Abstract
This paper proposes a smart, automated heart health-monitoring (SAHM) device using a single photoplethysmography (PPG) sensor that can monitor cardiac health. The SAHM uses an Orthogonal Matching Pursuit (OMP)-based classifier along with low-rank motion artifact removal as a pre-processing stage. Major contributions of the proposed SAHM device over existing state-of-the-art technologies include these factors: (i) the detection algorithm works with robust features extracted from a single PPG sensor; (ii) the motion compensation algorithm for the PPG signal can make the device wearable; and (iii) the real-time analysis of PPG input and sharing through the Internet. The proposed low-cost, compact and user-friendly PPG device can also be prototyped easily. The SAHM system was tested on three different datasets, and detailed performance analysis was carried out to show and prove the efficiency of the proposed algorithm.
Funding source: Ministry of Electronics and Information technology
Award Identifier / Grant number: 587
Acknowledgments
The authors are also thankful to SRM Institute of Science and Technology for the infrastructural and computational support.
Research funding: Supported by Visvesvaraya PhD Scheme, Meity, Government of India <587>.
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: Authors state no conflict of interest.
Ethical approval: The conducted research is not related to either human or animal use.
Informed consent: Informed consent is not applicable.
References
1. Tamura, T, Maeda, Y, Sekine, M, Yoshida, M. Wearable photoplethysmographic sensors—past and present. Electronics 2014;3:282–302.10.3390/electronics3020282Search in Google Scholar
2. Nagai, S, Anzai, D, Wang, J. Motion artefact removals for wearable ECG using stationary wavelet transform. Healthc Technol Lett 2017;4:138–41.10.1049/htl.2016.0100Search in Google Scholar PubMed PubMed Central
3. Galli, A, Narduzzi, C, Giorgi, G. Measuring heart rate during physical exercise by subspace decomposition and kalman smoothing. IEEE Trans Instrum Meas 2018;67:1102–10.10.1109/TIM.2017.2770818Search in Google Scholar
4. Kim, BS, Yoo, SK. Motion artifact reduction in photoplethysmography using independent component analysis. IEEE Trans Biomed Eng 2006;53:566–8.10.1109/TBME.2005.869784Search in Google Scholar PubMed
5. Sun, X, Yang, P, Li, Y, Gao, Z, Zhang, Y. Robust heart beat detection from photoplethysmography interlaced with motion artifacts based on empirical mode decomposition. Proc IEEE-EMBS int conf biomed health informatics. Hong Kong, China: IEEE Explore; 2012:775–8 p.Search in Google Scholar
6. Zhang, Z, Pi, Z, Liu, B. TROIKA: a general framework for heart rate monitoring using wrist-type photoplethysmographic signals during intensive physical exercise. IEEE Trans Biomed Eng 2015;62:522–31.10.1109/TBME.2014.2359372Search in Google Scholar PubMed
7. Zhang, Z. Photoplethysmography-based heart rate monitoring in physical activities via joint sparse spectrum reconstruction. IEEE Trans Biomed Eng 2015;62:1902–10.10.1109/TBME.2015.2406332Search in Google Scholar PubMed
8. Zhang, Z, Jung, T, Makeig, S, Pi, Z, Rao, BD. Spatiotemporal sparse Bayesian learning with applications to compressed sensing of multichannel physiological signals. IEEE Trans Neural Syst Rehabil Eng 2014;22:1186–97.10.1109/TNSRE.2014.2319334Search in Google Scholar PubMed
9. Yousefi, R, Nourani, M, Ostadabbas, S, Panahi, I. A motion-tolerant adaptive algorithm for wearable photoplethysmographic biosensors. IEEE J Biomed Health Informat 2014;18:670–81.10.1109/JBHI.2013.2264358Search in Google Scholar PubMed
