Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation
The usefulness of opportunistic arrhythmia screening strategies, using an electrocardiogram (ECG) or other methods for random “snapshot” assessments is limited by the unexpected and occasional nature of arrhythmias, leading to a high rate of missed diagnosis. We have previously validated a cardiac m...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/12/3/712 |
| _version_ | 1827649300690108416 |
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| author | Chiara Martini Bernardo Di Maria Claudio Reverberi Domenico Tuttolomondo Nicola Gaibazzi |
| author_facet | Chiara Martini Bernardo Di Maria Claudio Reverberi Domenico Tuttolomondo Nicola Gaibazzi |
| author_sort | Chiara Martini |
| collection | DOAJ |
| description | The usefulness of opportunistic arrhythmia screening strategies, using an electrocardiogram (ECG) or other methods for random “snapshot” assessments is limited by the unexpected and occasional nature of arrhythmias, leading to a high rate of missed diagnosis. We have previously validated a cardiac monitoring system for AF detection pairing simple consumer-grade Bluetooth low-energy (BLE) heart rate (HR) sensors with a smartphone application (RITMIA™, Heart Sentinel srl, Italy). In the current study, we test a significant upgrade to the above-mentioned system, thanks to the technical capability of new HR sensors to run algorithms on the sensor itself and to acquire, and store on-board, single-lead ECG strips. We have reprogrammed an HR monitor intended for sports use (Movensense HR+) to run our proprietary RITMIA algorithm code in real-time, based on RR analysis, so that if any type of arrhythmia is detected, it triggers a brief retrospective recording of a single-lead ECG, providing tracings of the specific arrhythmia for later consultation. We report the initial data on the behavior, feasibility, and high diagnostic accuracy of this ultra-low weight customized device for standalone automatic arrhythmia detection and ECG recording, when several types of arrhythmias were simulated under different baseline conditions. Conclusions: The customized device was capable of detecting all types of simulated arrhythmias and correctly triggered a visually interpretable ECG tracing. Future human studies are needed to address real-life accuracy of this device. |
| first_indexed | 2024-03-09T19:56:23Z |
| format | Article |
| id | doaj.art-37e463dd29b54963899f0c280c860c79 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T19:56:23Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-37e463dd29b54963899f0c280c860c792023-11-24T00:56:05ZengMDPI AGDiagnostics2075-44182022-03-0112371210.3390/diagnostics12030712Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot ValidationChiara Martini0Bernardo Di Maria1Claudio Reverberi2Domenico Tuttolomondo3Nicola Gaibazzi4Department of Radiology, Parma University Hospital, Via Gramsci 14, 43125 Parma, ItalyIndependent Researcher, 43126 Parma, ItalyPoliambulatorio Città di Collecchio, Str. Nazionale Est, 4/A, 43044 Collecchio, ItalyNon-invasive Cardiology, Parma University Hospital, Via Gramsci 14, 43125 Parma, ItalyNon-invasive Cardiology, Parma University Hospital, Via Gramsci 14, 43125 Parma, ItalyThe usefulness of opportunistic arrhythmia screening strategies, using an electrocardiogram (ECG) or other methods for random “snapshot” assessments is limited by the unexpected and occasional nature of arrhythmias, leading to a high rate of missed diagnosis. We have previously validated a cardiac monitoring system for AF detection pairing simple consumer-grade Bluetooth low-energy (BLE) heart rate (HR) sensors with a smartphone application (RITMIA™, Heart Sentinel srl, Italy). In the current study, we test a significant upgrade to the above-mentioned system, thanks to the technical capability of new HR sensors to run algorithms on the sensor itself and to acquire, and store on-board, single-lead ECG strips. We have reprogrammed an HR monitor intended for sports use (Movensense HR+) to run our proprietary RITMIA algorithm code in real-time, based on RR analysis, so that if any type of arrhythmia is detected, it triggers a brief retrospective recording of a single-lead ECG, providing tracings of the specific arrhythmia for later consultation. We report the initial data on the behavior, feasibility, and high diagnostic accuracy of this ultra-low weight customized device for standalone automatic arrhythmia detection and ECG recording, when several types of arrhythmias were simulated under different baseline conditions. Conclusions: The customized device was capable of detecting all types of simulated arrhythmias and correctly triggered a visually interpretable ECG tracing. Future human studies are needed to address real-life accuracy of this device.https://www.mdpi.com/2075-4418/12/3/712cardiovascular preventionheart failuresports cardiologydigital cardiologyarrhythmiacardiac monitoring |
| spellingShingle | Chiara Martini Bernardo Di Maria Claudio Reverberi Domenico Tuttolomondo Nicola Gaibazzi Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation Diagnostics cardiovascular prevention heart failure sports cardiology digital cardiology arrhythmia cardiac monitoring |
| title | Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation |
| title_full | Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation |
| title_fullStr | Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation |
| title_full_unstemmed | Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation |
| title_short | Commercially Available Heart Rate Monitor Repurposed for Automatic Arrhythmia Detection with Snapshot Electrocardiographic Capability: A Pilot Validation |
| title_sort | commercially available heart rate monitor repurposed for automatic arrhythmia detection with snapshot electrocardiographic capability a pilot validation |
| topic | cardiovascular prevention heart failure sports cardiology digital cardiology arrhythmia cardiac monitoring |
| url | https://www.mdpi.com/2075-4418/12/3/712 |
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