Search Results (1,338)

This study investigated the transformative potential of Compressive Sensing (CS) for optimizing multimodal biomedical signal fusion in Wireless Body Sensor Networks (WBSN), specifically targeting challenges in data storage, power consumption, and transmission bandwidth. Through a Systematic Mapping Study (SMS) and Systematic Literature Review (SLR) following the PRISMA protocol, significant advancements in adaptive CS algorithms and multimodal fusion have been achieved. However, this research also identified crucial gaps in computational efficiency, hardware scalability (particularly concerning the complex and often costly adaptive sensing hardware required for dynamic CS applications), and noise robustness for one-dimensional biomedical signals (e.g., ECG, EEG, PPG, and SCG). The findings strongly emphasize the potential of integrating CS with deep reinforcement learning and edge computing to develop energy-efficient, real-time healthcare monitoring systems, paving the way for future innovations in Internet of Medical Things (IoMT) applications. Full article

Capacitive ECG sensors in automobiles enable unobtrusive heart rate monitoring as an indicator of a driver’s alertness and health. This paper introduces a capacitive sensor with textile electrodes and provides insights into signal quality and RR duration accuracy. Electrodes of various shapes, sizes, and fabrics were integrated at various positions into the seat back of a driving simulator car seat. Seven subjects completed identical driving circuits with their cardiac signals being recorded simultaneously with textile electrodes and reference Ag-AgCl electrodes. Capacitive ECG signals with observable R peaks (after filtering) could be captured with almost all pairs of textile electrodes, independently of design or placement. Signal quality from textile electrodes was consistently lower compared with reference Ag-AgCl electrodes. Proximity to the heart or even contact with the body seems to be key but not enough to improve signal quality. However, accurate measurement of RR durations was mostly independent of signal quality since 90% of all RR durations measured on capacitive ECG signals had a percentage error below 5% compared to reference ECG signals. Accuracy was actually algorithm-dependent, where a classic Pan–Tompkins-based algorithm was interestingly outperformed by an in-house frequency-domain algorithm. Full article

Cardiovascular diseases (CVDs) remain the leading cause of global mortality, with ischemic heart disease (IHD) being the most prevalent and deadly subtype. The growing burden of IHD underscores the urgent need for effective early detection methods that are scalable and non-invasive. Heart Rate Variability (HRV), a non-invasive physiological marker influenced by the autonomic nervous system (ANS), has shown clinical relevance in predicting adverse cardiac events. This study presents a photoplethysmography (PPG)-based Zhurek IoT device, a custom-developed Internet of Things (IoT) device for non-invasive HRV monitoring. The platform’s effectiveness was evaluated using HRV metrics from electrocardiography (ECG) and PPG signals, with machine learning (ML) models applied to the task of early IHD risk detection. ML classifiers were trained on HRV features, and the Random Forest (RF) model achieved the highest classification accuracy of 90.82%, precision of 92.11%, and recall of 91.00% when tested on real data. The model demonstrated excellent discriminative ability with an area under the ROC curve (AUC) of 0.98, reaching a sensitivity of 88% and specificity of 100% at its optimal threshold. The preliminary results suggest that data collected with the “Zhurek” IoT devices are promising for the further development of ML models for IHD risk detection. This study aimed to address the limitations of previous work, such as small datasets and a lack of validation, by utilizing real and synthetically augmented data (conditional tabular GAN (CTGAN)), as well as multi-sensor input (ECG and PPG). The findings of this pilot study can serve as a starting point for developing scalable, remote, and cost-effective screening systems. The further integration of wearable devices and intelligent algorithms is a promising direction for improving routine monitoring and advancing preventative cardiology. Full article

This study presents a comparative analysis of electrocardiogram (ECG) and accelerometer (ACC) data in the context of unsupervised human activity recognition and subject identification. Recordings were obtained from 30 participants performing activities of daily living such as walking, sitting, lying, cleaning the floor, and climbing stairs. Distance-based signal comparison methods and clustering techniques were employed to evaluate the feasibility of each modality, both individually and in combination, to discriminate between individuals and activities. Results indicate that ACC signals provide superior performance in activity recognition (NMI = 0.728, accuracy = 0.817), while ECG signals show higher discriminative power for subject identification (NMI = 0.641, accuracy = 0.500). In contrast, combining ACC and ECG signals yielded lower scores in both tasks, suggesting that multimodal fusion introduced additional variability. These findings highlight the importance of selecting the most appropriate modality depending on the recognition objective and emphasize the challenges associated with multimodal approaches in unsupervised scenarios. Full article

