Ballistocardiography can Estimate Beat-to-Beat Heart Rate Accurately at Night in Patients after Vascular Intervention

Christoph Hoog Antink, Yen Mai, Roosa Aalto, Christoph Brüser, Antti Vehkaoja, Steffen Leonhardt, Niku Oksala

Research output: Contribution to journalArticleScientificpeer-review

2 Citations (Scopus)
34 Downloads (Pure)


While bed-integrated ballistocardiography (BCG) has potential clinical applications such as unobtrusive monitoring of patients staying in the general hospital ward, it has so far mainly gained interest in the wellness domain. In this article, the potential of BCG to monitor hospitalized patients after surgical intervention was assessed. Long-term BCG recordings (mean duration 17.7 h) of 14 patients were performed with an EMFit QS bed sensor. In addition, ten healthy subjects were recorded during sleep (mean duration 7.8 h). Using an iterative algorithm, beat-to-beat intervals (BBIs) and the ultra-short-term heart-rate-variability (HRV) parameters standard deviation of NN intervals (SDNN) and root mean square of successive differences (RMSSD) were estimated and compared to an ECG reference in terms of average estimation error and temporal coverage. While the absolute BBI estimation error was found to be higher when full-day patient data was used (16.5 ms), no significant difference between healthy subjects (12.7 ms) and patient nighttime data (11.0 ms) was observed. Nevertheless, temporal coverage of BBI estimation was significantly lower in patients (39.3% overall, 51.7% at night) compared to the healthy sleepers (73.2%). This resulted in reduced HRV estimation coverage (9.7% vs. 37.2%) at comparable estimation error levels.
Original languageEnglish
Pages (from-to)2230 - 2237
Number of pages8
JournalIEEE Journal of Biomedical and Health Informatics
Issue number8
Publication statusPublished - 2020
Publication typeA1 Journal article-refereed

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