Variation of Seismocardiogram-Derived Cardiac Time Intervals and Heart Rate Variability Metrics Across the Sternum

Cardiac time intervals (CTIs) are vital indicators of cardiac health and can be noninvasively assessed using a combination of electrocardiography (ECG) and seismocardiography (SCG), a method of capturing cardiac-induced chest vibrations via accelerometers. SCG signals can be measured from different chest locations. However, more investigations are needed to evaluate the impact of sensor placement on SCG-derived cardiac parameters. This study investigates the effect of accelerometer placement along the sternum on SCG-derived CTI estimations and heart rate variability (HRV) parameters. A semi-automated algorithm was developed to detect SCG fiducial points and seven CTIs from thirteen healthy individuals. Comparative analysis with manually selected peaks and gold-standard ECG was conducted to assess fiducial point detection accuracy. Results indicate the highest recall and precision in aortic valve opening (0.84–1.00 and 0.96–1.00, respectively) and mitral valve closure (0.77–1.00 and 0.93–1.00, respectively) detection. Aortic valve closure (0.43–1.00 and 0.61–1.00, respectively) and mitral valve opening (0.64–1.00 and 0.91–1.00, respectively) detection, although slightly less accurate due to signal intensity variations, demonstrated overall effectiveness compared to manually selected peaks. Furthermore, SCG-derived heart rates showed a high correlation coefficient (r > 0.9) with the gold-standard ECG heart rates. Single-factor ANOVA revealed significant differences (p < 0.05) in SCG-derived CTI estimations based on sensor locations on the sternum, highlighting the importance of sensor placement for accurate assessments.