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Cardiac arrhythmia alarm from optical interferometric signals during resting or sleeping for early intervention

Cikajlo I., Šprager S., Erjavec T., Zazula D.

Biocybernetics and Biomedical Engineering

2016

Vol. 36, no. 1

267--275

Diagnostics of cardiac arrhythmias and frequent interventions may contribute to early detection of diseases or even prevent sudden death. Generally electrocardiograph with several on body electrodes at outpatient clinic is applied and the procedure requires a medical expert. We propose cardiac arrhythmia estimation on the basis of heartbeat detection with optical fibers integrated in the bedding. The modified Michelson's interferometer with error detection was used to measure and maximum a-posteriori probability was used to estimate the beat-to-beat intervals. The consistency of heartbeat intervals was examined with simultaneous measurement with clinical electrocardiograph in 10 healthy volunteers and 10 patients with diagnosed heart arrhythmias. Heart beat interval data obtained in patients were examined and irregularities/arrhythmias were identified from the medical guidelines. The current system enables assessment also in home environment without any on-body sensor placement or required assistance. Thus early intervention is possible as the irregularities are submitted to the nurse on duty and stored in the database for subsequent more detailed analysis.