Skip to main content

Automated Cardiac Health Screening Using Smartphone and Wearable Sensors Through Anomaly Analytics

  • Chapter
  • First Online:

Part of the book series: EAI/Springer Innovations in Communication and Computing ((EAISICC))

Abstract

With the advent and rapid deployment of Internet of Things (IoT), artificial intelligence (AI), powerful smartphones, and wearable sensor devices (e.g., smartwatch), we are entering into the era of automated, remote, on-demand mobile healthcare services. According to the WHO, cardiovascular disease is the modern-day disease. However, prognosis rate of cardiac disease patients can be potentially made high with early detection and diagnosis. In this book chapter, we describe automated cardiac health monitoring system using smartphone and wearable sensors. The main contribution of such mobile applications and systems is to form a connected universe with biomedical sensors, patients, physicians, clinics, hospitals, and other medical service providers and to exploit robust analytics to infer and actuate the appropriate information and formative actions. The powerful anomaly analytics exploit AI, signal processing, and deep learning mechanisms that enable predictive decision-making and facilitate preventive cardiac health screening. The main emphasis is to develop and deploy smart, computationally efficient, rather than human-in-loop, user-friendly, data-driven cardiac healthcare solutions, where patients and healthcare service providers are seamlessly connected. In this book chapter, we discuss about important cardiovascular signals, namely, electrocardiogram (ECG), photoplethysmogram (PPG), and heart sound or phonocardiogram (PCG), and describe their role in the process of developing a mobile-based cardiac care solution. These cardiac marker signals constitute an intelligent and robust feature space for detection of different cardiac abnormalities and diseases like coronary artery disease, cardiac arrhythmia, and others. These sensor signals can be captured by affordable wearable sensors. In order to develop such mobile applications and systems, we need to address different challenges like noisy signal removal and data privacy protection along with providing robust analytics engine.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. American Heart Association, Heart Disease and Stroke Statistics – 2013. [Online]. Available: http://www.heart.org/HEARTORG/General/Cardiac-Arrest-Statistics_UCM_448311_Article.jsp. Accessed 20 Feb 2018

  2. Clifford G, Clifton D (2012) Annual review: wireless technology in disease management and medicine. Ann Review Med 63:479–492

    Article  Google Scholar 

  3. Alivecor. [Online]. Available: https://www.alivecor.com/. Accessed 20 Feb 2018

  4. KARDIABAND, Your personal EKG on your wrist: [Online] Accessed on 20 February, 2018. Available: https://www.alivecor.com/kardiaband/

  5. Grimaldi D, Kurylyak Y, Lamonaca F, Nastro A (2011) Photoplethysmography detection by smartphone’s video camera. Proceedings of the 6th IEEE international conference on intelligent data acquisition and advanced computing systems, Prague, 2011, pp 488–491

    Google Scholar 

  6. Boloursaz Mashhadi M, Asadi E, Eskandari M, Kiani S, Marvasti F (2016) Heart rate tracking using wrist-type photoplethysmographic (PPG) Signals during physical exercise with simultaneous accelerometry. IEEE Signal Process Lett 23(2):227–231

    Article  Google Scholar 

  7. Zhang Z, Zhouyue P, Benyuan L (2015) TROIKA: a general framework for heart rate monitoring using wrist-type photoplethysmographic signals during intensive physical exercise. IEEE Trans Biomed Eng 62(2):522–531

    Article  Google Scholar 

  8. Shelley K, Shelley S (2001) Pulse oximeter waveform: photoelectric plethysmography. In: Lake C, Hines R, Blitt C (eds) Clinical monitoring. W.B. Saunders Company, pp 420–721

    Google Scholar 

  9. http://sine.ni.com/cms/images/casestudies/a14_03.jpg?size

  10. Wang J, Li Z (2007) Research on a practical electrocardiogram segmentation model. 2007 1st International Conference on Bioinformatics and Biomedical Engineering, Wuhan, 2007, pp. 652–655

    Google Scholar 

  11. Wang J, Li Z (2007) Research on a practical electrocardiogram segmentation model. Intern Conf BioinformaBiomed Eng:652–655

    Google Scholar 

  12. Amiri AM, Armano G, Rahmani AM, Mankodiya K (2015) PhonoSys: mobile phonocardiography diagnostic system for newborns. EAI international conference on wireless mobile communication and healthcare

    Google Scholar 

  13. Puri C, Singh R, Bandyopadhyay S, Ukil A, Mukherjee A (2017) Analysis of phonocardiogram signals through proactive denoising using novel self-discriminant learner. 2017 39th annual international conference of the IEEE engineering in medicine and biology society (EMBC), Jeju Island, South Korea, 2017, pp 2753–2756

