_unstemmed Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title_short Enabling Heart Self-Monitoring for All and for AAL—Portable Device within a Complete Telemedicine System
title_sort enabling heart self-monitoring for all and for aal—portable device within a complete telemedicine system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6767459/
https://www.ncbi.nlm.nih.gov/pubmed/31540042
http://dx.doi.org/10.3390/s19183969
work_keys_str_mv AT bledaandreslorenzo enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT melgarejomeseguerfranciscomanuel enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT gimenoblanesfranciscojavier enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT garciaalberolaarcadi enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT rojoalvarezjoseluis enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT corraljavier enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT ruizricardo enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem
AT maestreferrizrafael enablingheartselfmonitoringforallandforaalportabledevicewithinacompletetelemedicinesystem