Advertisement

Ectopic Beat Detection from Wrist Optical Signals for Sinus Rhythm and Atrial Fibrillation Subjects

  • Serj HaddadEmail author
  • Jarkko Harju
  • Adrian Tarniceriu
  • Tuomas Halkola
  • Jakub Parak
  • Ilkka Korhonen
  • Arvi Yli-Hankala
  • Antti Vehkaoja
Conference paper
Part of the IFMBE Proceedings book series (IFMBE, volume 76)

Abstract

Ectopic beats are abnormal cardiac beats originating from a location different than the sino-atrial node and therefore not being controlled by the autonomous nervous system. Thus, correct heart rate variability analysis inevitably requires accurate ectopic beat detection. Furthermore, an accurate ectopic beat detection is crucial to differentiate irregular cardiac rhythm due to different types of pathological arrhythmias from those caused by isolated ectopic beats. In this paper, we present an algorithm for ectopic beat detection based on wrist plethysmographic (PPG) signals. The proposed algorithm relies on analyzing the inter-beat patterns while considering the heart-rhythm condition; whether sinus rhythm (SR) or atrial fibrillation (AF). We monitor 29 patients recovering from surgery in the post-anesthesia care unit. During the recordings, 15 patients had SR and 14 patients had AF. The proposed ectopic beat detection algorithm achieves a sensitivity of \(93.08 \pm 3.83\%\) and a specificity of \(97.80 \pm 2.12\%\).

Keywords

Photoplethysmography Ectopic beat detection Heart rate variability Atrial fibrillation 

References

  1. 1.
    Harju, J., Tarniceriu, A., Parak, J., Vehkaoja, A., Yli-Hankala, A., Korhonen, I.: Monitoring of heart rate and inter-beat intervals with wrist plethysmography in patients with atrial fibrillation. In: Physiological Measurement, IOP Publishing, vol. 39, no. 6, pp. 65007–65019, June (2018)Google Scholar
  2. 2.
    Tarniceriu, A., Harju, J., Yousefi, Z. R., Vehkaoja, A., Parak, J., Yli-Hankala, A., Korhonen, I.: The accuracy of atrial fibrillation detection from wrist photoplethysmography. A study on post-Operative patients. In: 40th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Honolulu, pp. 1–4 (2018)Google Scholar
  3. 3.
    Mateo, J., Laguna P.: Analysis of heart rate variability in the presence of ectopic beats using the heart timing signal. In: IEEE Transactions on Biomedical Engineering, vol. 50, no. 3, pp. 334–343, March 2003CrossRefGoogle Scholar
  4. 4.
    Hekler, A., Kikillus, N., Bolz, A.: Detection of ectopic beats in single channel electrocardiograms. In: Vander Sloten, J., Verdonck, P., Nyssen, M., Haueisen, J. (eds.) 4th European Conference of the International Federation for Medical and Biological Engineering (IFMBE) Proceedings, vol. 22. Springer, Heidelberg (2009)Google Scholar
  5. 5.
    Dib, N., Bereksi, R.: Ectopic beats detection and correction methods: a review. In: Biomedical Signal Processing Control, vol. 18, pp. 228–244, April 2015Google Scholar
  6. 6.
    Lemay, M., Bertschi, M., Sola, J., Renevey, P., Parak, J., Korhonen, I.: Application of optical heart rate monitoring. In: Sazonov E., Neuman, M. R. (eds.) Wearable Sensors: Fundamentals, Implementation and Applications, Elsevier, Imprint: Academic Press, pp. 105–129 (2014)CrossRefGoogle Scholar
  7. 7.
    Parak, J., Korhonen, I.: Evaluation of wearable consumer heart rate monitors based on photopletysmography. In: 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Chicago, pp. 3670–3673 (2014)Google Scholar
  8. 8.
    Delgado-Gonzalo, R., Parak, J., Tarniceriu, A., Renevey, P., Bertschi, M., Korhonen, I.: Evaluation of accuracy and reliability of PulseOn optical heart rate monitoring device. In: 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Milan, pp. 430–433 (2015)Google Scholar
  9. 9.
    Renevey, P., Sola, J., Theurillat, P., Bertschi, M., Krauss, J., Andries, D., Sartori, C.: Validation of a wrist monitor for accurate estimation of RR intervals during sleep. In: 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Osaka, pp. 5493–5496 (2013)Google Scholar
  10. 10.
    Parak, J., Tarniceriu, A., Renevey, P., Bertschi, M., Delgado-Gonzalo, R., Korhonen, I.: Evaluation of the beat-to-beat detection accuracy of PulseOn wearable optical heart rate monitor. In: 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Milan, pp. 8099–8102 (2013)Google Scholar
  11. 11.
    Schäfer, A., Vagedes, J.: How accurate is pulse rate variability as an estimate of heart rate variability? A review on studies comparing photoplethysmographic technology with an electrocardiogram. Int. J. Cardiol. 166(1), 15–29 (2013)CrossRefGoogle Scholar
  12. 12.
    Tarniceriu, A., Harju, J., Vehkaoja, A., Parak, J., Delgado-Gonzalo, R., Renevey, P., Yli-Hankala, A., Korhonen, I.: Detection of beat-to-beat intervals from wrist photoplethysmography in patients with sinus rhythm and atrial fibrillation after surgery. In: IEEE EMBS International Conference on Biomedical & Health Informatics (BHI), Las Vegas, pp. 133–136 (2018)Google Scholar
  13. 13.
    Moody, G. B., Mark, R. G.: A new method for detecting atrial fibrillation using R-R intervals. In: Computers in Cardiology, pp. 227—230 (1983)Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Serj Haddad
    • 1
    Email author
  • Jarkko Harju
    • 2
  • Adrian Tarniceriu
    • 1
  • Tuomas Halkola
    • 3
  • Jakub Parak
    • 3
  • Ilkka Korhonen
    • 4
  • Arvi Yli-Hankala
    • 2
    • 4
  • Antti Vehkaoja
    • 3
    • 4
  1. 1.PulseOn SANeuchâtelSwitzerland
  2. 2.Department of AnesthesiaTampere University HospitalTampereFinland
  3. 3.PulseOn OyEspooFinland
  4. 4.Faculty of Medicine and Health TechnologyTampere UniversityTampereFinland

Personalised recommendations