Modification of SMWT for remote heart’s functional capacity determination from oxygen consumption rate

Abstract

Cardiovascular disease (CVD) is series of diseases affects blood circulation and heart which are fatal to human being. CVD patients recorded that every each of them must have at least one among the following behavioural risks: smoking, diabetes, obesity, hypertension, high cholesterol, and sedentary lifestyle. The diagnosis for CVD is commonly through cardiac stress test. It is a test where electrocardiogram will be used to monitor heart activity under induced stress such as walking on treadmill. However, the facilities for the cardiac stress test are very limited and increasing number of patients with potential CVD caused a long queue for an appointment. This situation makes it hard for healthy people living with behavioral risk wanting for their heart to be checked. Therefore, in this paper, we proposed to determine heart functional capacity which can be done anywhere and sufficient to access heart condition. For this proposal, despite using treadmill-test, Six-Minutes Walking Test (SMWT) is utilized. SMWT induces stress while the heart’s endurance parameters such as heart rate is extracted. This study developed an integrated sensor device which comprises of a sensor to detect step count calculate distance, and a pulse sensor that detect heart rate. Then, oxygen consumption rate during the SMWT, is computed. Metabolic equivalent of task (MET) is equal to the oxygen consumption rate during activity over resting oxygen consumption rate. Heart functional capacity classification is about exercise intensity and the MET of SMWT can be compared to the classification which allows this paper to determine heart functional capacity remotely using SMWT. Based on the results, the heart’s functional capacity classification after performing SMWT using sensor device is Class 1, the same when using manual calculation for distance and heart rate. The device sensor somehow produce error at 20.63% when calculating oxygen uptake. Nevertheless, this paper is identified that the SMWT is able to classify the heart’s functional capacity.