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July 27, 2021JMIR CardioOpen Access

Validation of Heart Rate Extracted From Wrist-Based Photoplethysmography in the Perioperative Setting: Prospective Observational Study

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Why the study?

Heart rate monitoring via unobtrusive wrist-worn optical monitors could enable earlier recognition of patient deterioration, but agreement with gold-standard ECG monitoring needed perioperative validation.

Does a wrist-worn optical heart rate monitor accurately measure heart rate compared to a 5-lead ECG in patients undergoing surgery?

Population

99 patients undergoing surgery requiring anesthesia

Comparison

Wrist-worn optical heart rate monitor vs gold standard 5-lead ECG

Design

Prospective observational study

Authors

EMEveline H. J. MestromRDRuben DeneerABA. Bonomi

Discussion

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Overview

Wrist-worn PPG may offer acceptable perioperative HR agreement; leaves open prospective validation before routine adoption.

Structured PICO

Does a wrist-worn optical heart rate monitor accurately measure heart rate compared to a 5-lead ECG in patients undergoing surgery?

P
Population
99 patients undergoing surgery requiring anesthesia
I
Intervention
Wrist-worn optical heart rate monitor (OHRM) using photoplethysmography (PPG)
C
Comparator
Gold standard 5-lead electrocardiogram (ECG) connected to a patient monitor
O
Outcome
Agreement between the HR reported by the patient's monitor and the HR extracted from the OHRM's PPG signal assessed using Bland-Altman analysis during the surgical and recovery phasesurrogate

A wrist-worn optical heart rate monitor can measure heart rate within clinically acceptable limits compared to a 5-lead ECG in the perioperative setting.

Cite This Study

Mestrom et al. (2021) studied this question.

synapsesocial.com/papers/6a1bc8dbea84844e355ef447https://doi.org/10.2196/27765
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Evaluation of wearable consumer heart rate monitors based on photopletysmography2014 · 154 citations
  2. 2Optical heart rate monitoring module validation study2013 · 31 citations
  3. 3Variable Accuracy of Wearable Heart Rate Monitors during Aerobic Exercise2017 · 358 citations
  4. 4Atrial Fibrillation Detection Using a Novel Cardiac Ambulatory Monitor Based on Photo‐Plethysmography at the Wrist2018 · 96 citations
  5. 5Use of wearable devices for post-discharge monitoring of ICU patients: a feasibility study2017 · 69 citations