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Heart Rate Turbulence Analysis Based on Photoplethysmography

Gil, Eduardo ; Laguna, Pablo ; Pablo Martinez, Juan ; Barquero-Perez, Oscar ; Garcia-Alberola, Arcadi and Sörnmo, Leif LU (2013) In IEEE Transactions on Biomedical Engineering 60(11). p.3149-3155
Abstract
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... (More)
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. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Heart rate turbulence (HRT), hemodialysis, photoplethysmography (PPG), pulse rate turbulence (PRT), pulse transit time (PTT), ventricular, premature beat (VPB)
in
IEEE Transactions on Biomedical Engineering
volume
60
issue
11
pages
3149 - 3155
publisher
IEEE - Institute of Electrical and Electronics Engineers Inc.
external identifiers
  • wos:000325974500018
  • scopus:84886665192
  • pmid:23797215
ISSN
1558-2531
DOI
10.1109/TBME.2013.2270083
language
English
LU publication?
yes
id
77acec91-eea7-42a1-971a-9f18c89e04a0 (old id 4204517)
date added to LUP
2016-04-01 14:32:01
date last changed
2020-10-07 03:49:41
@article{77acec91-eea7-42a1-971a-9f18c89e04a0,
  abstract     = {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.},
  author       = {Gil, Eduardo and Laguna, Pablo and Pablo Martinez, Juan and Barquero-Perez, Oscar and Garcia-Alberola, Arcadi and Sörnmo, Leif},
  issn         = {1558-2531},
  language     = {eng},
  number       = {11},
  pages        = {3149--3155},
  publisher    = {IEEE - Institute of Electrical and Electronics Engineers Inc.},
  series       = {IEEE Transactions on Biomedical Engineering},
  title        = {Heart Rate Turbulence Analysis Based on Photoplethysmography},
  url          = {http://dx.doi.org/10.1109/TBME.2013.2270083},
  doi          = {10.1109/TBME.2013.2270083},
  volume       = {60},
  year         = {2013},
}