Key result
Wearable-derived random forest model classifies heartbeats with ~100% accuracy using RR intervals.
Why the study?
Traditional heartbeat monitoring systems lack portability for continuous long-term tracking, and wearable devices like the Polar H10 lack analytical processing to classify recorded data automatically.
A random forest-based heartbeat classifier using RR interval data from a wearable device achieved high accuracy, suggesting potential for continuous real-time monitoring.
May support wearable arrhythmia screening feasibility; leaves open prospective validation in clinical populations before practice change.
Heartbeat monitoring may play an essential role in the early detection of cardiovascular disease. When using a traditional monitoring system, an abnormal heartbeat may not appear during a recording in a healthcare facility due to the limited time. Thus, continuous and long-term monitoring is needed. Moreover, the conventional equipment may not be portable and cannot be used at arbitrary times and locations. A wearable sensor device such as Polar H10 offers the same capability as an alternative. It has gold-standard heartbeat recording and communication ability but still lacks analytical processing of the recorded data. An automatic heartbeat classification system can play as an analyzer and is still an open problem in the development stage. This paper proposes a heartbeat classifier based on RR interval data for real-time and continuous heartbeat monitoring using the Polar H10 wearable device. Several machine learning and deep learning methods were used to train the classifier. In the training process, we also compare intra-patient and inter-patient paradigms on the original and oversampling datasets to achieve higher classification accuracy and the fastest computation speed. As a result, with a constrain in RR interval data as the feature, the random forest-based classifier implemented in the system achieved up to 99.67% for accuracy, precision, recall, and F1-score. We are also conducting experiments involving healthy people to evaluate the classifier in a real-time monitoring system.
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Pramukantoro et al. (2022) studied Arrhythmia (n=48). Random forest-based heartbeat classifier using RR interval data (Polar H10) vs. Other machine learning models (SVM, ANN, Decision Tree, etc.) was evaluated on Heartbeat classification accuracy. A random forest-based heartbeat classifier using RR interval data from a commercial wearable device achieved 99.67% accuracy, precision, and recall when trained on an oversampled dataset.
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