Photoplethysmography based atrial fibrillation detection: a review
Abstract Atrial fibrillation (AF) is a cardiac rhythm disorder associated with increased morbidity and mortality. It is the leading risk factor for cardioembolic stroke and its early detection is crucial in both primary and secondary stroke prevention. Continuous monitoring of cardiac rhythm is toda...
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Nature Portfolio
2020
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oai:doaj.org-article:1626c2a91f4e432c839ebb780840285b2021-12-02T14:29:12ZPhotoplethysmography based atrial fibrillation detection: a review10.1038/s41746-019-0207-92398-6352https://doaj.org/article/1626c2a91f4e432c839ebb780840285b2020-01-01T00:00:00Zhttps://doi.org/10.1038/s41746-019-0207-9https://doaj.org/toc/2398-6352Abstract Atrial fibrillation (AF) is a cardiac rhythm disorder associated with increased morbidity and mortality. It is the leading risk factor for cardioembolic stroke and its early detection is crucial in both primary and secondary stroke prevention. Continuous monitoring of cardiac rhythm is today possible thanks to consumer-grade wearable devices, enabling transformative diagnostic and patient management tools. Such monitoring is possible using low-cost easy-to-implement optical sensors that today equip the majority of wearables. These sensors record blood volume variations—a technology known as photoplethysmography (PPG)—from which the heart rate and other physiological parameters can be extracted to inform about user activity, fitness, sleep, and health. Recently, new wearable devices were introduced as being capable of AF detection, evidenced by large prospective trials in some cases. Such devices would allow for early screening of AF and initiation of therapy to prevent stroke. This review is a summary of a body of work on AF detection using PPG. A thorough account of the signal processing, machine learning, and deep learning approaches used in these studies is presented, followed by a discussion of their limitations and challenges towards clinical applications.Tania PereiraNate TranKais GadhoumiMichele M. PelterDuc H. DoRandall J. LeeRene ColoradoKarl MeiselXiao HuNature PortfolioarticleComputer applications to medicine. Medical informaticsR858-859.7ENnpj Digital Medicine, Vol 3, Iss 1, Pp 1-12 (2020) |
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Computer applications to medicine. Medical informatics R858-859.7 |
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Computer applications to medicine. Medical informatics R858-859.7 Tania Pereira Nate Tran Kais Gadhoumi Michele M. Pelter Duc H. Do Randall J. Lee Rene Colorado Karl Meisel Xiao Hu Photoplethysmography based atrial fibrillation detection: a review |
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Abstract Atrial fibrillation (AF) is a cardiac rhythm disorder associated with increased morbidity and mortality. It is the leading risk factor for cardioembolic stroke and its early detection is crucial in both primary and secondary stroke prevention. Continuous monitoring of cardiac rhythm is today possible thanks to consumer-grade wearable devices, enabling transformative diagnostic and patient management tools. Such monitoring is possible using low-cost easy-to-implement optical sensors that today equip the majority of wearables. These sensors record blood volume variations—a technology known as photoplethysmography (PPG)—from which the heart rate and other physiological parameters can be extracted to inform about user activity, fitness, sleep, and health. Recently, new wearable devices were introduced as being capable of AF detection, evidenced by large prospective trials in some cases. Such devices would allow for early screening of AF and initiation of therapy to prevent stroke. This review is a summary of a body of work on AF detection using PPG. A thorough account of the signal processing, machine learning, and deep learning approaches used in these studies is presented, followed by a discussion of their limitations and challenges towards clinical applications. |
format |
article |
author |
Tania Pereira Nate Tran Kais Gadhoumi Michele M. Pelter Duc H. Do Randall J. Lee Rene Colorado Karl Meisel Xiao Hu |
author_facet |
Tania Pereira Nate Tran Kais Gadhoumi Michele M. Pelter Duc H. Do Randall J. Lee Rene Colorado Karl Meisel Xiao Hu |
author_sort |
Tania Pereira |
title |
Photoplethysmography based atrial fibrillation detection: a review |
title_short |
Photoplethysmography based atrial fibrillation detection: a review |
title_full |
Photoplethysmography based atrial fibrillation detection: a review |
title_fullStr |
Photoplethysmography based atrial fibrillation detection: a review |
title_full_unstemmed |
Photoplethysmography based atrial fibrillation detection: a review |
title_sort |
photoplethysmography based atrial fibrillation detection: a review |
publisher |
Nature Portfolio |
publishDate |
2020 |
url |
https://doaj.org/article/1626c2a91f4e432c839ebb780840285b |
work_keys_str_mv |
AT taniapereira photoplethysmographybasedatrialfibrillationdetectionareview AT natetran photoplethysmographybasedatrialfibrillationdetectionareview AT kaisgadhoumi photoplethysmographybasedatrialfibrillationdetectionareview AT michelempelter photoplethysmographybasedatrialfibrillationdetectionareview AT duchdo photoplethysmographybasedatrialfibrillationdetectionareview AT randalljlee photoplethysmographybasedatrialfibrillationdetectionareview AT renecolorado photoplethysmographybasedatrialfibrillationdetectionareview AT karlmeisel photoplethysmographybasedatrialfibrillationdetectionareview AT xiaohu photoplethysmographybasedatrialfibrillationdetectionareview |
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