THESIS
2018
xii, 88 pages : illustrations (some color) ; 30 cm
Abstract
In this thesis a heart health monitoring wearable device was developed to allow for
convenient and frequent measurements of blood pressure (BP) and electrocardiogram
(ECG), together with an MI classification system to automatically classify ECG records
with MI.
The MI classifier performs multiclass classification to discriminate ECG records of MI
from healthy individuals, existing heart conditions, as well as records contaminated with
noise. The method was tested on a database with MI ECG records. It was found that
the addition of recurrent layer has improved classification sensitivity by 28.0% compared
to convolutional neural network alone. Overall, it has achieved 92.4% sensitivity, 97.7%
specificity, 97.2% positive predictive value, and 94.6% F1 score.
Pulse transit time (P...[
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In this thesis a heart health monitoring wearable device was developed to allow for
convenient and frequent measurements of blood pressure (BP) and electrocardiogram
(ECG), together with an MI classification system to automatically classify ECG records
with MI.
The MI classifier performs multiclass classification to discriminate ECG records of MI
from healthy individuals, existing heart conditions, as well as records contaminated with
noise. The method was tested on a database with MI ECG records. It was found that
the addition of recurrent layer has improved classification sensitivity by 28.0% compared
to convolutional neural network alone. Overall, it has achieved 92.4% sensitivity, 97.7%
specificity, 97.2% positive predictive value, and 94.6% F1 score.
Pulse transit time (PTT) has been a promising method to measure BP on wearable devices.
However, to achieve acceptable accuracy, subject specific and frequent calibration is
required. A novel calibration procedure was developed that can achieve accurate BP measurements
with longer calibration intervals. The performance of the proposed procedure
was tested on 10 subjects in a preliminary study, and on 33 subjects according to ESHIP and IEEE protocol. The results show that the new procedure has significantly improved
the measurement precision over the single point calibration procedure, and has met the requirements
of ESHIP. However, it was not sufficient to pass the test of induced BP changes
from the IEEE protocol. Therefore, the proposed method might only be suitable when the
subject is under a stable condition with recalibration once a week.
Under a business model of device sales and premium subscription services, which
users can receive personalised and data driven services from a nurse or a physician,
the market opportunity in Hong Kong alone is expected to reach a total net profit of
HK$82.4M in a 5 year period.
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