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May 24, 2023EP EuropaceOpen Access

Validation of Polar H10 chest strap and Fitbit Inspire 2 tracker for measuring continuous heart rate in cardiac patients: impact of artefact removal algorithm

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Key result

Compared to Holter monitoring, the Polar H10 chest strap accurately assessed heart rate over 24 hours (r=0.932, MAE 3.43 bpm), while the Fitbit Inspire 2 demonstrated weaker accuracy (r=0.678).

Why the study?

Heart rate tracking could assist in cardiac patient follow-up, but profound validation of consumer monitors worn for long periods versus gold-standard Holter monitoring in cardiac populations was lacking.

Do the Polar H10 chest strap and Fitbit Inspire 2 tracker accurately measure continuous heart rate compared to Holter monitoring in cardiac patients?

Population

15 patients (5 AF, 5 HF, and 5 CR) with a scheduled 24-hour Holter monitor

Comparison

Polar H10 chest strap and Fitbit Inspire 2 tracker vs Holter monitoring

Design

Pilot validation study

Follow-up

24-hour

Authors

PVP VermunichtKMK MakayedPMPieter Meysman

Discussion

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Overview

Polar H10 may support continuous HR monitoring in cardiac patients; leaves open prospective validation before clinical adoption.

Study Design

Type

Observational (n=15)

Structured PICO

Do the Polar H10 chest strap and Fitbit Inspire 2 tracker accurately measure continuous heart rate compared to Holter monitoring in cardiac patients?

P
Population
15 patients with atrial fibrillation, heart failure, or undergoing cardiac rehabilitation who wore a Polar H10, Fitbit Inspire 2, and Holter monitor simultaneously for 24 hours.
E
Exposure
Continuous heart rate monitoring using Polar H10 chest strap and Fitbit Inspire 2 tracker worn simultaneously for 24 hours, with data processed by an in-house artefact removal algorithm.
C
Comparator
24-hour Holter monitor (gold standard).
O
Outcome
Accuracy of heart rate measurement assessed by Pearson correlation coefficients (r), mean absolute error (MAE), mean absolute percent error (MAPE), and Bland-Altman analysis.surrogate

Main Result

Effect estimate: r=0.932 (Polar H10); r=0.678 (Fitbit Inspire 2)

The Polar H10 chest strap provides highly accurate continuous heart rate monitoring in cardiac patients over 24 hours compared to Holter, while the Fitbit Inspire 2 is less accurate.

Cite This Study

Vermunicht et al. (2023) conducted an observational in Atrial fibrillation, heart failure, and cardiac rehabilitation (n=15). Polar H10 chest strap and Fitbit Inspire 2 tracker vs. Holter monitoring was evaluated on Accuracy of heart rate measurement (Pearson correlation, MAE, MAPE) (r=0.932 (Polar H10); r=0.678 (Fitbit Inspire 2)). Compared to Holter monitoring, the Polar H10 chest strap accurately assessed heart rate over 24 hours (r=0.932, MAE 3.43 bpm), while the Fitbit Inspire 2 demonstrated weaker accuracy (r=0.678).

synapsesocial.com/papers/6a99add4bb4b346dd633a2d4https://doi.org/10.1093/europace/euad122.550
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