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Abstract—This paper describes experimental results for an intervals in internal memory, and calculates the RR interval his-
application-specific integrated circuit (ASIC), designed for digital togram. The very-high definition language (VHDL) simulation
heart rate variability (HRV) parameter monitoring and assess- in [9] showed that the design was able to detect R waves within
ment. This ASIC chip measures beat-to-beat (RR) intervals and
stores HRV parameters into its internal memory in real time. A millisecond accuracy after 2 s of initial setup time for ten se-
wide range of short-term and long-term ECG signals obtained lected electrocardiography (ECG) traces obtained from Phys-
from Physionet was used for testing. The system detects R peaks ionet’s PTB Diagnostic ECG Database [10]. This integrated cir-
with millisecond accuracy, and stores up to 2 min of continuous cuit (IC) was designed in a low-cost 0.5- m CMOS technology,
RR interval data and up to 4 min of RR interval histogram. with an area of less than 3 3 mm and a measured dynamic
mm
The prototype chip was fabricated in a 0.5- m complementary
metal–oxide semiconductor technology on a 3 3 2 die power consumption of 10 W. The chip’s measured leakage
area, with a measured dynamic power consumption of 10 W current is 2.62 nA. The advantages of using the ASIC include
and measured leakage current of 2.62 nA. The HRV monitoring significant power savings compared to even a low-powered mi-
system including this HRV ASIC, an analog-to-digital converter, crocontroller with similar functionality. An HRV monitoring
and a low complexity microcontroller was estimated to consume system, including an HRV ASIC, an ADC, and a low-com-
32.5 V, which is seven times lower power than a stand-alone
microcontroller performing the same functions. Compact size, low plexity microcontroller would use less power (by a factor of
cost, and low power consumption make this chip suitable for a seven) than one by using a low-power microcontroller for all
miniaturized portable HRV monitoring system. functions. This chip detected the RR intervals of more than 6
Index Terms—Biomedical measurements, biomedical mon-
ms accurately when tested against a wide range of signals from
itoring, electrocardiography, heart-rate variability (HRV), Physionet database. In addition, the RR intervals were correctly
beat-to-beat (RR) interval. sorted into histogram bins, thus providing a precise HRV trian-
gular index.
Sections II–VI present the HRV ASIC architectural design,
I. INTRODUCTION system power considerations, and experimental chip test results
by using short-term and long-term ECG data as well as Doppler
EART rate variability (HRV) is becoming an important radar data.
H diagnostic tool for a number of medical conditions, in-
cluding diabetes [1], sleep apnea [2], and cardiovascular disease II. HRV ASIC DESIGN
[3]. In addition, HRV has been used for psychological studies of
stress [4] and for the evaluation of impact of therapy [5]. HRV HRV time-domain measures, which can be simply calculated
measurements are traditionally calculated by using embedded from the RR interval data or the instantaneous heart rate, in-
software [6]–[8]. A compact, low-power, real-time HRV assess- clude the measures of the mean of RR intervals (mean RR),
ment system could further enable and expand HRV diagnostic the standard deviation of normal RR intervals (SDNN), and the
applications. An HRV ASIC chip design for heart-rate extrac- root-mean-square (rms) differences of successive RR intervals
tion was proposed in [9]. This ASIC extracts beat-to-beat (RR) (RMSDD) [1]. Another time-domain measure that proves to be
intervals by using a simple peak detection algorithm, stores RR useful to identify heart conditions is the triangular index, which
can be extracted on the basis of a histogram of RR interval
data. The design presented here focuses on this HRV param-
Manuscript received December 22, 2008; revised April 20, 2009. Current ver- eter extraction in real time. This chip could enable HRV system
sion published January 27, 2010. This work was supported in part by the Na-
tional Science Foundation under Grants #ECS0428975 and #ECS0702234. This miniaturization for ambulatory HRV monitoring, by processing
paper was recommended by Associate Editor T. Le. and storing RR intervals, or serve as a preprocessing front end
W. Massagram is with the Department of Computer Science and Informa-
tion Technology, Naresuan University, Phitsanulok 65000, Thailand (e-mail:
that could allow a higher capability microcontroller with clock-
wansureem@nu.ac.th). gated random-access memory (RAM) for data storage to spend
N. Hafner, L. Macchiarulo, V. M. Lubecke, and O. Boric-Lubecke are most of the time in a low-power sleep mode. Fig. 1 shows the
with the Electrical Engineering Department, University of Hawaii, Hon-
olulu, HI 96822 USA (e-mail: nmh+ieee@nomh.org; lucam@hawaii.edu;
proposed HRV monitoring system by using an ADC, an HRV
lubecke@ieee.org, olga@ieee.org). ASIC, and a low-complexity microcontroller. The ECG signal
M. Chen is with the Department of Electrical and Computer Engineering, is digitized into a 16-b signal and sent to the HRV ASIC. A
University of Florida, Gainesville, FL 32611 USA (e-mail: mingqi@ufl.edu). microcontroller manages the timing of the ADC, data transfer
Color versions of one or more of the figures in this paper are available online
at http://ieeexplore.ieee.org. from the chip, and output of the heart rate and derivative data
Digital Object Identifier 10.1109/TBCAS.2009.2035555 via a built-in display.
