title: Cardiac status assessment with a multi-signal device for improved home-based congestive heart failure management.
abstract: State-of-the-Art disease management for Congestive Heart Failure (CHF) patients is still based on easy-to-acquire measures such as heart rate (HR), weight and blood pressure (BP). However, these measures respond late to changes of the patient health status and provide limited information to personalize and adapt medication therapy. This paper describes our concept called "Cardiac Status Assessment" we have been investigating within the European project "HeartCycle" towards next-generation home-based disease management of CHF. In our concept we analyze non-invasive surrogate measures of the cardio-vascular function in particular systolic time intervals and pulse wave characteristics to estimate Cardiac Output (CO) and Systemic Vascular Resistance (SVR) both are established clinical measures. We discuss the underlying concept, a developed measurement system and first results.
authors.affiliation: Philips Research Europe, Eindhoven, The Netherlands. jens.muehlsteff@philips.com
authors.forename: Jens
authors.initials: J
authors.lastname: Muehlsteff
authors.forename: Paulo
authors.initials: P
authors.lastname: Carvalho
authors.forename: Jorge
authors.initials: J
authors.lastname: Henriques
authors.forename: Rui P
authors.initials: RP
authors.lastname: Paiva
authors.forename: Harald
authors.initials: H
authors.lastname: Reiter
mesh_terms: D056044:Actigraphy / Q000295:instrumentation*; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006326:Heart Auscultation / Q000295:instrumentation*; D006333:Heart Failure / Q000175:diagnosis* / Q000628:therapy*; D006699:Home Care Services; D018575:Home Care Services, Hospital-Based; D006801:Humans; D009426:Netherlands; D017156:Photoplethysmography / Q000295:instrumentation*; D010992:Plethysmography, Impedance / Q000295:instrumentation*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity