The Movesense Medical Sensor Chest Belt Device as Single Channel ECG for RR Interval Detection and HRV Analysis during Resting State and Incremental Exercise: A Cross-Sectional Validation Study.

The Movesense Medical Sensor Chest Belt Device as Single Channel ECG for RR Interval Detection and HRV Analysis during Resting State and Incremental Exercise: A Cross-Sectional Validation Study.
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DOI:
10.3390/s22052032
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发表时间:
2022-03-05
期刊:
Sensors (Basel, Switzerland)
影响因子:
--
通讯作者:
Gronwald T
Gronwald T
中科院分区:
其他
文献类型:
--
作者:
Rogers B;Schaffarczyk M;Clauß M;Mourot L;Gronwald T

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心率变异性(HRV)在健康,疾病和运动科学领域的价值已经通过大量的调查建立。典型的基于移动的HRV设备只是记录心跳间隔,而不像心电图(ECG)那样区分噪音或心律失常。本报告旨在确认新的单通道ECG器械Movesense Medical传感器与传统12通道ECG的对比。一个由21名参与者组成的异质组进行了一次递增循环斜坡至失败,测量了之前(PRE)、期间(EX)和之后(POST)的HRV。结果显示,在PRE、EX和POST期间,线性指数的器械之间具有良好的相关性,平均RR、SDNN、RMSSD的Pearson r在0.98至1.0之间,非线性指数DFA a1的Pearson r在0.95至0.97之间。在PRE和POST期间,器械特异性平均RR无显著差异。Bland-Altman分析显示器械之间具有高度一致性(PRE和POST:平均RR偏倚为0.0和0.4 ms,LOA为1.9至−1.8 ms和2.3至−1.5 ms; EX:平均RR偏倚为11.2至6.0 ms;低强度运动期间LOA为29.8至−7.4 ms,高强度运动期间为8.5至3.5 ms)。Movesense医疗器械可代替参考ECG用于计算HRV,并有可能区分噪声和房颤,代表了胸带形状因子中HR和HRV记录器械的显著进步,适用于实验室或远程现场应用。
The value of heart rate variability (HRV) in the fields of health, disease, and exercise science has been established through numerous investigations. The typical mobile-based HRV device simply records interbeat intervals, without differentiation between noise or arrythmia as can be done with an electrocardiogram (ECG). The intent of this report is to validate a new single channel ECG device, the Movesense Medical sensor, against a conventional 12 channel ECG. A heterogeneous group of 21 participants performed an incremental cycling ramp to failure with measurements of HRV, before (PRE), during (EX), and after (POST). Results showed excellent correlations between devices for linear indexes with Pearson’s r between 0.98 to 1.0 for meanRR, SDNN, RMSSD, and 0.95 to 0.97 for the non-linear index DFA a1 during PRE, EX, and POST. There was no significant difference in device specific meanRR during PRE and POST. Bland–Altman analysis showed high agreement between devices (PRE and POST: meanRR bias of 0.0 and 0.4 ms, LOA of 1.9 to −1.8 ms and 2.3 to −1.5; EX: meanRR bias of 11.2 to 6.0 ms; LOA of 29.8 to −7.4 ms during low intensity exercise and 8.5 to 3.5 ms during high intensity exercise). The Movesense Medical device can be used in lieu of a reference ECG for the calculation of HRV with the potential to differentiate noise from atrial fibrillation and represents a significant advance in both a HR and HRV recording device in a chest belt form factor for lab-based or remote field-application.
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