RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise
RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise
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DOI：
10.1007/s00421-019-04142-5
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发表时间：
2019-07-01
影响因子：
3
通讯作者：
Wyss, Thomas
中科院分区：
文献类型：
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作者：
Gilgen-Ammann, Rahel;Schweizer, Theresa;Wyss, Thomas
本研究旨在检查静息和运动时霍尔特设备和心率胸带监测器的RR间期信号质量。十名健康个体完成了五项低强度到高强度的活动，同时使用medilog（（R））AR 12 plus霍尔特监测仪和Polar H10心率监测仪。RR间期信号质量基于缺失RR间期和RR间期检测错误的量化。因此，将两种测量系统与原始心电图信号的目视检查进行比较。两种测量系统的缺失和错误R波峰值检测均手动计数。RR间期信号质量定义为正确检测到的RR间期的相对数量。总体而言，medilog（（R））AR 12plus和Polar H10的RR间期信号质量分别为94.6%和99.6%。在高强度活动期间，medilog（（R））AR12plus的RR间期信号质量下降至89.8%，而Polar H10的信号质量保持在99.4%。两种系统之间的相关性很高（r=0.997，p>0.001）。medilog（（R））AR12plus在低强度至中等强度活动期间以及Polar H10在低强度至高强度活动期间的出色RR间期信号质量证明了两种测量系统在各种活动中检测RR间期的有效性。如果研究剧烈运动和剧烈身体运动，则建议将Polar H10等简单胸带作为RR间期评估的金标准。
This study was designed to examine the RR interval signal qualities of a Holter device and a heart rate chest belt monitor at rest and during exercise. Ten healthy individuals completed five low- to high-intensity activities while simultaneously using the medilog((R)) AR12plus Holter monitor and the Polar H10 heart rate monitor. The RR interval signal quality was based on the quantification of the missing RR intervals and RR interval detection errors. Therefore, both measurement systems were compared against visual inspection of the raw electrocardiography signal. The missing and wrong R-wave peak detections were counted manually for both measurement systems. RR interval signal quality was defined as the relative number of correctly detected RR intervals. Overall, RR interval signal qualities of 94.6% and 99.6% were demonstrated for the medilog((R)) AR12plus and the Polar H10. During the high-intensity activities, the RR interval signal quality of the medilog((R)) AR12plus dropped to 89.8%, whereas the Polar H10 maintained a signal quality of 99.4%. The correlation between both systems was high (r=0.997, p>0.001). The excellent RR interval signal quality during low- to moderate-intensity activities in the medilog((R)) AR12plus and during low- to high-intensity activities in the Polar H10 demonstrates both measurement systems' validity for the detection of RR intervals throughout a wide range of activities. A simple chest strap such as the Polar H10 might be recommended as the gold standard for RR interval assessments if intense activities with strong body movements are investigated.