Various types of interfering signals are an integral part of ECGs recorded using wearable electronics, specifically during field monitoring, outside the controlled environment of a medical doctor’s office, or laboratory. The frequency spectrum of several types of interfering signals overlaps significantly with the ECG signal, making effective filtration impossible without losing clinically relevant information. In this article, we proceed from the practical assumption that it is unnecessary to analyze the entire ECG recording in real long-term recordings. Conversely, in the preprocessing phase, it is necessary to detect unreadable segments of the ECG signal. This paper proposes a novel method for automatically detecting unreadable segments distorted by superimposed interference in ECG recordings. The method is based on a convolutional neural network (CNN) and is comparable in quality to annotation performed by a medical expert, but incomparably faster. In a series of controlled experiments, the ECG signal was recorded during physical activities of varying intensities, and individual segments of the recordings were manually annotated based on visual assessment by a medical expert, i.e., divided into four different classes based on the intensity of distortion to the useful ECG signal. A deep convolutional model was designed and evaluated, exhibiting a 87.62% accuracy score and the same F1-score in automatic recognition of segments distorted by superimposed interference. Furthermore, the model exhibits an accuracy and F1-score of 98.70% in correctly identifying segments with visually detectable and non-detectable heart rate. The proposed interference detection procedure appears to be sufficiently effective despite its simplicity. It facilitates subsequent automatic analysis of undisturbed ECG waveform segments, which is crucial in ECG monitoring using wearable electronics. Full article

Early prediction of weaning outcomes in mechanically ventilated patients has significant potential to influence the duration of treatment as well as associated morbidity and mortality. This study aimed to investigate the utility of signal analysis using electromyographic diaphragm (EMG) and electrocardiography (ECG) signals to classify the success or failure of weaning in mechanically ventilated patients. Electromyographic signals of 40 subjects were recorded using 5-channel surface electrodes placed around the diaphragm muscle, along with an ECG recording through a 3-lead Holter system during extubation. EMG and ECG signals were recorded from mechanically ventilated patients undergoing weaning trials. Linear and nonlinear signal analysis techniques were used to assess the interaction between diaphragm muscle activity and cardiac activity. Supervised machine learning algorithms were then used to classify the weaning outcomes. The study revealed clear differences in diaphragmatic and cardiac patterns between patients who succeeded and failed in the weaning trials. Successful weaning was characterised by a higher ECG-derived respiration amplitude, whereas failed weaning was characterised by an elevated EMG amplitude. Furthermore, successful weaning exhibited greater oscillations in diaphragmatic muscle activity. Spectral analysis and parameter extraction identified 320 parameters, of which 43 were significant predictors of weaning outcomes. Using seven of these parameters, the Naive Bayes classifier demonstrated high accuracy in classifying weaning outcomes. Surface electromyographic and electrocardiographic signal analyses can predict weaning outcomes in mechanically ventilated patients. This approach could facilitate the early identification of patients at risk of weaning failure, allowing for improved clinical management. Full article

Arrhythmias are a common and potentially life-threatening category of cardiac disorders, making accurate and early detection crucial for improving clinical outcomes. Electrocardiograms are widely used to monitor heart rhythms, yet their manual interpretation remains prone to inconsistencies due to the complexity of the signals. This research investigates the effectiveness of machine learning and deep learning techniques for automated arrhythmia classification using ECG signals from the MIT-BIH dataset. We compared Gradient Boosting Machine (GBM) and Multilayer Perceptron (MLP) as traditional machine learning models with a hybrid deep learning model combining one-dimensional convolutional neural networks (1D-CNNs) and long short-term memory (LSTM) networks. Furthermore, the Grey Wolf Optimizer (GWO) was utilized to automatically optimize the hyperparameters of the 1D-CNN-LSTM model, enhancing its performance. Experimental results show that the proposed 1D-CNN-LSTM model achieved the highest accuracy of 97%, outperforming both classical machine learning and other deep learning baselines. The classification report and confusion matrix confirm the model’s robustness in identifying various arrhythmia types. These findings emphasize the possible benefits of integrating metaheuristic optimization with hybrid deep learning. Full article

The deployment of conditionally automated vehicles raises safety concerns, as drivers often engage in non-driving-related tasks (NDRTs), delaying takeover responses. This study investigates driver state monitoring (DSM) using multimodal physiological and ocular signals from the TD2D (Takeover during Distracted L2 Automated Driving) dataset, which includes synchronized electrocardiogram (ECG), photoplethysmography (PPG), electrodermal activity (EDA), and eye-tracking data from 50 participants across ten task conditions. Tasks were reassigned into three workload-based categories informed by NASA-TLX ratings. A unified preprocessing and feature extraction pipeline was applied, and 25 informative features were selected. Random Forest outperformed Support Vector Machine and Multilayer Perceptron models, achieving 0.96 accuracy in within-subject evaluation and 0.69 in cross-subject evaluation with subject-disjoint splits. Sensitivity analysis showed that temporal overlap had a stronger effect than window length, with moderately long windows (5–8 s) and partial overlap providing the most robust generalization. SHAP (Shapley Additive Explanations) analysis confirmed ocular features as the dominant discriminators, while EDA contributed complementary robustness. Additional validation across age strata confirmed stable performance beyond the training cohort. Overall, the results highlight the effectiveness of physiological and ocular measures for distraction detection in automated driving and the need for strategies to further improve cross-driver robustness. Full article

