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Evaluation of In-Ear and Fingertip-Based Photoplethysmography Sensors for Measuring Cardiac Vagal Tone Relevant Heart Rate Variability Parameters.

作者信息

Parikh Ankit, Lewis Gwyn, GholamHosseini Hamid, Rashid Usman, Rice David, Almesfer Faisal

机构信息

School of Clinical Sciences, Auckland University of Technology, Auckland 0627, New Zealand.

Exsurgo Ltd., 45i William Pickering Drive, Rosedale, Auckland 0632, New Zealand.

出版信息

Sensors (Basel). 2025 Feb 28;25(5):1485. doi: 10.3390/s25051485.


DOI:10.3390/s25051485
PMID:40096338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11902391/
Abstract

This paper presents a study undertaken to evaluate the sensor systems that were shortlisted to be used in the development of a portable respiratory-gated transcutaneous auricular vagus nerve stimulation (taVNS) system. To date, all published studies assessing respiratory-gated taVNS have been performed in controlled laboratory environments. This limitation arises from the reliance on non-portable sensing equipment, which poses significant logistical challenges. Therefore, we recognised a need to develop a portable sensor system for future research, enabling participants to perform respiratory-gated stimulation conveniently from their homes. This study aimed to measure the accuracy of an in-ear and a fingertip-based photoplethysmography (PPG) sensor in measuring cardiac vagal tone relevant heart rate variability (HRV) parameters of root mean square of successive R-R interval differences (RMSSDs) and the high-frequency (HF) component of HRV. Thirty healthy participants wore the prototype sensor equipment and the gold standard electrocardiogram (ECG) equipment to record beat-to-beat intervals simultaneously during 10 min of normal breathing and 10 min of deep slow breathing (DSB). Additionally, a stretch sensor was evaluated to measure its accuracy in detecting exhalation when compared to the gold standard sensor. We used Bland-Altman analysis to establish the agreement between the prototypes and the ECG system. Intraclass correlation coefficients (ICCs) were calculated to establish consistency between the prototypes and the ECG system. For the stretch sensor, the true positive rate (TPR), false positive rate (FPR), and false negative rate (FNR) were calculated. Results indicate that while ICC values were generally good to excellent, only the fingertip-based sensor had an acceptable level of agreement in measuring RMSSDs during both breathing phases. Only the fingertip-based sensor had an acceptable level of agreement during normal breathing in measuring HF-HRV. The study highlights that a high correlation between sensors does not necessarily translate into a high level of agreement. In the case of the stretch sensor, it had an acceptable level of accuracy with a mean TPR of 85% during normal breathing and 95% during DSB. The results show that the fingertip-based sensor and the stretch sensor had acceptable levels of accuracy for use in the development of the respiratory-gated taVNS system.

摘要

相似文献

[1]
Evaluation of In-Ear and Fingertip-Based Photoplethysmography Sensors for Measuring Cardiac Vagal Tone Relevant Heart Rate Variability Parameters.

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[2]
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[3]
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[4]
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[5]
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[8]
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本文引用的文献

[1]
Outlier Management for Pulse Rate Variability Analysis from Photoplethysmographic Signals.

Annu Int Conf IEEE Eng Med Biol Soc. 2022-7

[2]
A Real-Time Respiration Monitoring and Classification System Using a Depth Camera and Radars.

Front Physiol. 2022-3-9

[3]
Diagnostic Features and Potential Applications of PPG Signal in Healthcare: A Systematic Review.

Healthcare (Basel). 2022-3-16

[4]
Camera-based Photoplethysmography (cbPPG) using smartphone rear and frontal cameras: an experimental study.

Annu Int Conf IEEE Eng Med Biol Soc. 2021-11

[5]
Effect of Filtering of Photoplethysmography Signals in Pulse Rate Variability Analysis.

Annu Int Conf IEEE Eng Med Biol Soc. 2021-11

[6]
The accuracy of heartbeat detection using photoplethysmography technology in cardiac patients.

J Electrocardiol. 2021

[7]
Error Estimation of Ultra-Short Heart Rate Variability Parameters: Effect of Missing Data Caused by Motion Artifacts.

Sensors (Basel). 2020-12-11

[8]
Reference values of heart rate variability from 10-second resting electrocardiograms: the Lifelines Cohort Study.

Eur J Prev Cardiol. 2020-12

[9]
In-Ear Pulse Rate Measurement: A Valid Alternative to Heart Rate Derived from Electrocardiography?

Sensors (Basel). 2019-8-21

[10]
Analysis of the Impact of Interpolation Methods of Missing RR-intervals Caused by Motion Artifacts on HRV Features Estimations.

Sensors (Basel). 2019-7-18

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