Accuracy of continuous photoplethysmography-based 1 min mean heart rate assessment during atrial fibrillation
| Autor: | Astrid N L Hermans, Jonas L Isaksen, Monika Gawalko, Nikki A H A Pluymaekers, Rachel M J van der Velden, Hilco Snippe, Stijn Evens, Glenn De Witte, Justin G L M Luermans, Martin Manninger, Joost Lumens, Jørgen K Kanters, Dominik Linz |
|---|---|
| Přispěvatelé: | Cardiologie, RS: Carim - H08 Experimental atrial fibrillation, RS: Carim - H01 Clinical atrial fibrillation, MUMC+: MA Med Staf Artsass Cardiologie (9), MUMC+: MA Med Staf Spec Cardiologie (9), RS: Carim - H07 Cardiovascular System Dynamics, Biomedische Technologie |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Hermans, A N L, Isaksen, J L, Gawalko, M, Pluymaekers, N A H A, van der Velden, R M J, Snippe, H, Evens, S, De Witte, G, Luermans, J G L M, Manninger, M, Lumens, J, Kanters, J K & Linz, D 2023, ' Accuracy of continuous photoplethysmography-based 1 min mean heart rate assessment during atrial fibrillation ', Europace, vol. 25, no. 3, pp. 835–844 . https://doi.org/10.1093/europace/euad011 EP Europace, 25(3), 835-844. Oxford University Press |
| ISSN: | 1099-5129 |
| Popis: | Aims Although mobile health tools using photoplethysmography (PPG) technology have been validated for the detection of atrial fibrillation (AF), their utility for heart rate assessment during AF remains unclear. Therefore, we aimed to evaluate the accuracy of continuous PPG-based 1 min mean heart rate assessment during AF. Methods and results Persistent AF patients were provided with Holter electrocardiography (ECG) (for ≥24 h) simultaneously with a PPG-equipped smartwatch. Both the PPG-based smartwatch and Holter ECG automatically and continuously monitored patients’ heart rate/rhythm. ECG and PPG recordings were synchronized and divided into 1 min segments, from which a PPG-based and an ECG-based average heart rate estimation were extracted. In total, 47 661 simultaneous ECG and PPG 1 min heart rate segments were analysed in 50 patients (34% women, age 73 ± 8 years). The agreement between ECG-determined and PPG-determined 1 min mean heart rate was high [root mean squared error (RMSE): 4.7 bpm]. The 1 min mean heart rate estimated using PPG was accurate within ±10% in 93.7% of the corresponding ECG-derived 1 min mean heart rate segments. PPG-based 1 min mean heart rate estimation was more often accurate during night-time (97%) than day-time (91%, P < 0.001) and during low levels (96%) compared to high levels of motion (92%, P < 0.001). A neural network with a 10 min history of the recording did not further improve the PPG-based 1 min mean heart rate assessment [RMSE: 4.4 (95% confidence interval: 3.5–5.2 bpm)]. Only chronic heart failure was associated with a lower agreement between ECG-derived and PPG-derived 1 min mean heart rates (P = 0.040). Conclusion During persistent AF, continuous PPG-based 1 min mean heart rate assessment is feasible in 60% of the analysed period and shows high accuracy compared with Holter ECG for heart rates |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|