Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads
Abstract Background and Aims Single‐use electrocardiography (ECG) leads have been developed to reduce healthcare‐associated infection. This study compared the validity and reliability of short‐term heart rate variability (HRV) obtained from single‐use disposable ECG leads. Methods Thirty healthy sub...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.984 |
| _version_ | 1827861197278412800 |
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| author | Nduka C. Okwose Sophie L. Russell Mushidur Rahman Charles J. Steward Amy E. Harwood Gordon McGregor Srdjan Ninkovic Helen Maddock Prithwish Banerjee Djordje G. Jakovljevic |
| author_facet | Nduka C. Okwose Sophie L. Russell Mushidur Rahman Charles J. Steward Amy E. Harwood Gordon McGregor Srdjan Ninkovic Helen Maddock Prithwish Banerjee Djordje G. Jakovljevic |
| author_sort | Nduka C. Okwose |
| collection | DOAJ |
| description | Abstract Background and Aims Single‐use electrocardiography (ECG) leads have been developed to reduce healthcare‐associated infection. This study compared the validity and reliability of short‐term heart rate variability (HRV) obtained from single‐use disposable ECG leads. Methods Thirty healthy subjects (33 ± 10 years; 9 females) underwent 5‐min resting HRV assessments using disposable (single use) ECG cable and wire system (Kendall DL™ Cardinal Health) and a standard, reusable ECG leads (CardioExpress, Spacelabs Healthcare). Results Intraclass correlation coefficient (ICC) with 95% confidence interval (CI) between disposable and reusable ECG leads was for the time domain [R‐R interval (ms); 0.99 (0.91, 1.00)], the root mean square of successive normal R‐R interval differences (RMSSD) (ms); 0.91 (0.76, 0.96), the SD of normal‐to‐normal R‐R intervals (SDNN) (ms); 0.91 (0.68, 0.97) and frequency domain [low‐frequency (LF) normalized units (nu); 0.90 (0.79, 0.95), high frequency (HF) nu; 0.91 (0.80, 0.96), LF power (ms2); 0.89 (0.62, 0.96), HF power (ms2); 0.90 (0.72, 0.96)] variables. The mean difference and upper and lower limits of agreement between disposable and reusable leads for time‐ and frequency‐domain variables were acceptable. Analysis of repeated measures using disposable leads demonstrated excellent reproducibility (ICC 95% CI) for R‐R interval (ms); 0.93 (0.85, 0.97), RMSSD (ms); 0.93 (0.85, 0.97), SDNN (ms); 0.88 (0.75, 0.95), LF power (ms2); 0.87 (0.72, 0.94), and HF power (ms2); 0.88 (0.73, 0.94) with coefficient of variation ranging from 2.2% to 5% (p > 0.37 for all variables). Conclusion Single‐use Kendall DL™ ECG leads demonstrate a valid and reproducible tool for the assessment of HRV. |
| first_indexed | 2024-03-12T13:33:32Z |
| format | Article |
| id | doaj.art-aa495abcce214abb9cb03ac78878cae8 |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-12T13:33:32Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-aa495abcce214abb9cb03ac78878cae82023-08-24T06:32:46ZengWileyHealth Science Reports2398-88352023-01-0161n/an/a10.1002/hsr2.984Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leadsNduka C. Okwose0Sophie L. Russell1Mushidur Rahman2Charles J. Steward3Amy E. Harwood4Gordon McGregor5Srdjan Ninkovic6Helen Maddock7Prithwish Banerjee8Djordje G. Jakovljevic9Cardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKDepartment of Surgery, Clinical Centre, Faculty of Medical Sciences University of Kragujevac Kragujevac SerbiaCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKCardiovascular and Lifestyle Medicine Research Theme, Faculty Research Centre (CSELS), Institute for Health and Wellbeing Coventry University Coventry UKAbstract Background and Aims Single‐use electrocardiography (ECG) leads have been developed to reduce healthcare‐associated infection. This study compared the validity and reliability of short‐term heart rate variability (HRV) obtained from single‐use disposable ECG leads. Methods Thirty healthy subjects (33 ± 10 years; 9 females) underwent 5‐min resting HRV assessments using disposable (single use) ECG cable and wire system (Kendall DL™ Cardinal Health) and a standard, reusable ECG leads (CardioExpress, Spacelabs Healthcare). Results Intraclass correlation coefficient (ICC) with 95% confidence interval (CI) between disposable and reusable ECG leads was for the time domain [R‐R interval (ms); 0.99 (0.91, 1.00)], the root mean square of successive normal R‐R interval differences (RMSSD) (ms); 0.91 (0.76, 0.96), the SD of normal‐to‐normal R‐R intervals (SDNN) (ms); 0.91 (0.68, 0.97) and frequency domain [low‐frequency (LF) normalized units (nu); 0.90 (0.79, 0.95), high frequency (HF) nu; 0.91 (0.80, 0.96), LF power (ms2); 0.89 (0.62, 0.96), HF power (ms2); 0.90 (0.72, 0.96)] variables. The mean difference and upper and lower limits of agreement between disposable and reusable leads for time‐ and frequency‐domain variables were acceptable. Analysis of repeated measures using disposable leads demonstrated excellent reproducibility (ICC 95% CI) for R‐R interval (ms); 0.93 (0.85, 0.97), RMSSD (ms); 0.93 (0.85, 0.97), SDNN (ms); 0.88 (0.75, 0.95), LF power (ms2); 0.87 (0.72, 0.94), and HF power (ms2); 0.88 (0.73, 0.94) with coefficient of variation ranging from 2.2% to 5% (p > 0.37 for all variables). Conclusion Single‐use Kendall DL™ ECG leads demonstrate a valid and reproducible tool for the assessment of HRV.https://doi.org/10.1002/hsr2.984disposable leadsECGheart rate variabilityreproducibilityvalidity |
| spellingShingle | Nduka C. Okwose Sophie L. Russell Mushidur Rahman Charles J. Steward Amy E. Harwood Gordon McGregor Srdjan Ninkovic Helen Maddock Prithwish Banerjee Djordje G. Jakovljevic Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads Health Science Reports disposable leads ECG heart rate variability reproducibility validity |
| title | Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads |
| title_full | Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads |
| title_fullStr | Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads |
| title_full_unstemmed | Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads |
| title_short | Validity and reliability of short‐term heart‐rate variability from disposable electrocardiography leads |
| title_sort | validity and reliability of short term heart rate variability from disposable electrocardiography leads |
| topic | disposable leads ECG heart rate variability reproducibility validity |
| url | https://doi.org/10.1002/hsr2.984 |
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