This work reports the fabrication of innovative flexible conductive polymer composites (FCPCs), composed of poly (2,3-dihydrothieno-1,4-dioxin)-poly (styrenesulfonate) (PEDOT:PSS), polypyrrole (PPy) and copper phthalocyanine (CuPc). These FCPCs were deposited by the drop-casting technique on flexible substrates such as polyethylene terephthalate (PET), Xuan paper and ethylene–vinyl acetate (EVA) foam sheets. Wearable photoactive electrocardiogram (ECG) electrodes and flexible strain sensors were fabricated. Morphological characterization by SEM revealed a stark contrast between the smooth, continuous PEDOT:PSS films and the rough, globular PPy films. EDS confirmed the successful and homogeneous incorporation of the CuPc, evidenced by the strong spatial correlation of the nitrogen and copper signals. The highest mechanical resistance was present in the FCPCs on PET with a limit of proportionality between 4074–6240 KPa. Optical parameters were obtained by Ultraviolet–Visible Spectroscopy and their Reflectance is below 15% and could be used as photoelectrodes. Three Signal Quality Indexes (SQIs) were used to evaluate the ECG signal obtained with the electrodes. The results of all the SQIs demonstrated that the obtained signals have a comparable quality to that of a signal obtained from commercial electrodes. To evaluate the flexible strain sensors, the change in output voltage caused by mechanical deformation was measured. Full article

Cardiovascular diseases are the leading cause of death worldwide, with arrhythmia being a prevalent and potentially fatal condition. The multi-lead electrocardiogram (ECG) is the primary tool for detecting arrhythmias. However, existing detection methods have shortcomings: they cannot dynamically integrate inter-lead correlations with multi-scale temporal changes in cardiac electrical activity. They also lack mechanisms to simultaneously focus on key leads and time segments, and thus fail to address multi-lead redundancy or capture comprehensive spatial-temporal relationships. To solve these problems, we propose a Multi-Scale Lead-Temporal Co-Attention Framework (MS-LTCAF). Our framework incorporates two key components: a Lead-Temporal Co-Attention Residual (LTCAR) module that dynamically weights the importance of leads and time segments, and a multi-scale branch structure that integrates features of cardiac electrical activity across different time periods. Together, these components enable the framework to automatically extract and integrate features within a single lead, between different leads, and across multiple time scales from ECG signals. Experimental results demonstrate that MS-LTCAF outperforms existing methods. On the PTB-XL dataset, it achieves an AUC of 0.927, approximately 1% higher than the current optimal baseline model (DNN_zhu’s 0.918). On the LUDB dataset, it ranks first in terms of AUC (0.942), accuracy (0.920), and F1-score (0.745). Furthermore, the framework can focus on key leads and time segments through the co-attention mechanism, while the multi-scale branches help capture both the details of local waveforms (such as QRS complexes) and the overall rhythm patterns (such as RR intervals). Full article

Continuous blood pressure (BP) monitoring is essential for the early detection and prevention of cardiovascular diseases like hypertension. Recently, interest in continuous BP estimation systems and algorithms has grown. Various physiological signals reflect BP variations from different perspectives, and combining multiple signals can enhance the accuracy of BP measurements. However, research integrating electrocardiogram (ECG), photoplethysmography (PPG), and impedance cardiography (ICG) signals for BP monitoring remains limited, with related technologies still in early development. A major challenge is the increased system complexity associated with acquiring multiple signals simultaneously, along with the difficulty of efficiently extracting and integrating key features for accurate BP estimation. To address this, we developed a BP monitoring system that can synchronously acquire and process ECG, PPG, and ICG signals. Optimizing the circuit design allowed ECG and ICG modules to share electrodes, reducing components and improving compactness. Using this system, we collected 400 min of signals from 40 healthy subjects, yielding 4390 records. Experiments were conducted to evaluate the system’s performance in BP estimation. The results demonstrated that combining pulse wave analysis features with the XGBoost model yielded the most accurate BP predictions. Specifically, the mean absolute error for systolic blood pressure was 3.76 ± 3.98 mmHg, and for diastolic blood pressure, it was 2.71 ± 2.57 mmHg, both of which achieved grade A performance under the BHS standard. These results are comparable to or better than existing studies based on multi-signal methods. These findings suggest that the proposed system offers an efficient and practical solution for BP monitoring. Full article

