Utility of photoplethysmography for heart rate estimation among inpatients

Anoop N. Koshy; Jithin K. Sajeev; Nitesh Nerlekar; Adam J. Brown; Kevin Rajakariar; Mark Zureik; Michael C. Wong; Louise Roberts; Maryann Street; Jennifer Cooke; Andrew W. Teh

doi:10.1111/imj.13777

Utility of photoplethysmography for heart rate estimation among inpatients

Anoop N. Koshy, Jithin K. Sajeev, Nitesh Nerlekar, Adam J. Brown, Kevin Rajakariar, Mark Zureik, Michael C. Wong, Louise Roberts, Maryann Street, Jennifer Cooke, Andrew W. Teh

Research output: Contribution to journal › Article › Research › peer-review

10 Citations (Scopus)

Abstract

The accuracy of photoplethysmography (PPG) for heart rate (HR) estimation in cardiac arrhythmia is unknown. PPG-HR was evaluated in 112 hospitalised inpatients (cardiac arrhythmias (n = 60), sinus rhythm (n = 52)) using a continuous electrocardiogram monitoring as a reference standard. Strong agreement was observed in sinus rhythm HR < 100 and atrial flutter (bias 1 beat), modest agreement in sinus tachycardia (bias 24 beats) and complete heart block (bias −6 beats) and weak agreement with significant HR underestimation was seen in atrial fibrillation (bias 23 beats). Routine utilisation of PPG for HR estimation may delay early recognition of clinical deterioration in certain arrhythmias and sinus tachycardia.

Original language	English
Pages (from-to)	587-591
Number of pages	5
Journal	Internal Medicine Journal
Volume	48
Issue number	5
DOIs	https://doi.org/10.1111/imj.13777
Publication status	Published - 2 May 2018

Keywords

accuracy
arrhythmias
atrial fibrillation
heart rate
photoplethysmography

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10.1111/imj.13777

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title = "Utility of photoplethysmography for heart rate estimation among inpatients",

abstract = "The accuracy of photoplethysmography (PPG) for heart rate (HR) estimation in cardiac arrhythmia is unknown. PPG-HR was evaluated in 112 hospitalised inpatients (cardiac arrhythmias (n = 60), sinus rhythm (n = 52)) using a continuous electrocardiogram monitoring as a reference standard. Strong agreement was observed in sinus rhythm HR < 100 and atrial flutter (bias 1 beat), modest agreement in sinus tachycardia (bias 24 beats) and complete heart block (bias −6 beats) and weak agreement with significant HR underestimation was seen in atrial fibrillation (bias 23 beats). Routine utilisation of PPG for HR estimation may delay early recognition of clinical deterioration in certain arrhythmias and sinus tachycardia.",

keywords = "accuracy, arrhythmias, atrial fibrillation, heart rate, photoplethysmography",

author = "Koshy, {Anoop N.} and Sajeev, {Jithin K.} and Nitesh Nerlekar and Brown, {Adam J.} and Kevin Rajakariar and Mark Zureik and Wong, {Michael C.} and Louise Roberts and Maryann Street and Jennifer Cooke and Teh, {Andrew W.}",

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AU - Koshy, Anoop N.

AU - Sajeev, Jithin K.

AU - Nerlekar, Nitesh

AU - Brown, Adam J.

AU - Rajakariar, Kevin

AU - Zureik, Mark

AU - Wong, Michael C.

AU - Roberts, Louise

AU - Street, Maryann

AU - Cooke, Jennifer

AU - Teh, Andrew W.

PY - 2018/5/2

Y1 - 2018/5/2

N2 - The accuracy of photoplethysmography (PPG) for heart rate (HR) estimation in cardiac arrhythmia is unknown. PPG-HR was evaluated in 112 hospitalised inpatients (cardiac arrhythmias (n = 60), sinus rhythm (n = 52)) using a continuous electrocardiogram monitoring as a reference standard. Strong agreement was observed in sinus rhythm HR < 100 and atrial flutter (bias 1 beat), modest agreement in sinus tachycardia (bias 24 beats) and complete heart block (bias −6 beats) and weak agreement with significant HR underestimation was seen in atrial fibrillation (bias 23 beats). Routine utilisation of PPG for HR estimation may delay early recognition of clinical deterioration in certain arrhythmias and sinus tachycardia.

AB - The accuracy of photoplethysmography (PPG) for heart rate (HR) estimation in cardiac arrhythmia is unknown. PPG-HR was evaluated in 112 hospitalised inpatients (cardiac arrhythmias (n = 60), sinus rhythm (n = 52)) using a continuous electrocardiogram monitoring as a reference standard. Strong agreement was observed in sinus rhythm HR < 100 and atrial flutter (bias 1 beat), modest agreement in sinus tachycardia (bias 24 beats) and complete heart block (bias −6 beats) and weak agreement with significant HR underestimation was seen in atrial fibrillation (bias 23 beats). Routine utilisation of PPG for HR estimation may delay early recognition of clinical deterioration in certain arrhythmias and sinus tachycardia.

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KW - arrhythmias

KW - atrial fibrillation

KW - heart rate

KW - photoplethysmography

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Utility of photoplethysmography for heart rate estimation among inpatients

Abstract

Keywords

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