KAIST

< (From left) Professor Chul Kim of the Department of Bio and Brain Engineering, Ph.D. candidate Minjae Kim, researcher Premravee Teeravichayangoon >

KAIST's research team has developed a technology that can measure electrocardiogram (ECG) and heart rate variability (HRV) in real time by simply lying on a bed with clothes on, without having to go to the hospital. This technology is expected to evolve into a daily heart health monitoring platform in conjunction with remote healthcare, and further expand into various bio-healthcare fields such as sleep and stress analysis, contributing to personalized prevention and early diagnosis for patients.

KAIST announced on the 19th that Professor Chul Kim's research team from the Department of Bio and Brain Engineering has developed an 'in-bed cardiac monitoring on-device system'.

The research team manufactured a flexible substrate sensor that integrates the electronic circuit and electrodes into one to increase precision, and implemented an integrated system that can perform signal-noise separation, heart beat signal (R-peak) detection, and heart rate variability analysis in real time through on-device signal processing.

Existing ECG measurement had the inconvenience of visiting a hospital, taking off clothes, and attaching wet electrodes to the skin. Because of this, long-term monitoring was difficult, and it was not easy for the elderly or patients with chronic diseases to use it daily. Non-contact methods also had a technical limitation of being vulnerable to external noise.

To solve these problems, the research team applied a circuit that blocks external noise (active shielding) and a circuit that stably captures minute current changes in the human body (right-leg drive circuit). In addition, they implemented a mathematical transformation technique (wavelet transform) that extracts only the important parts from the heart beat signal and a calculation method (peak detection algorithm) that accurately identifies the moment of the heart's electrical beat (R-peak) as on-device signal processing techniques, allowing for precise real-time analysis of the signal.

As a result, users can obtain stable and accurate ECG signals even when lying on their backs with clothes on.

< Figure. Overall structural diagram of the developed non-contact in-bed cardiac monitoring on-device system, schematic diagram of the R-peak detection algorithm, real-time ECG and HRV measurement screen >

This research presents new possibilities for managing chronic cardiovascular diseases and supporting the health of the elderly, as it can be easily used not only in hospitals but also at home.

Professor Chul Kim said, "This system, which can extract signals in real time even in a noisy environment, can be used to easily check heart health in daily life," and added, "In the future, it will become the foundation of sleep health management by adding the measurement of various bio-signals."

This paper, in which Ph.D. candidate Minjae Kim and researcher Premravee Teeravichayangoon from the Department of Bio and Brain Engineering participated as co-first authors, was published online in the international journal 'Biosensors and Bioelectronics' on August 9, 2025.

※ Paper title: A homecare in-bed hardware system for precise real-time ECG and HRV monitoring with layered clothing. DOI: https://doi.org/10.1016/j.bios.2025.117838

※ Author information: Minjae Kim (KAIST Department of Bio and Brain Engineering, First Author), Premravee Teeravichayangoon (KAIST Department of Bio and Brain Engineering, First Author), Chul Kim (KAIST Department of Bio and Brain Engineering, Corresponding Author)

Meanwhile, this research was carried out with the support of the National Research Foundation of Korea's Basic Research Lab and Bio-medical Technology Development Project, and the KAIST-Ceragem Future Healthcare Research Center.