Precordial acceleration signals improve the performance of diastolic timed vibrations.

BACKGROUND AND OBJECTIVE: This paper introduces a seismocardiography based methodology of predicting the start and the end of diastole to be used in diastolic timed vibrations (DTV), which provides non-invasive emergency treatment of acute coronary thrombosis by applying direct mechanical vibrations to the patient chest during diastole of heart cycles. It is proposed that seismocardiogram (SCG), in combination with electrocardiogram (ECG), provides a new means of diastole prediction. METHODS: An accelerometer was placed on the sternum of 120 healthy participants and 22 ischemic heart patients to record precordial accelerations created by the heart. The accelerometer signal was used to extract SCG and phonocardiogram (PCG). Two independent trained experts annotated the extracted signals based on the timings of the start and end of diastole. RESULTS: In the ischemic heart disease population by using 15 consecutive SCG cycles, the start and end of diastole was predicted in the upcoming cycles with 95 percentile error margin of 10.7 ms and 5.8 ms, respectively. These error margins were 7.4 ms and 3.5 ms, respectively, for normal participants. CONCLUSION: The results provide that prediction of the aortic valve closure point in the SCG signal helps start the vibrator in time to cover most of the isovolumic relaxation period. Also, through prediction of the mitral valve closure point in the SCG signal, safety of the technique can be assessed through prediction of the amount of unwanted vibrations applied during the isovolumic contraction period.

Preferred patterns of diastolic timed vibrations for pre-hospitalization treatment of acute coronary ischemia.

This paper presents and evaluates preferred patterns of vibrations and active breaking techniques for the Diastolic Timed Vibrator (DTV). DTV uses low frequency mechanical vibrations applied to the chest to help in clot dissolution in pre-hospitalization treatment of acute coronary ischemia. In this work, we argue that random and ramp type vibration patterns increase the performance of the DTV method. Furthermore, we present results for various methods of vibration stopping aiming at reduction of vibration overspill into the systole of heart cycle of the patient.

Mechanically flexible wireless multisensor platform for human physical activity and vitals monitoring.

Practical usability of the majority of current wearable body sensor systems for multiple parameter physiological signal acquisition is limited by the multiple physical connections between sensors and the data-acquisition modules. In order to improve the user comfort and enable the use of these types of systems on active mobile subjects, we propose a wireless body sensor system that incorporates multiple sensors on a single node. This multisensor node includes signal acquisition, processing, and wireless data transmission fitted on multiple layers of a thin flexible substrate with a very small footprint. Considerations for design include size, form factor, reliable body attachment, good signal coupling, low power consumption, and user convenience. The prototype device measures 55 15 mm and is 3 mm thick. The unit is attached to the patient's chest, and is capable of performing simultaneous measurements of parameters, such as body motion, activity intensity, tilt, respiration, cardiac vibration, cardiac potential (ECG), heart rate, and body surface temperature. In this paper, we discuss the architecture of this system, including the multisensor hardware, the firmware, a mobile-phone receiver unit, and assembly of the first proof-of-concept prototype. Preliminary performance results on key elements of the system, such as power consumption, wireless range, algorithm efficiency, ECG signal quality for heart-rate calculations, as well as synchronous ECG and body activity signals are also presented.