Machine learning-aided detection of heart failure (LVEF 49%) by using ballistocardiography and respiratory effort

Shen Feng1,2, Xianda Wu1,2, Andong Bao1,2

  • 1Department of Electronics and Information Engineering, South China Normal University (SCNU), Foshan, China.

Frontiers in Physiology
|February 6, 2023
PubMed

Insights

This study introduces a machine learning approach for in-home heart failure detection using ballistocardiography (BCG) and respiratory signals. The method achieved high accuracy, improving non-contact diagnosis for cardiovascular disease.

Area of Science:

  • Biomedical Engineering
  • Cardiovascular Health
  • Artificial Intelligence in Medicine

Background:

  • The rise of COVID-19 and healthcare costs has increased demand for remote cardiovascular disease monitoring.
  • Ballistocardiography (BCG) offers non-contact detection of cardiac activity and heart failure (HF).
  • Current HF diagnosis often requires inconvenient ECG-aided quality assessment.

Purpose of the Study:

  • To develop a machine learning-aided scheme for in-home heart failure detection.
  • To utilize BCG signals and respiratory effort signals for enhanced HF detection without requiring heartbeat localization.
  • To leverage the interconnectedness of heart and lung systems for improved diagnostic features.

Main Methods:

  • Recorded vital sign sequences, including BCG and respiratory effort, using a piezoelectric sensor.
  • Extracted linear and non-linear features from both BCG and respiratory effort signals.
  • Validated the scheme using Leave-One-Out (LOO) and Leave-One-Subject-Out (LOSO) cross-validation with various machine learning classifiers.

Main Results:

  • The machine learning scheme demonstrated robust performance across four classifiers.
  • Achieved high accuracy rates of 94.97% (LOO) and 87.00% (LOSO) in heart failure detection.
  • Confirmed that respiratory and cardiopulmonary features significantly benefit heart failure detection (LVEF).

Conclusions:

  • A novel machine learning-aided diagnostic scheme for heart failure was proposed.
  • The scheme effectively utilizes the heart-lung system relationship for improved in-home HF detection.
  • The integrated use of BCG, respiratory, and cardiopulmonary features enhances non-contact cardiovascular disease monitoring.