Evidence map›Paper›PMID 35200342›Full record

ArticleBiosensors2022

A Real-Time PPG Peak Detection Method for Accurate Determination of Heart Rate during Sinus Rhythm and Cardiac Arrhythmia.

Dong Han, Syed Khairul Bashar, Jesús Lázaro, Fahimeh Mohagheghian, Andrew Peitzsch, Nishat Nishita, Eric Ding, Emily L Dickson, Danielle DiMezza, Jessica Scott and 4 more

Abstract read
In one paragraph

Article in Biosensors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
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  8. REM sleep-related bradyarrhythmia syndrome.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  10. Review
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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

14 authors.

Dong HanDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0001-7872-7371
Syed Khairul BasharDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, MD 21218, USA.ORCID 0000-0002-0180-1980
Jesús LázaroBSICoS Group, Aragon Institute of Engineering Research (I3A), IIS Aragon, University of Zaragoza, 50018 Zaragoza, Spain.ORCID 0000-0001-8742-0072
Fahimeh MohagheghianDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0002-6653-7148
Andrew PeitzschDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0002-4933-6432
Nishat NishitaDepartment of Public Health Sciences, University of Connecticut Health, Farmington, CT 06030, USA.ORCID 0000-0001-8958-2067
Eric DingDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.ORCID 0000-0002-6904-8534
Emily L DicksonCollege of Osteopathic Medicine, Des Moines University, Des Moines, IA 50312, USA.ORCID 0000-0002-6501-2294
Danielle DiMezzaDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.ORCID 0000-0003-4604-8184
Jessica ScottDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.ORCID 0000-0002-4801-9961
Cody WhitcombSchool of Medicine, Tufts University, Medford, MA 02155, USA.ORCID 0000-0002-3786-2072
Timothy P FitzgibbonsDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.ORCID 0000-0003-0229-034X
David D McManusDivision of Cardiology, University of Massachusetts Medical School, Worcester, MA 01655, USA.ORCID 0000-0002-9343-6203
Ki H ChonDepartment of Biomedical Engineering, University of Connecticut, Storrs, CT 06269, USA.ORCID 0000-0002-4422-4837

Funding

National Institute of Health 1R01 HL137734NSF 1522087
6 · The paper itself

Abstract

objectiveWe have developed a peak detection algorithm for accurate determination of heart rate, using photoplethysmographic (PPG) signals from a smartwatch, even in the presence of various cardiac rhythms, including normal sinus rhythm (NSR), premature atrial contraction (PAC), premature ventricle contraction (PVC), and atrial fibrillation (AF). Given the clinical need for accurate heart rate estimation in patients with AF, we developed a novel approach that reduces heart rate estimation errors when compared to peak detection algorithms designed for NSR.

methodsOur peak detection method is composed of a sequential series of algorithms that are combined to discriminate the various arrhythmias described above. Moreover, a novel Poincaré plot scheme is used to discriminate between basal heart rate AF and rapid ventricular response (RVR) AF, and to differentiate PAC/PVC from NSR and AF. Training of the algorithm was performed only with Samsung Simband smartwatch data, whereas independent testing data which had more samples than did the training data were obtained from Samsung's Gear S3 and Galaxy Watch 3.

resultsThe new PPG peak detection algorithm provides significantly lower average heart rate and interbeat interval beat-to-beat estimation errors-30% and 66% lower-and mean heart rate and mean interbeat interval estimation errors-60% and 77% lower-when compared to the best of the seven other traditional peak detection algorithms that are known to be accurate for NSR. Our new PPG peak detection algorithm was the overall best performers for other arrhythmias.

conclusionThe proposed method for PPG peak detection automatically detects and discriminates between various arrhythmias among different waveforms of PPG data, delivers significantly lower heart rate estimation errors for participants with AF, and reduces the number of false negative peaks. SIGNIFICANCE: By enabling accurate determination of heart rate despite the presence of AF with rapid ventricular response or PAC/PVCs, we enable clinicians to make more accurate recommendations for heart rate control from PPG data.

Indexed as

Atrial FibrillationVentricular Premature ComplexesAlgorithmsElectrocardiographyHeart RateHumansPhotoplethysmographyadaptive thresholdingatrial fibrillationatrial fibrillation with rapid ventricular responsepeak correctionpeak detectionphotoplethysmographpremature atrial contractionpremature ventricle contraction

Identifiers

PMID35200342
PMCPMC8869811

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Registered trials

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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.