How to estimate heart rate from pulse rate reported by oscillometric method in atrial fibrillation: The value of pulse rate variation

Shuai, Wei; Wang, Xixing; Hong, Kui; Peng, Qiang; Li, Juxiang; Li, Ping; Cheng, Xiaoshu; Su, Hai

doi:10.1016/j.ijcard.2016.08.091

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…The outcomes showed a nearly perfect positive correlation (Spearman correlation coefficient = 0.99) and a mean difference of 1 % for the very low and low frequency power and 14 % for the high frequency parameters. In a recent study, W. Shuai et al compared the heart rate obtained from a standard ECG to the pulse rate obtained with an oscillometer blood pressure device [14]. The outcomes of this study also showed a high positive correlation ( = 0.800) between heart and pulse rate.…”

Section: Discussionmentioning

confidence: 54%

Feasibility of pulse rate variability as feedback in closed-loop percutaneous auricular vagus nerve stimulation

Schrödl¹,

Kampusch²,

Dabiri³

et al. 2019

Vib. proced.

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Percutaneous auricular vagus nerve stimulation (pVNS) is a novel approach of treating cardiovascular and inflammatory diseases, as well as pain and neurological conditions. The treatment can be optimized by using biosignals as objective measures and feedback-control. One suitable biofeedback could be the use of pulse rate and pulse rate variability (PRV) derived from optical pulse plethysmography (PPG) instead of heart rate and heart rate variability (HRV) derived from electrocardiogram (ECG). For this purpose, a single-lead ECG on the thorax and a PPG on the earlobe were measured simultaneously on 10 healthy subjects for 420 s during three different respiratory phases. The data was analyzed and compared with scatterplots, the Pearson correlation coefficient and a Bland-Altman analysis. The outcomes show a very high correlation of heart rates from PPG and ECG (= 0.9663) and SDNN values (= 0.9791). Comparison of RMSSD values showed a high positive correlation (= 0.7963) but a mean overestimation of 10 ms in RMSSD values measured with the PPG. The results presented suggest that PRV could be and alternative biofeedback used in pVNS.

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Section: Discussionmentioning

confidence: 54%

Feasibility of pulse rate variability as feedback in closed-loop percutaneous auricular vagus nerve stimulation

Schrödl¹,

Kampusch²,

Dabiri³

et al. 2019

Vib. proced.

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“…Oscillometric devices may incorrectly identify pulse flow in certain situations, for example, when the rate of cuff deflation to patient heart rate is too great, during arrythmias or in situations of reduced peripheral blood flow [25,26]. Many of the standing horses developed sinus bradycardia and second-degree atrioventricular block; likely the result of phenylephrine induced hypertension.…”

Section: Discussionmentioning

confidence: 99%

Bias Associated with Peripheral Non-Invasive Compared to Invasive Arterial Blood Pressure Monitoring in Healthy Anaesthetised and Standing Horses Using the Bionet BM7Vet

