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

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.

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Abstract

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.

Item Type: Article
Funders: Rehabilitation Medicine Clinic, Universiti Malaya Medical Centre, Universiti Malaya [Grant No: RF009C-2018]
Uncontrolled Keywords: Fitness tracker; Smartwatch; EKG; Exercise stress test; Validation
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Faculty of Medicine > Nursing Science Department
Faculty of Medicine > Rehabilitation Medicine Department
Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 17 Oct 2024 04:33
Last Modified: 17 Oct 2024 04:33
URI: http://eprints.um.edu.my/id/eprint/45972

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