Publication

ReBeatICG: Real-time Low-Complexity Beat-to-beat Impedance Cardiogram Delineation Algorithm

Abstract

This work presents ReBeatICG, a real-time, low-complexity beat-to-beat impedance cardiography (ICG) delineation algorithm that allows hemodynamic parameters monitoring. The proposed procedure relies only on the ICG signal compared to most algorithms found in the literature that rely on synchronous electrocardiogram signal (ECG) recordings. ReBeatICG was designed with implementation on an ultra-low-power microcontroller (MCU) in mind. The detection accuracy of the developed algorithm is tested against points manually labeled by cardiologists. It achieves a detection Gmean accuracy of 94.9%, 98.6%, 90.3%, and 84.3% for the B, C, X, and O points, respectively. Furthermore, several hemodynamic parameters were calculated based on annotated characteristic points and compared with values generated from the cardiologists' annotations. ReBeatICG achieved mean error rates of 0.11ms, 9.72ms, 8.32ms, and 3.97% for HR, LVET, IVRT, and relative C-point amplitude, respectively.

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Related concepts (6)
Hemodynamics
Hemodynamics or haemodynamics are the dynamics of blood flow. The circulatory system is controlled by homeostatic mechanisms of autoregulation, just as hydraulic circuits are controlled by control systems. The hemodynamic response continuously monitors and adjusts to conditions in the body and its environment. Hemodynamics explains the physical laws that govern the flow of blood in the blood vessels.
Microcontroller
A microcontroller (MCU for microcontroller unit, also MC, UC, or μC) is a small computer on a single VLSI integrated circuit (IC) chip. A microcontroller contains one or more CPUs (processor cores) along with memory and programmable input/output peripherals. Program memory in the form of ferroelectric RAM, NOR flash or OTP ROM is also often included on chip, as well as a small amount of RAM. Microcontrollers are designed for embedded applications, in contrast to the microprocessors used in personal computers or other general purpose applications consisting of various discrete chips.
Autonomous peripheral operation
In computing, autonomous peripheral operation is a hardware feature found in some microcontroller architectures to off-load certain tasks into embedded autonomous peripherals in order to minimize latencies and improve throughput in hard real-time applications as well as to save energy in ultra-low-power designs. Forms of autonomous peripherals in microcontrollers were first introduced in the 1990s.
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