An influence of a human body position on ECG derived respiration (EDR) signal is presented in the paper. Examinations were performed during deep, suspended and normal breathing for eight people in four different body positions. EDR and thoracic impedance signals were compared using correlation and standard deviation coefficients. Obtained results have shown that it is possible to monitor breath activity of people being in different position, however a precise interpretation of the obtained signal is limited.
Respiration-induced signals contain a clinically significant information. It could be obtained utilizing both direct and indirect methods. ECG-Derived Respiration (EDR) method is the latter one. However, in this case, two approaches could be distinguished. First one is based on determining changes in the morphology of QRS complexes while the second one is based on the Respiratory Sinus Arrhythmia (RSA) mechanism. The former approach is discussed in the paper. The basic properties of QRS morphology-based EDR signal were evaluated by means of simulations performed using a developed FEM model and appropriate experiments. In effect, basing on changes of the leads' voltages induced by a heart translation or rotation, or by both mechanisms undergoing simultaneously, the sensitivity-like surfaces and the synthetic EDR signals were obtained. A very good agreement of the experimental and simulation results was achieved. The QRS morphology-based signal's properties strongly depend on geometrical relation of the used lead to dominating direction of the heart translation, its rotation, and on personal relation between these two mechanisms. The conclusions presented should be taken into account especially when developing or using QRS morphology-based approach in respiratory monitoring systems.INDEX TERMS Electrocardiography (ECG), ECG-derived respiration (EDR), respiration monitoring.
Abstract-The paper presents an alternative approach to the monitoring of the cardiovascular system. The study depicts configurations of the utilized system and preliminary results of electrical and mechanical parameters of the cardiac system which can be measured using a head-worn device.
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