UMMS Affiliation

Department of Medicine, Division of Cardiovascular Medicine; Graduate School of Biomedical Sciences

Publication Date

2020-10-05

Document Type

Article

Disciplines

Biomedical Devices and Instrumentation | Cardiovascular Diseases | Cardiovascular System | Computer Sciences | Health Information Technology

Abstract

We developed an algorithm to detect premature atrial contraction (PAC) and premature ventricular contraction (PVC) using photoplethysmographic (PPG) data acquired from a smartwatch. Our PAC/PVC detection algorithm is composed of a sequence of algorithms that are combined to discriminate various arrhythmias. A novel vector resemblance method is used to enhance the PAC/PVC detection results of the Poincare plot method. The new PAC/PVC detection algorithm with our automated motion and noise artifact detection approach yielded a sensitivity of 86% for atrial fibrillation (AF) subjects while the overall sensitivity was 67% when normal sinus rhythm (NSR) subjects were also included. The specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy values for the combined data consisting of both NSR and AF subjects were 97%, 81%, 94% and 92%, respectively, for PAC/PVC detection combined with our automated motion and noise artifact detection approach. Moreover, when AF detection was compared with and without PAC/PVC, the sensitivity and specificity increased from 94.55% to 98.18% and from 95.75% to 97.90%, respectively. For additional independent testing data, we used two datasets: a smartwatch PPG dataset that was collected in our ongoing clinical study, and a pulse oximetry PPG dataset from the Medical Information Mart for Intensive Care III database. The PAC/PVC classification results of the independent testing on these two other datasets are all above 92% for sensitivity, specificity, PPV, NPV, and accuracy. The proposed combined approach to detect PAC and PVC can ultimately lead to better accuracy in AF detection. This is one of the first studies involving detection of PAC and PVC using PPG recordings from a smartwatch. The proposed method can potentially be of clinical importance as this enhanced capability can lead to fewer false positive detections of AF, especially for those NSR subjects with frequent episodes of PAC/PVC.

Keywords

Poincaré plot, premature atrial contraction detection, premature ventricular contraction detection

Rights and Permissions

Copyright 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

DOI of Published Version

10.3390/s20195683

Source

Han D, Bashar SK, Mohagheghian F, Ding E, Whitcomb C, McManus DD, Chon KH. Premature Atrial and Ventricular Contraction Detection using Photoplethysmographic Data from a Smartwatch. Sensors (Basel). 2020 Oct 5;20(19):5683. doi: 10.3390/s20195683. PMID: 33028000; PMCID: PMC7582300. Link to article on publisher's site

Journal/Book/Conference Title

Sensors (Basel, Switzerland)

Related Resources

Link to Article in PubMed

PubMed ID

33028000

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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