Department of Cardiology, Peking University First Hospital, Beijing, China.
Department of Cardiology, Peking University First Hospital, Beijing, China.
Heart Rhythm. 2020 May;17(5 Pt B):847-853. doi: 10.1016/j.hrthm.2020.01.034.
Detection of atrial fibrillation (AF) occurrence over a long duration has been a challenge in the screening and follow-up of AF patients. Wearable devices may be an ideal solution.
The purpose of this study was to measure the sensitivity, specificity, and accuracy of a recently developed smart wristband device that is equipped with both photoplethysmographic (PPG) and single-channel electrocardiogram (ECG) systems and an AF-identifying, artificial intelligence (AI) algorithm, used in the short term.
Use of the Amazfit Health Band 1S, which records both PPG and single-channel ECG data, was assessed in 401 patients (251 normal individuals and 150 ECG-diagnosed AF patients).
ECG and PPG readings could not be judged in 15 and 18 subjects, respectively. Subjects who were unable to be judged were defined as either false negative or false positive. The sensitivity, specificity, and accuracy of wristband PPG readings were 88.00%, 96.41%, and 93.27%, respectively, and those of wristband ECG readings were 87.33%, 99.20%, and 94.76%, respectively. When the original wristband ECG records were judged by physicians, the sensitivity, specificity, and accuracy were 96.67%, 98.01%, and 97.51%, respectively.
This promising new combination of PPG, ECG, and AI algorithm has the potential to facilitate AF detection.
在筛查和随访房颤患者时,长时间检测房颤的发生一直是一个挑战。可穿戴设备可能是一个理想的解决方案。
本研究旨在评估一种新开发的智能腕带设备的短期敏感性、特异性和准确性,该设备配备了光电容积脉搏波(PPG)和单通道心电图(ECG)系统以及房颤识别人工智能(AI)算法。
评估了 401 名患者(251 名正常个体和 150 名心电图诊断为房颤的患者)使用 Amazfit Health Band 1S 的情况,该设备记录 PPG 和单通道 ECG 数据。
分别有 15 名和 18 名受试者的 ECG 和 PPG 读数无法判断。无法判断的受试者被定义为假阴性或假阳性。腕带 PPG 读数的敏感性、特异性和准确性分别为 88.00%、96.41%和 93.27%,腕带 ECG 读数的敏感性、特异性和准确性分别为 87.33%、99.20%和 94.76%。当医生对原始腕带 ECG 记录进行判断时,敏感性、特异性和准确性分别为 96.67%、98.01%和 97.51%。
这种新的 PPG、ECG 和 AI 算法的组合具有促进房颤检测的潜力。