Optimal electrocardiographic lead systems: Practical scenarios in smart clothing and wearable health systems

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Abstract

Advances in wearable health systems, from a smart textile, signal processing and wireless communications perspective have resulted in the recent deployment of such systems in real clinical and healthcare settings. Nevertheless, the problem of identifying the most appropriate sites from which biological parameters can be recorded still remains unsolved. This study aims to asses the effects of various practical constraints that may be encountered when choosing electrocardiographic recording sites for wearable health systems falling within the category of smart shirts for cardiac monitoring and analysis. We apply a lead selection algorithm to a set of 192 lead body surface potential maps (BSPM) and simulate a number of practical constraints by only allowing selection of recording sites from specific regions available in the 192 lead array. Of the various scenarios that were investigated, we achieved the best results when the selection process to identify the recording sites was constrained to an area around the precordial region. The top 10 recording sites chosen in this region exhibited an RMS voltage error of 25.8μV when they were used to estimate total ECG information. The poorest performing scenario was that which constrained the selection to two vertical strips on the posterior surface. The top 10 recording sites chosen in this scenario exhibited an RMS voltage error of 41.1μV. In general, it was observed that out of all the scenarios investigated, those which constrained available regions to the posterior and lateral surfaces performed less favorably than those where electrodes could also be chosen on the anterior surface. The overall results from our approach have validated the proposed algorithm and its ability to select optimal recording sites taking into consideration the practical constraints which may exist with smart shirts.
LanguageEnglish
Pages433-441
JournalIEEE Transactions on Information Technology in BioMedicine
Volume12
Issue number4
DOIs
Publication statusPublished - 2008

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Clothing
Lead
Health
Equidae
Textiles
Surface potential
Electric potential
Electrocardiography
Signal processing
Electrodes
Communication
Delivery of Health Care
Monitoring

Cite this

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title = "Optimal electrocardiographic lead systems: Practical scenarios in smart clothing and wearable health systems",
abstract = "Advances in wearable health systems, from a smart textile, signal processing and wireless communications perspective have resulted in the recent deployment of such systems in real clinical and healthcare settings. Nevertheless, the problem of identifying the most appropriate sites from which biological parameters can be recorded still remains unsolved. This study aims to asses the effects of various practical constraints that may be encountered when choosing electrocardiographic recording sites for wearable health systems falling within the category of smart shirts for cardiac monitoring and analysis. We apply a lead selection algorithm to a set of 192 lead body surface potential maps (BSPM) and simulate a number of practical constraints by only allowing selection of recording sites from specific regions available in the 192 lead array. Of the various scenarios that were investigated, we achieved the best results when the selection process to identify the recording sites was constrained to an area around the precordial region. The top 10 recording sites chosen in this region exhibited an RMS voltage error of 25.8μV when they were used to estimate total ECG information. The poorest performing scenario was that which constrained the selection to two vertical strips on the posterior surface. The top 10 recording sites chosen in this scenario exhibited an RMS voltage error of 41.1μV. In general, it was observed that out of all the scenarios investigated, those which constrained available regions to the posterior and lateral surfaces performed less favorably than those where electrodes could also be chosen on the anterior surface. The overall results from our approach have validated the proposed algorithm and its ability to select optimal recording sites taking into consideration the practical constraints which may exist with smart shirts.",
author = "D Finlay and CD Nugent and Mark Donnelly and PJ McCullagh and ND Black",
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AB - Advances in wearable health systems, from a smart textile, signal processing and wireless communications perspective have resulted in the recent deployment of such systems in real clinical and healthcare settings. Nevertheless, the problem of identifying the most appropriate sites from which biological parameters can be recorded still remains unsolved. This study aims to asses the effects of various practical constraints that may be encountered when choosing electrocardiographic recording sites for wearable health systems falling within the category of smart shirts for cardiac monitoring and analysis. We apply a lead selection algorithm to a set of 192 lead body surface potential maps (BSPM) and simulate a number of practical constraints by only allowing selection of recording sites from specific regions available in the 192 lead array. Of the various scenarios that were investigated, we achieved the best results when the selection process to identify the recording sites was constrained to an area around the precordial region. The top 10 recording sites chosen in this region exhibited an RMS voltage error of 25.8μV when they were used to estimate total ECG information. The poorest performing scenario was that which constrained the selection to two vertical strips on the posterior surface. The top 10 recording sites chosen in this scenario exhibited an RMS voltage error of 41.1μV. In general, it was observed that out of all the scenarios investigated, those which constrained available regions to the posterior and lateral surfaces performed less favorably than those where electrodes could also be chosen on the anterior surface. The overall results from our approach have validated the proposed algorithm and its ability to select optimal recording sites taking into consideration the practical constraints which may exist with smart shirts.

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