Can one detect atrial fibrillation using a wrist-type photoplethysmographic device?

Medical & Biological Engineering & Computing
Sibylle FalletJean-Marc Vesin

Abstract

This study aims at evaluating the potential of a wrist-type photoplethysmographic (PPG) device to discriminate between atrial fibrillation (AF) and other types of rhythm. Data from 17 patients undergoing catheter ablation of various arrhythmias were processed. ECGs were used as ground truth and annotated for the following types of rhythm: sinus rhythm (SR), AF, and ventricular arrhythmias (VA). A total of 381/1370/415 10-s epochs were obtained for the three categories, respectively. After pre-processing and removal of segments corresponding to motion artifacts, two different types of feature were derived from the PPG signals: the interbeat interval-based features and the wave-based features, consisting of complexity/organization measures that were computed either from the PPG waveform itself or from its power spectral density. Decision trees were used to assess the discriminative capacity of the proposed features. Three classification schemes were investigated: AF against SR, AF against VA, and AF against (SR&VA). The best results were achieved by combining all features. Accuracies of 98.1/95.9/95.0 %, specificities of 92.4/88.7/92.8 %, and sensitivities of 99.7/98.1/96.2 % were obtained for the three aforementioned classificat...Continue Reading

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Citations

Jan 30, 2019·Physiological Measurement·Andrius SološenkoVaidotas Marozas
Jan 15, 2020·NPJ Digital Medicine·Tania PereiraXiao Hu
Jan 17, 2020·International Journal of Environmental Research and Public Health·César A MillánDiego M Lopez
Jan 10, 2021·NPJ Digital Medicine·Tania PereiraXiao Hu
Apr 20, 2021·Computational and Mathematical Methods in Medicine·Xiaodong DingHaixia Yan
Jun 19, 2021·Physical and Engineering Sciences in Medicine·Hocine HamilDjaffar Ould Abdeslam

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