: Contactless monitoring of instantaneous heart rate and respiration rate has a significant clinical relevance. This work aims to use Speckle Vibrometry (i.e., based on the secondary laser speckle effect) to contactlessly measure these two vital signs in an intensive care unit. : In this work, we propose an algorithm for the estimation of instantaneous heart rate and respiration rate from mechanically ventilated patients. The algorithm uses multiple regions, principal component analysis, and dominant angle analysis. A semi-automated peak detection method is implemented to precisely label the aortic valve opening peak within the cardiac waveform. : Compared with electrocardiography, the present work achieves limits of agreement of [-2.19, 1.73] beats per minute of instantaneous heart rate. The measurement spot is on the chest covered with two to three layers of duvet blankets. Compared with the airway flow signal measured by the mechanical ventilator, the present work achieves limits of agreement of [-0.68, 0.46] respirations per minute of instantaneous respiration rate. : These results showcased Speckle Vibrometry's potential in vital sign monitoring in a clinical setting. : This is the first human clinical study for Speckle Vibrometry.
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http://dx.doi.org/10.3390/s24196374 | DOI Listing |
Int J Numer Method Biomed Eng
January 2025
College of Chemistry and Life Science, Beijing University of Technology, Beijing, China.
The accurate non-invasive detection and estimation of central aortic pressure waveforms (CAPW) are crucial for reliable treatments of cardiovascular system diseases. But the accuracy and practicality of current estimation methods need to be improved. Our study combines a meta-learning neural network and a physics-driven method to accurately estimate CAPW based on personalized physiological indicators.
View Article and Find Full Text PDFInt J Gen Med
December 2024
School of Nursing, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, 215006, People's Republic of China.
Background: Blood flow restriction training (BFRT) can produce effects similar to high-intensity exercise at lower intensities, making it a potentially more suitable method for older adults with sarcopenia. This study aims to determine the efficacy of the intervention on improving physical fitness in older adults with sarcopenia when blood flow restriction (BFR) and aerobic exercise (AE) are combined (BFR-AE) and to explore the related metabolic and signaling mechanisms.
Methods: This is a three-arm, parallel, randomized controlled trial.
Heart
December 2024
School of Clinical Medicine and Population Health, The University of Sheffield, Sheffield, UK.
A significant proportion of patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI) have concomitant coronary artery disease (CAD). The best way to treat these patients is contentious. Conventional assessments of ischaemia such as fractional flow reserve (FFR) and instantaneous wave-free ratio are not validated in the context of severe AS despite having a Class I European Society of Cardiology indication in patients with isolated coronary disease.
View Article and Find Full Text PDFIEEE Open J Eng Med Biol
May 2024
Department of Electronic, Information and BioengineeringPolitecnico di Milano 20156 Milano Italy.
Physiol Rep
November 2024
Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma (Italy) - Parco Area Delle Scienze, Parma, Italy.
The waveform of ventricular action potential (AP) is a key determinant of the cardiac cycle, a marker of beating pathophysiology, and a target for anti-arrhythmic drug design. The information contained in the waveform, though, is limited to the actual dynamics of the AP under consideration. By measuring quasi-instantaneous current-voltage relationships during repolarization, I propose a three-dimensional representation of the ventricular AP which includes potential dynamic responses that the beat can show when electrically perturbed.
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