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Heart Rate Monitor (HRM) Measurement of HR • Plethysmograph or ECG techniques • ECG superior as distinguishable R peak • HR derived by – Sensors: Limb or chest electrodes – amplification of ECG – Measuring either the average or instantaneous time interval between two R peaks • Range 0-250 beats/min Methods • Average Calculation • Beat-to-Beat Calculation • Combination of Beat to Beat and averaging Average Calculation • Used in patient monitoring systems • No. of pulses in a given time Average beat/min • R-Wave pulse of fixed amplitude and duration average current from these pulses • Averaging or F – V circuit: to display avg., HR in beats/min • Diode pump circuit for F-V R wave Diff., Rect. Sharp pulse pulses Voltage across C2 : e= C V f R • Does not show changes in the time between pulses • Does not represent true picture of the heart Instantaneous (Beat-to-beat) monitoring • Facilitates detection of arrhythmias • Permits timely observation of cardiac emergencies • Time between two consecutive pulses measured formula converted to beats /min • Formula = 60/T, Where T R-R time interval Instantaneous HR monitors • Detection based on QRS complex • Sensitive to movement artifacts noise often triggers false alarm • Artifact removal filters • False rate alarm reduction by QRS matched filters QRS matched filters • 15 sample finite-impulse-response-filter • Filter gives max. O/P when similarly shaped waveforms are i/p • T waves produce suppressed O/P Modern HRM • Two elements – chest strap transmitter – wrist receiver or mobile phone • In early plastic straps – water or liquid was required to get good performance. • Later units – conductive smart fabric with built-in microprocessors for ECG analysis and HR determination Modern HRM • Radio pulse or a Unique Coded Signal (UCS) transmitted to receiver for every detected beat – UCS prevents cross-talk interference from nearby transmitters • New versions include Micro controller unit – ECG continuous monitoring and calculating the heart rate, and other parameters – may include accelerometers which can detect speed and distance Modern HRM Wrist strap/ wearable sensors Receiver Amplifier & Filter Demodulator Modulator Amplifier & Filter Transmitter MCU HR Advanced models • Advanced models measure – Heart rate variability & breathing rate – Wearable fabric HRM • Sensor fusion algorithms – allow these monitors to detect core temperature and dehydration Receiver • Various features – Average HR – time in a specific heart rate zone – calories burned, breathing rate – built-in speed and distance • Detailed logging can be downloaded to a computer.