Abstract

Aim: In this study we have investigated the problem of cost effective wireless heart health monitoring from a service design perspective. Subject and Methods: There is a great medical and economic need to support the diagnosis of a wide range of debilitating and indeed fatal non-communicable diseases, like Cardiovascular Disease (CVD), Atrial Fibrillation (AF), diabetes, and sleep disorders. To address this need, we put forward the idea that the combination of Heart Rate (HR) measurements, Internet of Things (IoT), and advanced Artificial Intelligence (AI), forms a Heart Health Monitoring Service Platform (HHMSP). This service platform can be used for multi-disease monitoring, where a distinct service meets the needs of patients having a specific disease. The service functionality is realized by combining common and distinct modules. This forms the technological basis which facilitates a hybrid diagnosis process where machines and practitioners work cooperatively to improve outcomes for patients. Results: Human checks and balances on independent machine decisions maintain safety and reliability of the diagnosis. Cost efficiency comes from efficient signal processing and replacing manual analysis with AI based machine classification. To show the practicality of the proposed service platform, we have implemented an AF monitoring service. Conclusion: Having common modules allows us to harvest the economies of scale. That is an advantage, because the fixed cost for the infrastructure is shared among a large group of customers. Distinct modules define which AI models are used and how the communication with practitioners, caregivers and patients is handled. That makes the proposed HHMSP agile enough to address safety, reliability and functionality needs from healthcare providers.

Highlights

  • Heart Rate Variability (HRV) is a good indicator of human health, which can be used to detect Atrial Fibrillation (AF), sleep disorders, Cardiovascular Disease (CVD), and diabetes

  • We propose a smart Heart Health Monitoring Service Platform (HHMSP) based on HR signals

  • We address the need for a cost effective monitoring and diagnostic process that can be used for a wide range of non-communicable diseases, including AF, CVD, sleep disorders, and diabetes, in a safe and reliable way

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Summary

Introduction

Heart Rate Variability (HRV) is a good indicator of human health, which can be used to detect Atrial Fibrillation (AF), sleep disorders, Cardiovascular Disease (CVD), and diabetes. These non-communicable diseases cause major public health problems. HRV can be used for cost efficient and unobtrusive disease diagnosis and treatment monitoring. This technology has the potential to play a major role in systems which address these public health problems. The ECG measurement setup is more complex, and more resources are required to communicate and process the signal.

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