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Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System
Published on: April 11, 2025
WACARDIA: Graphical MATLAB software for Wireless Assessment of CARDiac Interoceptive Accuracy
Ian R Kleckner1, Jacob J Chung2
1Department of Pain and Translational Symptom Science, University of Maryland School of Nursing, Baltimore, MD 21201, USA; Greenebaum Comprehensive Cancer Center, University of Maryland Medical System, Baltimore, MD 21201, USA.
Abstract:
Many theories of psychological function emphasize the importance of bodily sensations and the ability to accurately detect them, known as interoceptive accuracy. The most common measure of interoceptive accuracy uses heartbeat detection tasks such as the Whitehead Task, yet to our knowledge there are no freely accessible programs to conduct this task. In this paper, we present novel software called WACARDIA (Wireless Assessment of CARDiac Interoceptive Accuracy), which is free, open-source software that conducts the heartbeat detection task using Matlab and Psychtoolbox. WACARDIA contains several key features supporting participant engagement, operator convenience, and measurement accuracy. First, the program includes an optional practice trial of unlimited duration, a participant-facing graphical interface, and the ability to perform heartbeat detection training. Second, the operator is provided with a graphical user interface, live trial feedback, an accurate wireless electrocardiogram device, and a separate program to conduct the related Heartbeat Tracking task. Finally, the program ensures the accuracy of collected data by scheduling the delivery of tones with high precision and implementing fail-safes to automatically reset erroneous measurements. This paper includes flowcharts that help create transparency by describing our algorithm. We also outline customizable aspects of the program with the intent to have WACARDIA's algorithm expanded to accommodate more situations and applications. With this paper, we hope to encourage the practice of publicizing research software to contribute to the transparency, rigor, and reproducibility of scientific studies. WACARDIA and video tutorials are available at www.github.com/iankleckner/wacardia and http://wacardia.iankleckner.com.