1932-4545/$26.00 © 2010 IEEE
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20 IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS, VOL. 4, NO. 1, FEBRUARY 2010
(1)
sample (2)
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MASSAGRAM et al.: DIGITAL HEART-RATE VARIABILITY PARAMETER MONITORING AND ASSESSMENT ASIC 21
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22 IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS, VOL. 4, NO. 1, FEBRUARY 2010
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MASSAGRAM et al.: DIGITAL HEART-RATE VARIABILITY PARAMETER MONITORING AND ASSESSMENT ASIC 23
TABLE III
PERCENTAGE OF DETECTED R WAVES FROM TEN SHORT-TERM PTB DIAGNOSTIC ECG TRACES
TABLE IV
RMSE [MS] OF RR INTERVALS OF TEN SHORT-TERM PTB DIAGNOSTIC ECG
2
TRACES EXTRACTED FROM HRV IC 128 8 INTERVAL MEMORY
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24 IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS, VOL. 4, NO. 1, FEBRUARY 2010
TABLE V
HRV TRIANGULAR INDEX MEASUREMENTS OF TEN SHORT-TERM PTB DIAGNOSTIC
ECG TRACES EXTRACTED FROM HRV IC HISTOGRAM MEMORY
generated from the MATLAB reference for each signal. The V. POWER CONSUMPTION CONSIDERATIONS
index generating software used the same parameters as the HRV In small portable systems, power consumption is a signifi-
chip. The average of the percentage accuracy (each calculated as cant concern because the available energy is limited due to size
) of histogram from these ECG traces and convenience. In this section, the estimated power consump-
was 96.44%. tion of the proposed ASIC-based HRV system will be compared
The interval memory has space for storing 127 inter- with a possible alternative solution based on a low-power mi-
vals—enough for about two minutes of recording at an average crocontroller. The two designs considered are a single-chip so-
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MASSAGRAM et al.: DIGITAL HEART-RATE VARIABILITY PARAMETER MONITORING AND ASSESSMENT ASIC 25
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26 IEEE TRANSACTIONS ON BIOMEDICAL CIRCUITS AND SYSTEMS, VOL. 4, NO. 1, FEBRUARY 2010
[15] S. Yamada, M. Chen, and V. Lubecke, “Sub- signal power doppler W Victor M. Lubecke (S’86–M’86–SM’98) received
radar heart rate detection,” in Proc. Asia–Pacific Microw. Conf., 2006, the B.S.E.E. degree from the California Polytechnic
pp. 51–54. Institute, Pomona, in 1986, and the M.S. and Ph.D.
[16] Microchip 18lf4580. [Online]. Available: http://ww1.microchip.com/ degrees in electrical engineering from the California
downloads/en/devicedoc/39637c.pdf Institute of Technology, Pasadena, in 1990 and 1995,
[17] Analog Device 7467. [Online]. Available: http://www.analog.com/up- respectively.
loadedfiles/data sheets/ad7466 7467 7468.pdf Prior to joining the Department of Electrical Engi-
neering, University of Hawaii at Manoa, Honolulu, as
an Associate Professor in 2003, he was with Bell Lab-
oratories, Lucent Technologies, where his research
Wansuree Massagram received the B.S. and M.S. focused on sensing and monitoring technologies for
degrees in electrical and computer engineering from biomedical and industrial applications and on microelectromechanical systems
Carnegie Mellon University, Pittsburgh, PA, and the (MEMS) and 3-D wafer-scale integration technologies for wireless and optical
Ph.D. degree from the University of Hawaii at Manoa communications. Previously, he was with the NASA Jet Propulsion Laboratory
in 2008. from 1987 through 1996 and the Institute for Physical and Chemical Research
Her research topic was on the feasibility of (RIKEN), Sendai, Japan, from 1996 through 1998, where his research involved
long-term cardiopulmonary monitoring via Doppler remote sensing and space communications applications and related MEMS and
radar. She joined the Department of Computer terahertz technologies. His current research interests include sense-through-the-
Science and Information Technology at Naresuan wall and other remote sensing and imaging technologies, biomedical applica-
University, Thailand, in 2008. tions, sensor networks, MEMS, heterogeneous integration, and microwave/ter-
ahertz radio. He holds 4 U.S. patents, with several more pending.