10. Fukushima, H, Kawanaka, H, Bhuiyan, MS, Oguri, K. Estimating heart rate using wrist-type photoplethysmography and acceleration sensor while running. Proc annu int conf IEEE eng med biol soc. San Diego, CA, USA: IEEE Explore; 2012:2901–04 p.10.1109/EMBC.2012.6346570Search in Google Scholar PubMed
11. Molitor, H, Kniazuk, M. A new bloodless method for continuous recording of peripheral circulatory changes. J Pharmacol Exp Therapeut 1993;57:6–18.Search in Google Scholar
12. Hertzman, AB. The blood supply of various skin areas as estimated by the photoelectric plethysmograph. Am J Physiol 1938;124:328–40.10.1152/ajplegacy.1938.124.2.328Search in Google Scholar
13. Hertzman, AB, Dillon, JB. Distinction between arterial, venous and flow components in photoelectric plethysmography in man. Am J Physiol 1940;130:177–85.10.1152/ajplegacy.1940.130.1.177Search in Google Scholar
14. Hertzman, AB, Dillon, JB. Applications of photoelectric plethysmography in peripheral vascular disease. Am Heart J 1940;20:750–61.10.1016/S0002-8703(40)90534-8Search in Google Scholar
15. Aoyagi, T, Miyasaka, K. Pulse oximetry: its invention, contribution to medicine, and future tasks. Anesth Analg 2002;94:S1–3.Search in Google Scholar
16. Sophromadze, Z, Chabashvili, N, Kakhabrishvili, Z. Lower extremity vein digital photoplethysmography in highly qualified football players and wrestlers Georgian. Georgian Med News 2006:72–4.Search in Google Scholar
17. Yoon, G, Lee, JY, Jeon, KJ, Park, KK, Kim, HS. Development of a compact home health monitor for telemedicine. Telemed J e Health 2005;11:660–7.10.1089/tmj.2005.11.660Search in Google Scholar PubMed
18. Criea, CP, Sorichter, S, Smith, HJ, Kardos, P. Body plethysmography–its principles and clinical use. Respir Med 2011;105:959–71.10.1016/j.rmed.2011.02.006Search in Google Scholar PubMed
19. Elgendi, M. On the analysis of fingertip photoplethysmogram signals. Curr Cardiol Rev 2012;8:14–25.10.2174/157340312801215782Search in Google Scholar PubMed PubMed Central
20. Garcia, OA, Perez, J A, Luna, PS, Alvarado, C. Impedance plethysmography detection with mobile and concealed devices. IEEE Lat Am Trans 2016;14:1638–44.10.1109/TLA.2016.7483494Search in Google Scholar
21. Jindal, V. Integrating mobile and cloud for PPG signal selection to monitor heart rate during intensive physical exercise. In: Proc IEEE/ACM international conference on mobile software engineering and systems (MOBILESoft); Austin, TX (USA), 2016.10.1145/2897073.2897132Search in Google Scholar
22. Gastel, MV, Stuijk, S, Haan, GD. Motion robust remote-PPG in infrared. IEEE Trans Biomed Eng 2015;62:1425–33.10.1109/TBME.2015.2390261Search in Google Scholar PubMed
23. Sun, Y, Thakor, N. Photoplethysmography revisited: from contact to noncontact, from point to imaging. IEEE Trans Biomed Eng 2016;63:463–77.10.1109/TBME.2015.2476337Search in Google Scholar PubMed PubMed Central
24. Islam, MT, Zabir, I, Ahameda, T, Yasar, T. A time-frequency domain approach of heart rate estimation from photoplethys-mographic (PPG) signal. Biomed Signal Proces 2017;36:146–54.10.1016/j.bspc.2017.03.020Search in Google Scholar
25. Periyasamy, V, Pramanik, M, Ghosh, PK. Review on heart-rate estimation from photoplethysmography and accelerometer signals during physical exercise. J Indian Inst Sci 2017;97:313–24.10.1007/s41745-017-0037-1Search in Google Scholar