This paper presents an optimised signal processing framework for contactless physiological monitoring using Frequency Modulated Continuous Wave (FMCW) radar within automotive environments. This research focuses on enhancing heart rate (HR) and heart rate variability (HRV) detection from radar signals by integrating radar placement optimisation and advanced phase-based processing techniques. Optimal radar placement was evaluated through Signal-to-Clutter Ratio (SCR) analysis, conducted with multiple human participants in both laboratory and dynamic driving simulator experimental conditions, to determine the optimal in-vehicle location for signal acquisition. An effective processing pipeline was developed, incorporating background subtraction, range bin selection, bandpass filtering, and phase unwrapping. These techniques facilitated the reliable extraction of inter-beat intervals and heartbeat peaks from the phase signal without the need for contact-based sensors. The framework was evaluated using a Walabot FMCW radar module against ground truth HR signals, demonstrating consistent and repeatable results under baseline and mild motion conditions. In subsequent work, this framework was extended with deep learning methods, where radar-derived HR and HRV were benchmarked against research-grade ECG and achieved over 90% accuracy, further reinforcing the robustness and reliability of the approach. Together, these findings confirm that carefully guided radar positioning and robust signal processing can enable accurate and practical in-cabin physiological monitoring, offering a scalable solution for integration in future intelligent vehicle and driver monitoring systems. Full article

This work presents the development and characterization of a flexible capacitive electrode for non-contact ECG acquisition, fabricated using a simple and cost-effective method from readily available materials. The electrode consists of a multilayer structure with a copper conductor laminated by a polyimide (Kapton^®) dielectric layer on a polyurethane support. The impedance and capacitance of the electrode were evaluated under varying textile moisture levels with artificial sweat, as well as after exposure to common disinfectants including ethyl alcohol and iodine tincture. Electrochemical impedance spectroscopy (EIS) and broadband impedance measurements (10⁻¹–10⁵ Hz) confirmed stable capacitive behavior, moderate sensitivity to moisture, and chemical stability of the Kapton–copper interface under conditions simulating repeated use. A custom front-end readout circuit was implemented to demonstrate through-textile ECG signal acquisition. Simulator tests reproduced characteristic waveform patterns, and preliminary volunteer recordings confirmed the feasibility of through-textile acquisition. These results highlight the promise of the electrode as a low-cost platform for future wearable biosignal monitoring technical research. Full article

Cybersickness poses a significant challenge to the widespread adoption of virtual reality (VR), as it impairs user experience and operational performance. This study proposes a physiological modeling approach to objectively assess cybersickness severity during VR experience. An interactive VR experiment was conducted, inducing varying levels of cybersickness through VR navigation tasks under different field-of-view and graphic quality settings. Physiological signals (i.e., electrodermal activity (EDA) and electrocardiogram (ECG)) were continuously recorded and extracted to build multiple machine learning regression models for cybersickness prediction. The results showed that EDA-based models consistently outperformed ECG-based models across all algorithms, with the Ensemble Learning model achieving the highest predictive accuracy (R² = 0.98). In contrast, ECG-based models yielded limited predictive capability (R² = 0.53). Combining ECG with EDA features showed little improvement in model accuracy, suggesting a limited complementary role of ECG features. SHAP-based feature importance analysis revealed that EDA features (e.g., mean, maximum, and variance of skin conductance) were the most effective features in cybersickness prediction, which captured both tonic arousal and phasic autonomic responses during the cybersickness process. ECG features such as SDNN and HRMAD contributed modestly, offering physiological interpretability despite being less effective in cybersickness prediction. The findings demonstrate the feasibility of using low-burden physiological signals for accurate and interpretable prediction of cybersickness severity. The proposed approach supports the development of lightweight, real-time monitoring systems for VR applications, offering practical advantages in terms of simplicity, adaptability, and deployment potential. Full article

Recent advances in wearable sensing technology have enabled simultaneous measurement of heart activity and body movement using devices equipped with both ECG recording and 3-axis accelerometers. This study examined whether transient heart rate (HR) responses to physical activity can be accurately characterized under free-living conditions. Continuous RR interval data and activity levels derived from accelerometer signals were analyzed using a multivariate autoregressive (MVAR) model. Results from 12 male participants showed a strong correlation between predicted and observed HR responses (r² = 0.93, r = 0.96, p < 0.001). These findings indicate that up to 93% of transient HR dynamics associated with daily physical activity can be explained by the model. While these results are preliminary due to the limited sample size, the approach provides a promising framework for the noninvasive, continuous monitoring of cardiovascular responses in everyday health and wellness applications. Full article