Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study

PurposePhotoplethysmography measurement of heart rate with wrist-worn trackers has been introduced in healthy individuals. However, additional consideration is necessary for patients with ischemic heart disease, and the available evidence is limited. The study aims to evaluate the validity and relia...

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Main Authors: Ibrahim, Nur Syazwani, Rampal, Sanjay, Lee, Wan Ling, Pek, Eu Way, Suhaimi, Anwar
Format: Article
Published: Springer 2024
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Online Access:http://eprints.um.edu.my/45972/
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spelling my.um.eprints.459722024-10-17T04:33:34Z http://eprints.um.edu.my/45972/ Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study Ibrahim, Nur Syazwani Rampal, Sanjay Lee, Wan Ling Pek, Eu Way Suhaimi, Anwar R Medicine (General) RA0421 Public health. Hygiene. Preventive Medicine RT Nursing PurposePhotoplethysmography measurement of heart rate with wrist-worn trackers has been introduced in healthy individuals. However, additional consideration is necessary for patients with ischemic heart disease, and the available evidence is limited. The study aims to evaluate the validity and reliability of heart rate measures by a wrist-worn photoplethysmography (PPG) tracker compared to an electrocardiogram (ECG) during incremental treadmill exercise among patients with ischemic heart disease.MethodsFifty-one participants performed the standard incremental treadmill exercise in a controlled laboratory setting with 12-lead ECG attached to the patient's body and wearing wrist-worn PPG trackers.ResultsAt each stage, the absolute percentage error of the PPG was within 10% of the standard acceptable range. Further analysis using a linear mixed model, which accounts for individual variations, revealed that PPG yielded the best performance at the baseline low-intensity exercise. As the stages progressed, heart rate validity decreased but was regained during recovery. The reliability was moderate to excellent.ConclusionsLow-cost trackers AMAZFIT Cor and Bip validity and reliability were within acceptable ranges, especially during low-intensity exercise among patients with ischemic heart disease recovering from cardiac procedures. Though using the tracker as part of the diagnosis tool still requires more supporting studies, it can potentially be used as a self-monitoring tool with precautions. Springer 2024-02 Article PeerReviewed Ibrahim, Nur Syazwani and Rampal, Sanjay and Lee, Wan Ling and Pek, Eu Way and Suhaimi, Anwar (2024) Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study. Cardiovascular Engineering and Technology, 15 (1). pp. 12-21. DOI https://doi.org/10.1007/s13239-023-00693-z <https://doi.org/10.1007/s13239-023-00693-z>. 10.1007/s13239-023-00693-z
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine (General)
RA0421 Public health. Hygiene. Preventive Medicine
RT Nursing
spellingShingle R Medicine (General)
RA0421 Public health. Hygiene. Preventive Medicine
RT Nursing
Ibrahim, Nur Syazwani
Rampal, Sanjay
Lee, Wan Ling
Pek, Eu Way
Suhaimi, Anwar
Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
description PurposePhotoplethysmography measurement of heart rate with wrist-worn trackers has been introduced in healthy individuals. However, additional consideration is necessary for patients with ischemic heart disease, and the available evidence is limited. The study aims to evaluate the validity and reliability of heart rate measures by a wrist-worn photoplethysmography (PPG) tracker compared to an electrocardiogram (ECG) during incremental treadmill exercise among patients with ischemic heart disease.MethodsFifty-one participants performed the standard incremental treadmill exercise in a controlled laboratory setting with 12-lead ECG attached to the patient's body and wearing wrist-worn PPG trackers.ResultsAt each stage, the absolute percentage error of the PPG was within 10% of the standard acceptable range. Further analysis using a linear mixed model, which accounts for individual variations, revealed that PPG yielded the best performance at the baseline low-intensity exercise. As the stages progressed, heart rate validity decreased but was regained during recovery. The reliability was moderate to excellent.ConclusionsLow-cost trackers AMAZFIT Cor and Bip validity and reliability were within acceptable ranges, especially during low-intensity exercise among patients with ischemic heart disease recovering from cardiac procedures. Though using the tracker as part of the diagnosis tool still requires more supporting studies, it can potentially be used as a self-monitoring tool with precautions.
format Article
author Ibrahim, Nur Syazwani
Rampal, Sanjay
Lee, Wan Ling
Pek, Eu Way
Suhaimi, Anwar
author_facet Ibrahim, Nur Syazwani
Rampal, Sanjay
Lee, Wan Ling
Pek, Eu Way
Suhaimi, Anwar
author_sort Ibrahim, Nur Syazwani
title Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
title_short Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
title_full Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
title_fullStr Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
title_full_unstemmed Evaluation OF wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: A validation study
title_sort evaluation of wrist-worn photoplethysmography trackers with an electrocardiogram in patients with ischemic heart disease: a validation study
publisher Springer
publishDate 2024
url http://eprints.um.edu.my/45972/
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score 13.211869