Key result
Passive mobile videoplethysmography tracks AF pulse rate within ~5 BPM of reference ECG.
Why the study?
Active pulse monitoring procedures suffer from low adherence, prompting the need for passive monitoring during normal mobile device use without requiring subject participation.
Does passive pulse rate monitoring using front-facing cameras of mobile devices accurately monitor pulse rate in patients with a history of atrial fibrillation?
Observational (n=113)
No
Does passive pulse rate monitoring using front-facing cameras of mobile devices accurately monitor pulse rate in patients with a history of atrial fibrillation?
Passive pulse rate monitoring using front-facing cameras on mobile devices can accurately track pulse rate in patients with atrial fibrillation without requiring active participation.
Supports passive monitoring feasibility in AF; hypothesis-generating and needs prospective validation before practice change.
We propose a novel framework to passively monitor pulse rate during the time spent by users on their personal mobile devices. Our framework is based on passively capturing the user's pulse signal using the front-facing camera. Signal capture is performed in the background, while the user is interacting with the device as he/she normally would, e.g., watch movies, read emails, text, and play games. The framework does not require subject participation with the monitoring procedure, thereby addressing the well-known problem of low adherence with such procedures. We investigate various techniques to suppress the impact of spontaneous user motion and fluctuations in ambient light conditions expected in non-participatory environments. Techniques include traditional signal processing, machine learning classifiers, and deep learning methods. Our performance evaluation is based on a clinical study encompassing 113 patients with a history of atrial fibrillation (Afib) who are passively monitored at home using a tablet for a period of two weeks. Our results show that the proposed framework accurately monitors pulse rate, thereby providing a gateway for long-term monitoring without relying on subject participation or the use of a dedicated wearable device.
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Savur et al. (2022) conducted an observational in Atrial Fibrillation (n=113). Passive videoplethysmography (VPG) via mobile device camera vs. ECG patch (Zio XT) was evaluated on Pulse rate estimation accuracy within 5 BPM of ECG reference. Passive videoplethysmography using mobile device front-facing cameras accurately monitored pulse rate in atrial fibrillation patients, maintaining accuracy within 5 BPM of ECG using machine learning.
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