Pratt

Barnes

Cowling

et al. 2022

Veterinary Sciences

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To compare arterial blood pressure (ABP) measured invasively (IBP) to ABP measured non-invasively (NIBP) via oscillometry in healthy anaesthetised and standing horses using the Bionet BM7Vet. Fourteen horses were anaesthetised for elective procedures (anaesthetised group) and 10 horses were enrolled for standing blood pressure manipulation (standing group). In both groups, IBP and NIBP-corrected to heart level were measured every 3 min using the Bionet BM7Vet. The overall mean difference (bias), standard deviation and limits of agreement (LOA) were calculated for paired IBP and NIBP systolic (SAP), mean (MAP) and diastolic (DAP) blood pressure measurements. In anaesthetised horses, the NIBP cuff was placed at either the proximal tail base or the metacarpus. Invasive MAP was used to retrospectively characterise measurements into hypotensive (≤70 mm Hg), normotensive (71–110 mm Hg) or hypertensive (≥111 mm Hg) subgroups. In standing horses, the NIBP cuff was placed at the tail base only and invasive MAP was manipulated to achieve hypertension (≥126 mm Hg) and hypotension (≤90 mm Hg) using phenylephrine and acepromazine, respectively. When measuring NIBP at the tail in anaesthetised horses, the Bionet BM7Vet failed on 8/185 occasions and overestimated SAP, MAP and DAP during hypotension and normotension. The biases (lower, upper LOA) for MAP were −11.4 (−33.3, 10.5) and −6.0 (−25.8, 13.8) mm Hg, respectively. Hypertension could not be evaluated. When measuring NIBP at the metacarpus in anaesthetised horses, the Bionet BM7Vet failed on 24/65 occasions and underestimated SAP, MAP and DAP when all ABP subgroups were combined. The bias (lower, upper LOA) for pooled MAP was 3.6 (−44.3, 51.6) mm Hg. When measuring NIBP at the tail in standing horses, the Bionet BM7Vet failed on 64/268 occasions and underestimated SAP, MAP and DAP during hypotension, normotension and hypertension. The biases (lower, upper LOA) for MAP were 16.3 (−10.5, 43.1), 16.6 (−19.5, 52.7) and 30.0 (−8.1, 68.0) mm Hg, respectively. Monitoring NIBP on the Bionet BM7Vet in anaesthetised horses overestimated ABP at the tail and underestimated ABP at the metacarpus. The device inaccurately detected hypotension and should be used cautiously. In standing horses, the Bionet BM7Vet underestimated ABP at the tail, especially during pharmacologically induced hypertension.

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“…In addition, no information on the methods used to compare the readings provided by the two devices was provided. In other studies, some authors found a moderate positive correlation between HR measured with the oscillomteric method and HR simultaneously measured with the electrocardiogram but these investigations were made in individuals with atrial fibrillation [ 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the oscillometric method for the measurement of heart rate at rest and during mild exercise

Palatini

Lazzaretto

Fontana

et al. 2021

Journal of Hypertension

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Objective: Whether oscillometric devices provide accurate measurements of heart rate (HR) is not known. Our aim was to determine the accuracy of an oscillometric device for the measurement of HR during rest and exercise. Methods:The Microlife WatchBP O3, a monitor previously validated for blood pressure measurement, was tested in 36 individuals from the general population (mean age, 72.9 years; 18 men). HR was measured at rest and during stress testing on a cycle ergometer in order to increase HR by 15% or more. HR was computed from the oscillometric waves recorded during the deflation phase of the blood pressure measurement and was compared with HR measured by pulse palpation by two observers.Results: At rest, the mean device-observer HR difference was 0.9 AE 2.1 bpm. During exercise, the average HR increase was 20.3% and the mean device-observer difference was 0.6 AE 2.6 bpm. The device-observer HR differences were all included within AE6 bpm both at rest and during exercise. Kappa statistics showed a very good agreement between device and observers both at rest (kappa scores, 0.82-0.88) and during exercise (kappa scores, 0.81 and 0.86). The device-observer HR differences were unrelated to the level of HR or to pulse pressure. Conclusion:The present study shows that the oscillometric technique is able to provide reliable HR measurements during rest and mild exercise. Whether evaluation of HR performance should be included during validation testing of automatic monitors should be established by regulatory bodies.

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How to estimate heart rate from pulse rate reported by oscillometric method in atrial fibrillation: The value of pulse rate variation

Cited by 6 publications

References 17 publications

Feasibility of pulse rate variability as feedback in closed-loop percutaneous auricular vagus nerve stimulation

Feasibility of pulse rate variability as feedback in closed-loop percutaneous auricular vagus nerve stimulation

Bias Associated with Peripheral Non-Invasive Compared to Invasive Arterial Blood Pressure Monitoring in Healthy Anaesthetised and Standing Horses Using the Bionet BM7Vet

Accuracy of the oscillometric method for the measurement of heart rate at rest and during mild exercise

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