Accurate detection of heart rate using in-ear photoplethysmography in a clinical setting

Autor: Tim Adams, Sophie Wagner, Melanie Baldinger, Incinur Zellhuber, Michael Weber, Daniel Nass, Rainer Surges
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Frontiers in Digital Health, Vol 4 (2022)
Druh dokumentu: article
ISSN: 2673-253X
DOI: 10.3389/fdgth.2022.909519
Popis: BackgroundRecent research has shown that photoplethysmography (PPG) based wearable sensors offer a promising potential for chronic disease monitoring. The aim of the present study was to assess the performance of an in-ear wearable PPG sensor in acquiring valid and reliable heart rate measurements in a clinical setting, with epileptic patients.MethodsPatients undergoing video-electroencephalography (EEG) monitoring with concomitant one-lead electrocardiographic (ECG) recordings were equipped with an in-ear sensor developed by cosinuss°.ResultsIn total, 2,048 h of recording from 97 patients with simultaneous ECG and in-ear heart rate data were included in the analysis. The comparison of the quality-filtered in-ear heart rate data with the reference ECG resulted in a bias of 0.78 bpm with a standard deviation of ±2.54 bpm; Pearson’s Correlation Coefficient PCC = 0.83; Intraclass Correlation Coefficient ICC = 0.81 and mean absolute percentage error MAPE = 2.57.ConclusionThese data confirm that the in-ear wearable PPG sensor provides accurate heart rate measurements in comparison with ECG under realistic clinical conditions, especially with a signal quality indicator. Further research is required to investigate whether this technology is helpful in identifying seizure-related cardiovascular changes.
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