26. Xing, X, Sun, M. Optical blood pressure estimation with photoplethysmography and FFT-based neural networks. Biomed Optic Express 2016;7:3007–20.10.1364/BOE.7.003007Search in Google Scholar PubMed PubMed Central
27. Ding, XR, Zhang, YT, Liu, J, Dai, WX, Tsang, HK. Continuous cuffless blood pressure estimation using pulse transit time and photoplethysmogram intensity ratio. IEEE Trans Biomed Eng 2016;63:964–72.10.1109/TBME.2015.2480679Search in Google Scholar PubMed
28. Chon, H, Dash, S, Ju, K. Estimation of respiratory rate from photoplethysmogram data using time frequency spectral estimation. IEEE Trans Biomed Eng 2009;56:2054–63.10.1109/TBME.2009.2019766Search in Google Scholar PubMed
29. Kim, H, Kim, JY, Im, CH. Fast and robust real-time estimation of respiratory rate from photoplethysmography. Sensors (Basel) 2016;16:1–10. https://doi.org/10.3390/s16091494.Search in Google Scholar
30. Jang, DG, Park, SH, Hahn, M. Enhancing the pulse contour analysis-based arterial stiffness estimation using a novel photoplethysmographic parameter. IEEE J Biomed Health Inform 2015;19:256–62.10.1109/JBHI.2014.2306679Search in Google Scholar PubMed
31. Jang, DG, Farooq, U, Park, SH, Goh, CW, Hahn, M. A Knowledge-based approach to arterial stiffness estimation using the digital volume pulse. IEEE Trans Biomed Circuits Syst 2012;6:366–74.10.1109/TBCAS.2011.2177835Search in Google Scholar PubMed
32. Parker, KH, Jones, CJ. Forward and backward running waves in arteries: analysis using the method of characteristics. J Biomech Eng 1990;112:322–6.10.1115/1.2891191Search in Google Scholar PubMed
33. Kips, JG, Rietzschel, ER, De Buyzere, ML, Westerhof, BE. Evaluation of noninvasive methods to assess wave reflection and pulse transit time from the pressure waveform alone. Hypertension 2008;53:142–9.10.1161/HYPERTENSIONAHA.108.123109Search in Google Scholar PubMed
34. Weber, T, Wassertheurer, S, Rammer, M. Wave reflections assessed with a novel method for pulse wave separation, are associated with end organ damage and clinical outcomes. Hypertension 2012;60:534–41.10.1161/HYPERTENSIONAHA.112.194571Search in Google Scholar PubMed
35. Dawber, TR, Thomas, HE, Namara, PM. Characteristics of the dicrotic notch of the arterial pulse wave in coronaryheart disease. Angiology 1973;24:244–55.10.1177/000331977302400407Search in Google Scholar PubMed
36. Tiggesa, T, Musica, Z, Pielmus, A. Classification of morphologic changes in photoplethysmographic waveforms. Curr Dir Biomed Eng 2016;2:203–7.10.1515/cdbme-2016-0046Search in Google Scholar
37. Millasseau, SC, Ritter, JM, Takazawa, K, Chowienczyk, PJ. Contour analysis of the photoplethysmographic pulse measured at the finger. J Hypertens 2006;24:1449–56.10.1097/01.hjh.0000239277.05068.87Search in Google Scholar PubMed
38. Reesink, KD, Hermeling, E, Hoeberigs, MC, Reneman, RS, Hoeks, AP. Carotid artery pulse wave time characteristics to quantify ventriculoarterial responses to orthostatic challenge. J Appl Physiol 2007;102:2128–34.10.1152/japplphysiol.01206.2006Search in Google Scholar PubMed
39. Jang, DG, Farooq, U, Park, SH, Hahn, M. A study on the quantitative pulse type classification of the photoplethysmography. J Biomed Eng Res 2010;31:328–34.Search in Google Scholar
40. Goldberger, AL, Amaral, L, Glass, L, Hausdorff, JM, Ivanov, P, Mark, RG, et al.. PhysioBank, PhysioToolkit, and PhysioNet: components of a new research resource for complex physiologic signals. Circulation 2013;101:e215–20.10.1161/01.CIR.101.23.e215Search in Google Scholar
41. Yongbo, L, Guiyong, L, Zhencheng, C, Elgendi, M. PPG-BP database. Figshare Dataset; 2018. https://doi.org/10.6084/m9.figshare.5459299.v3.Search in Google Scholar
