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Case Study S009
2016 Release

Landreani 2016: Beat-to-beat HR by Smartphone

Federica Landreani et al.
Access Paper

Quick Conclusion: S009 is an early but rigorous validation (EMBC 2016) of using commodity smartphones for SCG. It laid the groundwork for OpenSCG by proving that the internal sensors of a modern phone are sensitive enough to match the temporal precision of a professional ECG, provided the phone is positioned correctly.


📊 Key Accuracy Metrics

MetricResult
Accuracy (Supine)> 98%
Linear Correlation (r2)> 0.98
Feasibility (POS1 Thorax)100% in Supine, 78% in Standing
Limits of Agreement±20 ms (Supine Thorax)


🔍 Study Analysis

Objective & Population

Technical Feasibility & Validation Study. Cohort: 9 healthy male volunteers (Age 25 ± 2) (N=9).

What it Supports

The study supports the use of standard smartphone accelerometers (specifically iPhone 6) to measure heart rate with 98%+ accuracy. It identifies the thorax (cardiac apex) as the optimal position for the phone to maximize signal-to-noise ratio and feasibility.

What it Does Not Support

The study does not provide evidence for reliable monitoring in non-resting states or in subjects with cardiac pathologies. It also shows that the navel position and standing posture are less reliable than the thoracic supine position.


🛠 Technical Context

Featured Illustration

Fig. 5. Linear correlation and Bland-Altman between the gold standard RR measures from the ECG and the IVC-IVC or J-J measures from the SCG  signal, in supine posture for POS1 and POS2, and in standing for POS1.

Fig. 5. Linear correlation and Bland-Altman between the gold standard RR measures from the ECG and the IVC-IVC or J-J measures from the SCG signal, in supine posture for POS1 and POS2, and in standing for POS1.

Study Snapshot

Metadata Summary

Target Population

9 healthy male volunteers (Age 25 ± 2)

N

Sample Size

9 Subjects

Validated Metric

> 98%

Critical Appraisal
supporting

Proven feasibility of high-accuracy beat-to-beat heart rate extraction using consumer smartphone accelerometers in resting supine position.