    Google Scholar 

  14. Lu S, Zhao H, Ju K, Shin K, Lee M, Shelley K, Chon K (2008) Can photoplethysmography variability serve as an alternative approach to obtain heart rate variability information? J Clin Monit Comput 22:23–29

    Article  Google Scholar 

  15. Shahrbabaki SS, Ahmed B, Penzel T, Cvetkovic D (2016) Photoplethysmography derivatives and pulse transit time in overnight blood pressure monitoring. IEEE EMBC

    Google Scholar 

  16. Clifford GD et al (2017) Recent advances in heart sound analysis. Physiol Meas 38:E10–E25

    Article  Google Scholar 

  17. Ukil A, Bandyopadhyay S, Puri C, Singh R, Pal A (2018) Effective noise removal and unified model of hybrid feature space optimization for automated cardiac anomaly detection using phonocardiogram signals. ICASSP

    Google Scholar 

  18. Puri C, Ukil A, Bandyopadhyay S, Singh R, Pal A, Mukherjee A, Mukherjee D (2016) Classification of normal and abnormal heart sound recordings through robust feature selection. IEEE Comput Cardiol 43:1125–1128

    Google Scholar 

  19. Peng H, Long F, Ding C (2005) Feature selection based on mutual information: criteria of maxdependency, max-relevance, and min-redundancy. IEEE Trans Pattern Anal Mach Intell 27(8):1226–1238

    Article  Google Scholar 

  20. Bandyopadhyay S, Ukil A, Singh R, Puri C, Pal A, Murthy CA (2016). 3S: sensing sensor signal: demo abstract. Sensys

    Google Scholar 

  21. Ukil A, Bandyopadhyay S, Pal A (2015) Privacy for IoT: involuntary privacy enablement for smart energy systems. IEEE Int Confer Commun (ICC), London 2015:536–541. https://doi.org/10.1109/ICC.2015.7248377

    Article  Google Scholar 

  22. Bandyopadhyay S, Ukil A, Puri C, Singh R, Pal A, Mandana KM, Murthy CA (2016) An unsupervised learning for robust cardiac feature derivation from PPG signals. IEEE Inter Conf Eng Med Biol Soc (EMBC) 2016:740–743

    Google Scholar 

  23. Davies L, Gather U (1993) The identification of multiple outliers. J Am Stat Assoc 88:782–792

    Article  MathSciNet  Google Scholar 

  24. Chuah FC, Fu F (2007) ECG anomaly detection via time series analysis. ACM ISPA, pp 123–135

    Google Scholar 

  25. Nunes D et al (2015) A low-complex multi-channel methodology for noise detection in phonocardiogram signals. Conf Proc IEEE Eng Med Biol Soc 2015:5936–5939

    Google Scholar 

  26. Ukil A, Bandyopadhyay S, Puri C, Pal A (2016) Heart-trend: an affordable heart condition monitoring system exploiting morphological pattern. IEEE international conference on acoustics, speech and signal processing (ICASSP), pp 6260–6264

    Google Scholar 

  27. Lin W, Zhang H, Zhang Y (2013) Investigation on cardiovascular risk prediction using physiological parameters. Comput Math Methods Med 2013:1–21

    Google Scholar 

  28. Papadaniil CD, Hadjileontiadis LJ (2014) Efficient heart sound segmentation and extraction using ensemble empirical mode decomposition and kurtosis features. IEEE J Biomed Health Inform 18:1138–1152

    Article  Google Scholar 

  29. Seiffert C, Khoshgoftaar TM, Van Hulse J (2008) RUSBoost: improving classification performance when training data is skewed. ICPR, Washington, DC

    Google Scholar 

  30. Chawla N et al (2003) SMOTEBoost: improving prediction of the minority class in boosting. European Confe Princ Data Min Knowl Discov 2838:107–119

    Google Scholar 

  31. Yang CY, Yang JS, Wang JJ (2009) Margin calibration in svm class imbalanced learning. Neurocomputing 73(1–3):397–411

    Article  Google Scholar 

  32. Batuwita R, Palade V (2010) Fsvm-cil: fuzzy support vector machines for class imbalance learning. IEEE Trans Fuzzy Syst 18(3):558–571

    Article  Google Scholar 

  33. A. Ukil, S. Bandyopadhyay, C. Puri, R. Singh, A. Pal, K.M. Mandana, "CardioFit: Affordable Cardiac Healthcare Analytics for Clinical Utility Enhancement," Ehealth 360, LNICST, 2016

    Google Scholar 

  34. Schmidt SE, Holst-Hansen C, Hansen J, Toft E, Struijk JJ (2015) Acoustic features for the identification of coronary artery disease. IEEE Trans Biomed Eng 62:2611–2619

    Article  Google Scholar 

  35. Ukil A, Bandyopadhyay S, Pal A (2014) Iot-privacy: to be private or not to be private. IEEE conf Commun Workshops (INFOCOM WKSHPS)

