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Background: The vibrocardiography (VBCG) is a laser-based technique to monitor the heart rhythm without any contact to the body. The aim of this study was to evaluate whether the VBCG is able to detect the vibration patterns of the atria. Methods: Simultaneous recordings of the ECG and VBCG in two cohorts were evaluated. Results: The VBCG delivered a robust vibration pattern of the atrial contraction. A reliable determination of the interval and the different stages of an atrioventricular block was possible. Conclusion: This is the first study that demonstrates the feasibility of a noncontact registration of the atrial vibration pattern. It enables a reliable determination of the atrioventricular interval. The VBCG can, therefore, serve as full noncontact monitoring.

The aim of the present work is to establish a protocol for monitoring the cardiac activity measuring the skin surface vibrations of the main neck vessels, caused by vascular wall motion in carotid artery. The method is based on the optical recording of the movements of the neck by means of laser Doppler interferometry. The ECG signal and the velocity of vibration of the skin in correspondence of the carotid artery (named optical vibrocardiography: VCG) have been simultaneously recorded on five healthy subjects. Standard heart rate variability tests have been carried out. The capability of VCG signals to be used as a surrogate of the ECG in assessing both cardiac rate and heart rate variability (HRV) has been tested using time and spectral descriptors, and specific statistical analysis. Mean differences have been found lower than 3.13%. Optical vibrocardiography might be a simple approach to the clinical practice of cardiovascular screening, in particular in harsh environment, such as MR clinical practice, where ECG recordings are corrupted by artefacts and ECG cables might represent an hazard for the patients.

In this paper we report experimental data obtained using a novel, non contact and unified approach for the monitoring of some important vital parameters: Heart Rate, Heart Rate Variability, Respiration Rate, Filling Time, Pulse Transit Time. The measurement approach - named optical vibrocardiography (VCG) - has been recently described by some of the authors for what concerns the assessment of a single parameter or measurement and technical aspects. Here, we discuss the experimental setup realized to operate optical VCG in order to measure the previously cited vital parameters. We present two novel configurations for the assessment of the respiration rate and the pulse transit time. The quantities measured by optical VCG have been compared with the ones measured with golden standard instrumentations; the comparison reference instruments has shown differences with no statistical and clinical significance. Optical VCG therefore can be considered a valid, fully non-contact measurement method for the assessment of vital signs, with the additional advantage that such parameters can be assessed using one single instrument instead of a set of dedicated devices.

Laser Doppler vibrometry has been recently applied for non-contact monitoring of the cardiac activity, both in terms of cardiac rate and heart rate variability, measuring the velocity of the skin surface of the chest wall and the neck (optical Vibrocardiography, VCG). To go further insight in the analysis of VCG recordings, in this study authors have compared heart sounds by digital Phonocardiography (PCG) with the motion of the skin on the chest wall by optical VCG, the final aim being the identification of some events of cardiac mechanics in the VCG signals. PCG and VCG traces were synchronously recorded on 10 healthy subjects, along with ECG. To reach this goal, multiresolution analysis together with Hilbert transforms for envelope calculation on PCG and VCG have been applied, temporal and morphological features were extracted from the signals. Data collection and signal processing allowed us to identify some events of cardiac mechanics, correlating the heart sounds relative to the closure of the mitral valve, and the following closure of the aortic and pulmonary valve with characteristic deflections identifiable on VCG traces.

1. Precordial low-frequency vibrocardiograms were studied in 32 patients with aortic insufficiency.2. Each deflection of the apical tracing had a definite correlation with the clinical status of the left ventricular overloading. With the severity of the disease an atrial upstroke increased, an ejection downstroke decreased and a mid-systolic abnormal outward movement (bulge) appeared or increased. Grades of apex beat had also a correlative relationship with the functional status of this disease.3. The difference of apical tracing between our record and another report in aortic insufficiency was discussed and demonstrated.4. The atrial deflection of the cases with Austin Flint murmur would supply interesting data, compared with mitral stenosis.