LubDubDecoder: Bringing Micro-Mechanical Cardiac Monitoring to Hearables

Abstract: We present LubDubDecoder, a system that enables fine-grained monitoring of micro-cardiac vibrations associated with the opening and closing of heart valves across a range of hearables. Our system transforms the built-in speaker, the only transducer common to all hearables, into an acoustic sensor that captures the coarse "lub-dub" heart sounds, leverages their shared temporal and spectral structure to reconstruct the subtle seismocardiography (SCG) and gyrocardiography (GCG) waveforms, and extract the timing of key micro-cardiac events. In an IRB-approved feasibility study with 18 users, our system achieves correlations of 0.88-0.95 compared to chest-mounted reference measurements in within-user and cross-user evaluations, and generalizes to unseen hearables using a zero-effort adaptation scheme with a correlation of 0.91. Our system is robust across remounting sessions and music playback.