1
|
Jacobsen M, Dembek TA, Ziakos AP, Gholamipoor R, Kobbe G, Kollmann M, Blum C, Müller-Wieland D, Napp A, Heinemann L, Deubner N, Marx N, Isenmann S, Seyfarth M. Reliable Detection of Atrial Fibrillation with a Medical Wearable during Inpatient Conditions. Sensors (Basel) 2020; 20:s20195517. [PMID: 32993132 PMCID: PMC7583973 DOI: 10.3390/s20195517] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 09/22/2020] [Accepted: 09/24/2020] [Indexed: 01/19/2023]
Abstract
Atrial fibrillation (AF) is the most common arrhythmia and has a major impact on morbidity and mortality; however, detection of asymptomatic AF is challenging. This study sims to evaluate the sensitivity and specificity of non-invasive AF detection by a medical wearable. In this observational trial, patients with AF admitted to a hospital carried the wearable and an ECG Holter (control) in parallel over a period of 24 h, while not in a physically restricted condition. The wearable with a tight-fit upper armband employs a photoplethysmography technology to determine pulse rates and inter-beat intervals. Different algorithms (including a deep neural network) were applied to five-minute periods photoplethysmography datasets for the detection of AF. A total of 2306 h of parallel recording time could be obtained in 102 patients; 1781 h (77.2%) were automatically interpretable by an algorithm. Sensitivity to detect AF was 95.2% and specificity 92.5% (area under the receiver operating characteristics curve (AUC) 0.97). Usage of deep neural network improved the sensitivity of AF detection by 0.8% (96.0%) and specificity by 6.5% (99.0%) (AUC 0.98). Detection of AF by means of a wearable is feasible in hospitalized but physically active patients. Employing a deep neural network enables reliable and continuous monitoring of AF.
Collapse
Affiliation(s)
- Malte Jacobsen
- Faculty of Health, University Witten/Herdecke, 58448 Witten, Germany; (A.-P.Z.); (N.D.); (S.I.); (M.S.)
- Department of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany; (D.M.-W.); (A.N.); (N.M.)
- Correspondence: ; Tel.: +49-173-560-6980
| | - Till A. Dembek
- Department of Neurology, Faculty of Medicine, University of Cologne, 50937 Cologne, Germany;
| | - Athanasios-Panagiotis Ziakos
- Faculty of Health, University Witten/Herdecke, 58448 Witten, Germany; (A.-P.Z.); (N.D.); (S.I.); (M.S.)
- Department of Cardiology, Helios University Hospital of Wuppertal, 42117 Wuppertal, Germany
| | - Rahil Gholamipoor
- Department of Computer Science, Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany;
| | - Guido Kobbe
- Department of Hematology, Oncology, and Clinical Immunology, University Hospital Düsseldorf, Medical Faculty, Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany;
| | - Markus Kollmann
- Department of Biology, Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany; (M.K.); (C.B.)
| | - Christopher Blum
- Department of Biology, Heinrich Heine University Düsseldorf, 40225 Düsseldorf, Germany; (M.K.); (C.B.)
| | - Dirk Müller-Wieland
- Department of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany; (D.M.-W.); (A.N.); (N.M.)
| | - Andreas Napp
- Department of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany; (D.M.-W.); (A.N.); (N.M.)
| | | | - Nikolas Deubner
- Faculty of Health, University Witten/Herdecke, 58448 Witten, Germany; (A.-P.Z.); (N.D.); (S.I.); (M.S.)
- Department of Cardiology, Helios University Hospital of Wuppertal, 42117 Wuppertal, Germany
| | - Nikolaus Marx
- Department of Internal Medicine I, University Hospital Aachen, RWTH Aachen University, 52074 Aachen, Germany; (D.M.-W.); (A.N.); (N.M.)
| | - Stefan Isenmann
- Faculty of Health, University Witten/Herdecke, 58448 Witten, Germany; (A.-P.Z.); (N.D.); (S.I.); (M.S.)
- Department of Neurology, St. Josef Hospital, 47441 Moers, Germany
| | - Melchior Seyfarth
- Faculty of Health, University Witten/Herdecke, 58448 Witten, Germany; (A.-P.Z.); (N.D.); (S.I.); (M.S.)
- Department of Cardiology, Helios University Hospital of Wuppertal, 42117 Wuppertal, Germany
| |
Collapse
|
2
|
Deubner N, Greiss H, Gkalapis C, Ziakos AP, Sause A, Kuniss M, Neumann T. P281qualified bonus freezes - a rationale for added freezes with the cryoballoon. Europace 2018. [DOI: 10.1093/europace/euy015.093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- N Deubner
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - H Greiss
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| | - C Gkalapis
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - A P Ziakos
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - A Sause
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - M Kuniss
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| | - T Neumann
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| |
Collapse
|
3
|
Gkalapis C, Deubner N, Ziakos AP, Seyfarth M, Sause A. P1167Lowering ionizing radiation exposure in cardiac EP. Europace 2018. [DOI: 10.1093/europace/euy015.652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- C Gkalapis
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - N Deubner
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - A P Ziakos
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - M Seyfarth
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - A Sause
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| |
Collapse
|
4
|
Deubner N, Greiss H, Gkalapis C, Ziakos AP, Neumann T, Sause A, Kuniss M. P754Cryoballoon-PVI is safe and efficacious in overweight patients. Europace 2018. [DOI: 10.1093/europace/euy015.359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- N Deubner
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - H Greiss
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| | - C Gkalapis
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - A P Ziakos
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - T Neumann
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| | - A Sause
- Helios Clinic Wuppertal, Cardiology, Wuppertal, Germany
| | - M Kuniss
- Kerckhoff Heart and Thorax Center, Bad Nauheim, Germany
| |
Collapse
|