Evidence map›Paper›PMID 33028000›Full record

ArticleSensors (Basel, Switzerland)2020

Premature Atrial and Ventricular Contraction Detection using Photoplethysmographic Data from a Smartwatch.

Dong Han, Syed Khairul Bashar, Fahimeh Mohagheghian, Eric Ding, Cody Whitcomb, David D McManus, Ki H Chon

Abstract read
In one paragraph

Article in Sensors (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Wearable smartwatches for atrial fibrillation detection and burden estimation after ablation: comparison with continuous monitoring.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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  12. [Wearable devices: Perspectives on assessing and monitoring human physiological status].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dong HanDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0001-7872-7371
Syed Khairul BasharDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0002-0180-1980
Fahimeh MohagheghianDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.
Eric DingDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Cody WhitcombDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.
David D McManusDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.
Ki H ChonDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.

Funding

Transdisciplinary Training In Cardiovascular ResearchT32HL120823 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN, KIEFE, CATARINA I. · 2014 to 2025
$3.9M
Smartwatch Monitoring for Atrial Fibrillation After StrokeR01HL137734 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI CHON, KI H, MCMANUS, DAVID D. · 2018 to 2021
$3.1M
Feasibility of Smartwatches for Atrial Fibrillation Detection in Older AdultsF30HL149335 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DING, ERIC YUXIAO · 2019 to 2021
$92k
National Institute of Health 1R01 HL137734NHLBI NIH HHS F30 HL149335NHLBI NIH HHS R01 HL137734NHLBI NIH HHS T32 HL120823NSF 1522087
6 · The paper itself

Abstract

We developed an algorithm to detect premature atrial contraction (PAC) and premature ventricular contraction (PVC) using photoplethysmographic (PPG) data acquired from a smartwatch. Our PAC/PVC detection algorithm is composed of a sequence of algorithms that are combined to discriminate various arrhythmias. A novel vector resemblance method is used to enhance the PAC/PVC detection results of the Poincaré plot method. The new PAC/PVC detection algorithm with our automated motion and noise artifact detection approach yielded a sensitivity of 86% for atrial fibrillation (AF) subjects while the overall sensitivity was 67% when normal sinus rhythm (NSR) subjects were also included. The specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy values for the combined data consisting of both NSR and AF subjects were 97%, 81%, 94% and 92%, respectively, for PAC/PVC detection combined with our automated motion and noise artifact detection approach. Moreover, when AF detection was compared with and without PAC/PVC, the sensitivity and specificity increased from 94.55% to 98.18% and from 95.75% to 97.90%, respectively. For additional independent testing data, we used two datasets: a smartwatch PPG dataset that was collected in our ongoing clinical study, and a pulse oximetry PPG dataset from the Medical Information Mart for Intensive Care III database. The PAC/PVC classification results of the independent testing on these two other datasets are all above 92% for sensitivity, specificity, PPV, NPV, and accuracy. The proposed combined approach to detect PAC and PVC can ultimately lead to better accuracy in AF detection. This is one of the first studies involving detection of PAC and PVC using PPG recordings from a smartwatch. The proposed method can potentially be of clinical importance as this enhanced capability can lead to fewer false positive detections of AF, especially for those NSR subjects with frequent episodes of PAC/PVC.

Indexed as

Atrial FibrillationPhotoplethysmographyVentricular Premature ComplexesAgedAged, 80 and overAlgorithmsFemaleHeart AtriaHeart VentriclesHumansMaleMicrocomputersMiddle AgedSensitivity and SpecificityPoincaré plotpremature atrial contraction detectionpremature ventricular contraction detection

Identifiers

PMID33028000
PMCPMC7582300

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.