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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Autores principales: Tania Pereira, Nate Tran, Kais Gadhoumi, Michele M. Pelter, Duc H. Do, Randall J. Lee, Rene Colorado, Karl Meisel, Xiao Hu
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/1626c2a91f4e432c839ebb780840285b
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Computer applications to medicine. Medical informatics
R858-859.7
spellingShingle 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
description 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
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