Deep neural network valve detection for accelerometer based cardiac monitoring

Abstract Miniaturized accelerometers incorporated in pacing leads attached directly onto the heart provide a means for continuous monitoring of cardiac function. Several functional accelerometer indices first require detection of valve events. We previously developed a deep neural network to detect...

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Main Authors: Ali Wajdan, Vetle Christoffer Frostelid, Manuel Villegas-Martinez, Per Steinar Halvorsen, Magnus Reinsfelt Krogh, Ole Jakob Elle, Espen Wattenberg Remme
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-00845-2
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author Ali Wajdan
Vetle Christoffer Frostelid
Manuel Villegas-Martinez
Per Steinar Halvorsen
Magnus Reinsfelt Krogh
Ole Jakob Elle
Espen Wattenberg Remme
author_facet Ali Wajdan
Vetle Christoffer Frostelid
Manuel Villegas-Martinez
Per Steinar Halvorsen
Magnus Reinsfelt Krogh
Ole Jakob Elle
Espen Wattenberg Remme
author_sort Ali Wajdan
collection DOAJ
description Abstract Miniaturized accelerometers incorporated in pacing leads attached directly onto the heart provide a means for continuous monitoring of cardiac function. Several functional accelerometer indices first require detection of valve events. We previously developed a deep neural network to detect timing of aortic valve closure and opening. In this study we trained and tested the performance of the network to detect timing of mitral valve closure (MVC) and opening (MVO). Furthermore, we extracted four different functional indices based on the detected valve events and investigated how these indices reflected changes in cardiac function. The neural network was tested on approximately 5900 heartbeats from 289 recordings in a total of 46 animals with a cardiac accelerometer attached to the heart during various interventions that altered function. The neural network correctly detected MVO and MVC in 89.6% and 87.5% of the beats, respectively, with a mean absolute error of 13 ms between the detected values and the annotated targets for both. The functional indices correlated well with measured left ventricular stroke work (0.67 < r < 0.84) and showed expected changes for the different interventions. Hence, automatic detection of valve events is feasible and facilitates improved cardiac monitoring when using implanted cardiac accelerometers.
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spelling doaj-art-db1bbcdd04484b9ba517bae61cd5690c2025-08-20T01:53:23ZengNature PortfolioScientific Reports2045-23222025-05-0115111410.1038/s41598-025-00845-2Deep neural network valve detection for accelerometer based cardiac monitoringAli Wajdan0Vetle Christoffer Frostelid1Manuel Villegas-Martinez2Per Steinar Halvorsen3Magnus Reinsfelt Krogh4Ole Jakob Elle5Espen Wattenberg Remme6The Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalThe Intervention Centre, Oslo University HospitalAbstract Miniaturized accelerometers incorporated in pacing leads attached directly onto the heart provide a means for continuous monitoring of cardiac function. Several functional accelerometer indices first require detection of valve events. We previously developed a deep neural network to detect timing of aortic valve closure and opening. In this study we trained and tested the performance of the network to detect timing of mitral valve closure (MVC) and opening (MVO). Furthermore, we extracted four different functional indices based on the detected valve events and investigated how these indices reflected changes in cardiac function. The neural network was tested on approximately 5900 heartbeats from 289 recordings in a total of 46 animals with a cardiac accelerometer attached to the heart during various interventions that altered function. The neural network correctly detected MVO and MVC in 89.6% and 87.5% of the beats, respectively, with a mean absolute error of 13 ms between the detected values and the annotated targets for both. The functional indices correlated well with measured left ventricular stroke work (0.67 < r < 0.84) and showed expected changes for the different interventions. Hence, automatic detection of valve events is feasible and facilitates improved cardiac monitoring when using implanted cardiac accelerometers.https://doi.org/10.1038/s41598-025-00845-2
spellingShingle Ali Wajdan
Vetle Christoffer Frostelid
Manuel Villegas-Martinez
Per Steinar Halvorsen
Magnus Reinsfelt Krogh
Ole Jakob Elle
Espen Wattenberg Remme
Deep neural network valve detection for accelerometer based cardiac monitoring
Scientific Reports
title Deep neural network valve detection for accelerometer based cardiac monitoring
title_full Deep neural network valve detection for accelerometer based cardiac monitoring
title_fullStr Deep neural network valve detection for accelerometer based cardiac monitoring
title_full_unstemmed Deep neural network valve detection for accelerometer based cardiac monitoring
title_short Deep neural network valve detection for accelerometer based cardiac monitoring
title_sort deep neural network valve detection for accelerometer based cardiac monitoring
url https://doi.org/10.1038/s41598-025-00845-2
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