Dr. Lubecke received the Microwave Prize for best paper at the Asia Pa-
cific Microwave Conference in 2000, and coauthored student competition pa-
pers which were selected for Honorable Mention at IMS-2001, Third Place at
Noah Hafner received the B.S. and M.S. degrees in EMBS-2001, First Place at IMS-2003, and competition finalist at RWS-2006.
electrical and computer engineering from Carnegie He was also co-recipient of the Emerging Technology Award at TechConnect
Mellon University, Pittsburgh, PA, in 2002 and 2003, 2007, and cofounded a related startup company which is now Kai Sensors. He
respectively. is a Distinguished Microwave Lecturer (2006–2008) of the IEEE Microwave
Prior to joining the doctoral program at the Theory and Techniques Society, and serves on the Technical and Steering Com-
University of Hawaii at Manoa, Honolulu, he served mittees for various IEEE and SPIE symposia.
as the Test Engineer at Akustica, Inc, a Pittsburgh,
PA-based startup where he developed hardware
and software for testing and characterizing the
microelectromechanical-systems microphones from
Olga Boric-Lubecke (S’90–M’90–SM’01) received
wafers to packaged units. Previously, he was with
the B.Sc. degree in electrical engineering from the
National Instruments, Inc, focusing on the development of improved SCC
University of Belgrade, Belgrade, Yugoslavia, in
hardware modules. His research areas include biological sensing and radar
1989, the M.S. degree in electrical engineering from
characterization as well as low-cost, mimo, multistatic, passive radar systems
the California Institute of Technology, Pasadena, in
and networked radar sensors.
1990, and the Ph.D. degree in electrical engineering
from the University of California at Los Angeles, in
1995.
Prior to joining the Department of Electrical Engi-
Mingqi Chen (S’05) received the B.S. degree neering, University of Hawaii at Manoa, Honolulu,
in electrical engineering from Peking University, where she is currently an Associate Professor, she
Beijing, China, in 2003, the M.S. degree in elec- was a Member of the Technical Staff at Bell Laboratories, Lucent Technolo-
trical engineering from University of Hawaii at gies, Murray Hill, NJ, where she conducted research in radio-frequency (RF)
Manoa, Honolulu, in 2006, and is currently pur- integrated-circuit (IC) technology and biomedical applications of wireless sys-
suing the Ph.D. degree at the University of Florida, tems. From 1996 to 1998, she was a Visiting Research Scientist with the Insti-
Gainesville, working on a 20-GHz ultrawideband tute of Physical and Chemical Research (RIKEN), Sendai, Japan. From 1995
receiver. to 1996, she was a Resident Research Associate with the National Aeronautics
In 2005, he held an internship position with Bell and Space Administration (NASA) Jet Propulsion Laboratory (JPL), Pasadena.
Laboratories, Murray Hill, NJ, where he worked on She has authored or coauthored many journal and conference papers, and her re-
the cellular RF signal inbuilding distribution system. search has been featured in various newspapers, magazines, and radio programs.
His main research interests include analog/RF and digital integrated-circuit Her current research interests include silicon RF ICs, high-frequency ICs, and
design. biomedical applications.
Prof. Boric-Lubecke serves on Technical Program and Steering Committees
for various IEEE and SPIE symposia. She coauthored student competition pa-
pers which were selected for Honorable Mention at IMS-2001, Third Place at
Luca Macchiarulo received the M.Sc. and Ph.D. de- EMBS-2001, First Place at IMS-2003, and competition finalist at RWS-2006.
grees from Politecnico di Torino, Torino, Italy. She was also co-recipient of the Emerging Technology Award at TechConnect
After a year of postdoctoral research at the Univer- 2007, and co-founded a related startup company which is now Kai Sensors.
sity of California at Santa Barbara, where he worked
on layout-logic synthesis for high throughput and
design, he went to Politecnico di Torino where he
was Researcher and Lecturer and worked in the
group on low-power design and layout synthesis,
and subsequently worked on injection techniques
and throughput-enhancing logic and physical design.
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