42. Charlton, PH, Bonnici, TB. An assessment of algorithms to estimate respiratory rate from the electrocardiogram and photoplethysmogram. Physiol Meas 2016;37:610–26.10.1088/0967-3334/37/4/610Search in Google Scholar PubMed PubMed Central
43. Pati, YC, Rezaiifaar, R, Krishnaprasad, S. Orthogonal matching pursuit: recursive function approximation with applications to wavelet decomposition. In: Proc of 27th Asilomar conference on signals, systems and computers; Pacific Grove, CA, USA, 1993.10.1109/ACSSC.1993.342465Search in Google Scholar
44. Tony, T, Wang, L. Orthogonal matching pursuit for sparse signal recovery with noise. IEEE Trans Inf Theor 2011;57:4680–8.10.1109/TIT.2011.2146090Search in Google Scholar
45. Flores, ZE, Trujillo, L, Sotelo, A, Legrand, P, Coria, LN. Regularity and Matching Pursuit feature extraction for the detection of epileptic seizures. J Neurosci Methods 2016;266:107–25.10.1016/j.jneumeth.2016.03.024Search in Google Scholar PubMed
46. Huang, F, Tao, J, Xiang, Y, Liu, P, Dong, L, Wang, L. Parallel compressive sampling matching pursuit algorithm for compressed sensing signal reconstruction with OpenCL. J Syst Architect 2017;72:51–60.10.1016/j.sysarc.2016.07.002Search in Google Scholar
47. Wei, Y, Lu, Z, Yuan, G, Fang, Z, Huang, Y. Sparsity adaptive matching pursuit detection algorithm based on compressed sensing for radar signals. Sensors (Basel) 2017;17:1–14.10.3390/s17051120Search in Google Scholar PubMed PubMed Central
48. Cong, XC, Zhu, RQ, Liu, YL. Feature extraction of sar target in clutter based on peak region segmentation and regularized orthogonal matching pursuit. In: Proc IEEE China summit & international conference on signal and information processing (ChinaSIP); Xi'an, China, 2014.10.1109/ChinaSIP.2014.6889229Search in Google Scholar
© 2020 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Review
- Surrogate based continuous noninvasive blood pressure measurement
- Research Articles
- Smart automated heart health monitoring using photoplethysmography signal classification
- In vivo evaluation of two adaptive Starling-like control algorithms for left ventricular assist devices
- A patient-independent classification system for onset detection of seizures
- Prediction of salivary cortisol level by electroencephalography features
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Articles in the same Issue
- Frontmatter
- Review
- Surrogate based continuous noninvasive blood pressure measurement
- Research Articles
- Smart automated heart health monitoring using photoplethysmography signal classification
- In vivo evaluation of two adaptive Starling-like control algorithms for left ventricular assist devices
- A patient-independent classification system for onset detection of seizures
- Prediction of salivary cortisol level by electroencephalography features
- Confocal laser microscopy without fluorescent dye in minimal-invasive thoracic surgery: an ex-vivo pilot study in lung cancer
- Spinal cord segmentation and injury detection using a Crow Search-Rider optimization algorithm
- Experimental and numerical investigations of fracture and fatigue behaviour of implant-supported bars with distal extension made of three different materials
- Compression and tension behavior of the prosthetic foam materials polyurethane, EVA, Pelite™ and a combination of polyurethane and EVA: a preliminary study
- Evaluation of a novel stair-climbing transportation aid for emergency medical services