Smartphone-Based Use of Phonocardiography Technique for Estimating Heart Rate and Heart Rate Variability: Performance Study

February 21, 2025 updated by: Dr. Joshua Wing-Kei Ho, The University of Hong Kong

This study aims to investigate the use of heart sound recordings, or phonocardiograms, recorded with smartphones' built-in microphones and accessory microphones to estimate heart rate (HR) and heart rate variability (HRV). HR refers to the number of heart beats per minute, while HRV refers to the variation in the intervals between heart beats.

Participants will have their heart sounds (phonocardiograms) recorded before and after exercise, and electrocardiogram (ECG) and photoplethysmogram (PPG) data recorded before, during, and after exercise to induce a wide range of HR.

Researchers will match the phonocardiograms, ECG, and PPG data to create a database for use in future training and testing of algorithms (including artificial intelligence (AI)).

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Joshua Ho, Ph.D.
  • Phone Number: +852 3917 9512
  • Email: jwkho@hku.hk

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Apparently healthy volunteers aged 18-69 recruited from the general public

Description

Inclusion Criteria:

  • With no tattoos on their body where a smartwatch will be placed

Exclusion Criteria:

  • Not ready to undertake physical activity as assessed by the Physical Activity Readiness Questionnaire (PAR-Q) derived from the Canadian Society for Exercise Physiology
  • Implanted active medical devices in the torso, such as pacemakers and defibrillators
  • Failure to collect baseline heart sound time series from ECG or both smartphone and auscultation pin before exercise

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Healthy Participants
Participants deemed ready for physical activity by the Physical Activity Readiness Questionnaire (PAR-Q)
Collection of computer algorithms called ausculto® that is designed to perform heart sound analysis to estimate heart rate and heart rate variability
Other Names:
  • ausculto®
  • Vitogram®
Participants will be requested to exercise to raise their HR over the resting range while heart-related physiological signals are collected.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
HR estimation
Time Frame: Day 0
The algorithm will estimate participants' HR from phonocardiograms at multiple timepoints. The concordance correlation coefficient, mean bias, and limits of agreement will be calculated for HR with ECG-derived HR as the gold standard.
Day 0
HRV estimation
Time Frame: Day 0
The algorithm will estimate participants' HRV from phonocardiograms at multiple timepoints. The absolute difference (error) in HRV estimation will be calculated with ECG-derived HRV as the gold standard.
Day 0

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Participants' comfort level for devices used in this study
Time Frame: Day 0
A survey will be given to participants after heart data collection to evaluate their preferences and comfort level when using the different devices to measure HR and HRV.
Day 0

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

March 1, 2025

Primary Completion (Estimated)

July 1, 2025

Study Completion (Estimated)

July 1, 2025

Study Registration Dates

First Submitted

February 21, 2025

First Submitted That Met QC Criteria

February 21, 2025

First Posted (Actual)

March 25, 2025

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

February 21, 2025

Last Verified

February 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • AUSC-HR

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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