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Title: Utility of photoplethysmography for heart rate estimation among inpatients.
Austin Authors: Koshy, Anoop N ;Sajeev, Jithin K;Nerlekar, Nitesh;Brown, Adam J;Rajakariar, Kevin;Zureik, Mark;Wong, Michael C;Roberts, Louise;Street, Maryann;Cooke, Jennifer;Teh, Andrew W 
Affiliation: Monash Cardiovascular Research Centre, Department of Medicine, Monash University and Monash Heart, Monash Health, Melbourne, Victoria, Australia
Department of Cardiology, Monash University, Eastern Health Clinical School, Melbourne, Victoria, Australia
Deakin University, Geelong, Victoria, Australia
Medicine (University of Melbourne)
Issue Date: May-2018
Publication information: Internal Medicine Journal 2018; 48(5): 587-591
Abstract: The accuracy of photoplethysmography (PPG) for heart rate (HR) estimation in cardiac arrhythmia is unknown. PPG-HR was evaluated in 112 hospitalised inpatients (cardiac arrhythmias (n = 60), sinus rhythm (n = 52)) using a continuous electrocardiogram monitoring as a reference standard. Strong agreement was observed in sinus rhythm HR < 100 and atrial flutter (bias 1 beat), modest agreement in sinus tachycardia (bias 24 beats) and complete heart block (bias -6 beats) and weak agreement with significant HR underestimation was seen in atrial fibrillation (bias 23 beats). Routine utilisation of PPG for HR estimation may delay early recognition of clinical deterioration in certain arrhythmias and sinus tachycardia.
DOI: 10.1111/imj.13777
ORCID: 0000-0002-8741-8631
Journal: Internal Medicine Journal
PubMed URL: 29722189
Type: Journal Article
Subjects: accuracy
atrial fibrillation
heart rate
Appears in Collections:Journal articles

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