Development of a smart garment for the assessment of cardiac mechanical performance and other vital signs during sleep in microgravity

Abstract Several aspects of sleep physiology in microgravity are still unclear. In the frame of the Wearable Monitoring project, part of the Futura Mission of the Italian Space Agency, we developed a new smart garment (MagIC-Space) for the monitoring of the cardiac mechanical activity and other vital signs during sleep in space missions. The system is composed of 4 components: 1) a sensorized vest, including textile sensors for the detection of ECG and respiratory frequency, 2) an electronic module, collecting data from the vest and including two accelerometers for the seismocardiogram measure, from which indexes of cardiac mechanics are derived on a beat-to-beat basis, 3) an external probe for the assessment of the thorax skin temperature, and 4) a battery unit for the system power supply. From January till June 2015 seven inflight sleep recordings were made aboard the International Space Station by using two MagIC-Space systems. Data were collected to investigate the cardiovascular effects of microgravity during sleep. The positive performance aboard and the good quality of the recorded signals (>96% of the collected data could be used for the subsequent analyses), validate the proposed system architecture and support its possible exploitation in future flights and on Earth.

[1]  G. Parati,et al.  Evaluation of a textile-based wearable system for the electrocardiogram monitoring in cardiac patients. , 2013, Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology.

[2]  G Parati,et al.  Linear and Fractal Heart Rate Dynamics during Sleep at High Altitude , 2010, Methods of Information in Medicine.

[3]  Chiaki Mukai,et al.  The space-flight environment: the International Space Station and beyond , 2009, Canadian Medical Association Journal.

[4]  A. R. Elliott,et al.  Sleep, performance, circadian rhythms, and light-dark cycles during two space shuttle flights. , 2001, American journal of physiology. Regulatory, integrative and comparative physiology.

[5]  Marco Di Rienzo,et al.  An algorithm for the beat-to-beat assessment of cardiac mechanics during sleep on Earth and in microgravity from the seismocardiogram , 2017, Scientific Reports.

[6]  Francesco Rizzo,et al.  Textile Technology for the Vital Signs Monitoring in Telemedicine and Extreme Environments , 2010, IEEE Transactions on Information Technology in Biomedicine.

[7]  Peter J. Hannan,et al.  Relationship between seismocardiogram and echocardiogram for events in the cardiac cycle , 1994 .

[8]  Jinhua Sun,et al.  Lithium Ion Battery Fire and Explosion , 2005 .

[9]  Kenta Ito,et al.  Contractile Reserve and Calcium Regulation Are Depressed in Myocytes From Chronically Unloaded Hearts , 2003, Circulation.

[10]  Kouhyar Tavakolian,et al.  Ballistocardiography and Seismocardiography: A Review of Recent Advances , 2015, IEEE Journal of Biomedical and Health Informatics.

[11]  Eero Lehtonen,et al.  Gyrocardiography: A New Non-invasive Monitoring Method for the Assessment of Cardiac Mechanics and the Estimation of Hemodynamic Variables , 2017, Scientific Reports.

[12]  P. Castiglioni,et al.  Advancements in the Monitoring of Cardiorespiratory Function in Active People by Textile Technology , 2009 .

[13]  Peter Ott,et al.  Accelerometer‐Derived Time Intervals during Various Pacing Modes in Patients with Biventricular Pacemakers: Comparison with Normals , 2007, Pacing and clinical electrophysiology : PACE.

[14]  Olivier White,et al.  Towards human exploration of space: the THESEUS review series on cardiovascular, respiratory, and renal research priorities , 2016, npj Microgravity.

[15]  F. Rizzo,et al.  Wearable seismocardiography: Towards a beat-by-beat assessment of cardiac mechanics in ambulant subjects , 2013, Autonomic Neuroscience.