Why the study?
Photoplethysmography is being explored as an unobtrusive, cheaper alternative to ECG for HRV monitoring, motivating the evaluation of a new wireless PPG sensor during mental stress.
Does a wireless earlobe PPG sensor accurately measure HRV compared to ECG during mental stress in healthy individuals?
Does a wireless earlobe PPG sensor accurately measure HRV compared to ECG during mental stress in healthy individuals?
While a wireless earlobe PPG sensor can detect HRV changes during mental stress, its poor agreement with ECG for specific metrics like pNN50 and HF warrants caution.
PPG sensor feasibility for stress HRV assessment remains preliminary; leaves open reliable ECG surrogate use in clinical practice.
Heart rate variability (HRV), using electrocardiography (ECG), has gained popularity as a biomarker of the stress response. Alternatives to HRV monitoring, like photoplethysmography (PPG), are being explored as cheaper and unobtrusive non-invasive technologies. We report a new wireless PPG sensor that was tested in detecting changes in HRV, elicited by a mentally stressful task, and to determine if its signal can be used as a surrogate of ECG for HRV analysis. Data were collected simultaneously from volunteers using a PPG and ECG sensor, during a resting and a mentally stressful task. HRV metrics were extracted from these signals and compared to determine the agreement between them and to determine if any changes occurred in the metrics due to the stressful task. For both tasks, a moderate/good agreement was found in the mean interbeat intervals, SDNN, LF, and SD2, and a poor agreement for the pNN50, RMSSD|SD1, and HF metrics. The majority of the tested HRV metrics obtained from the PPG signal showed a significant decrease caused by the mental task. The disagreement found between specific HRV features imposes caution when comparing metrics from different technologies. Nevertheless, the tested sensor was successful at detecting changes in the HRV caused by a mental stressor.
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Correia et al. (2020) studied this question.