Heart Rate Turbulence Analysis Based on Photoplethysmography
Author
Summary, in English
The goal of this paper is to determine whether the photoplethysmography (PPG) can replace the ECG-based detection of heart rate turbulence. Using the PPG, classification of ventricular premature beats (VPBs) is accomplished with a linear classifier. The two conventional parameters turbulence onset and slope are studied together with a recently introduced parameter characterizing turbulence shape. Performance is studied on a dataset with 4131 VPBs, recorded from a total of 27 patients in different clinical contexts (hemodialysis treatment, intensive care monitoring, and electrophysiological study). The sensitivity/specificity of VPB classification was found to be 90.5/99.9%, with an accuracy of 99.3%, suggesting that classification of VPBs can be reliable made from the PPG. The main difference between the two types of turbulence analysis stems from the fact that the pulse transit time varies largely immediately after the VPB. Out of the 22 patients which had a sufficient number of VPBs, the outcome of the ECG-and PPG-based analysis was identical in 21. It is concluded that the PPG may serve as a surrogate technique for the ECG in turbulence analysis.
Publishing year
2013
Language
English
Pages
3149-3155
Publication/Series
IEEE Transactions on Biomedical Engineering
Volume
60
Issue
11
Document type
Journal article
Publisher
IEEE - Institute of Electrical and Electronics Engineers Inc.
Topic
- Medical Engineering
Keywords
- Heart rate turbulence (HRT)
- hemodialysis
- photoplethysmography (PPG)
- pulse rate turbulence (PRT)
- pulse transit time (PTT)
- ventricular
- premature beat (VPB)
Status
Published
ISBN/ISSN/Other
- ISSN: 1558-2531