    Google Scholar 

  36. Ukil A, Bandyopadhyay S, Pal A (2015) Privacy for IoT: involuntary privacy enablement for smart energy systems. IEEE Inter conf commun: London, 536–541 doi:10.1109/ICC.2015.7248377

    Google Scholar 

  37. Ukil A, Bandyopadhyay S, Pal A (2014) Sensitivity inspector: Detecting privacy in smart energy applications. IEEE Symposium on Computers and Communication (ISCC)

    Google Scholar 

  38. Ukil A (2011). Secure trust management in distributed computing systems. IEEE international symposium on electronic design, test and application (DELTA), pp 116–121

    Google Scholar 

  39. Ukil A, Jana D, De Sarkar A (2013) A security framework in cloud computing infrastructure. Int J Netw Secur Appl (IJNSA) 5(5)

    Article  Google Scholar 

  40. Ukil A, Sen J, Koilakonda S (2011) Embedded security for internet of things.In: 2nd National Conference on emerging trends and applications in computer science, Shillong, pp. 1–6

    Google Scholar 

  41. Sen J, Ukil A (2010) A secure routing protocol for wireless sensor networks. Computational science and its applications, pp 277–290

    Google Scholar 

  42. Kotz D, Gunter CA, Kumar S, Weiner JP (2016) Privacy and security in mobile health: a research agenda. Computer 49:22–30

    Article  Google Scholar 

  43. Cardiio Touchless Camera Pulse Sensor. [Online] Available: https://itunes.apple.com/us/app/cardiio-heart-rate-monitor/id542891434?mt=8. Accessed 20 Feb 2018

  44. Instant Heart Rate: HR Monitor, Pulse Tracker & Stress Test, Azumio Inc.: [Online] Available: https://itunes.apple.com/us/app/instant-heart-rate-hr-monitor/id409625068?mt=8. Accessed 20 Feb 2018

  45. Shyamkumar P, Rai P, Oh S, Ramasamy M, Harbaugh RE, Varadan V (2014) Wearable wireless cardiovascular monitoring using textile-based nanosensor and nanomaterial systems. Electronics 3:504–520

    Article  Google Scholar 

  46. Kakria P, Tripathi NK, Kitipawang P (2015) A real-time health monitoring system for remote cardiac patients using smartphone and wearable sensors. Int J Telemed Appl 3(3):504–520

    Google Scholar 

  47. Zheng YL et al (2014) Unobtrusive sensing and wearable devices for health informatics. IEEE Trans Biomed Eng 61(5):1538–1554

    Article  Google Scholar 

  48. Kim C et al (2016) Ballistocardiogram: mechanism and potential for unobtrusive cardiovascular health monitoring. Nature Scientific Reports, Article number:31297

    Google Scholar 

  49. Giovangrandi L, Inan OT, Wiard RM, Etemadi M, Kovacs GTA (2011) Ballistocardiography – a method worth revisiting. 33rd annual international conference of the IEEE engineering in medicine and biology society, pp 4279–4282

    Google Scholar 

  50. Chu L (2016) Medicine X 2016 sessions of interest to the Pharma and Life Sciences Industries. Stanford Med. https://medicinex.stanford.edu/2016-schedule/, https://medicinex.stanford.edu/2016-accepted-presentations/

  51. A. Ukil (2010). Privacy preserving data aggregation in wireless sensor networks. pp 435–440. IEEE international conference on wireless and mobile communications (ICWMC)

    Google Scholar 

  52. Shamir M, Eidelman LA, Floman Y, Kaplan L, Pi-zov R (1999) Pulse oximetry plethysmographic waveform during changes in blood volume. Br J Anaesth 82:178–181

    Article  Google Scholar 

  53. Brown G et al (2012) Conditional likelihood maximisation: a unifying framework for information theoretic feature selection. J Mach Learn Res 13:27–66

    MathSciNet  MATH  Google Scholar 

  54. Qardio.: [Online], Accessed on 20 February, Available: https://www.getqardio.com/

  55. Ukil A, Sen J (2010) Secure multiparty privacy preserving data aggregation by modular arithmetic. International conference on parallel distributed and grid computing (PDGC), pp 344–349

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arijit Ukil .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ukil, A., Bandyopadhyay, S. (2019). Automated Cardiac Health Screening Using Smartphone and Wearable Sensors Through Anomaly Analytics. In: Paiva, S. (eds) Mobile Solutions and Their Usefulness in Everyday Life. EAI/Springer Innovations in Communication and Computing. Springer, Cham. https://doi.org/10.1007/978-3-319-93491-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-93491-4_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93490-7

  • Online ISBN: 978-3-319-93491-4

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics