How accurate is pulse rate variability as an estimate of heart rate variability?: A review on studies comparing photoplethysmographic technology with an electrocardiogram

International Journal of Cardiology

Volumn 166, Issue 1, 2013, Pages 15-29

  Schäfer, Axel ^a,b   Vagedes, Jan ^a,b  

^a ARCIM Institute   (Germany)

^b UNIVERSITY OF TÜBINGEN   (Germany)

Author keywords

Continuous blood pressure monitoring; Electrocardiography; Heart rate variability; Photoplethysmography; Pulse wave analysis

Indexed keywords

ACCURACY; AMBULATORY MONITORING; ARTIFACT; BLOOD PRESSURE MONITORING; BREATHING PATTERN; CARDIOVASCULAR PARAMETERS; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY; HEART RATE VARIABILITY; HUMAN; IMPEDANCE PLETHYSMOGRAPHY; MENTAL STRESS; PHOTOELECTRIC PLETHYSMOGRAPH; PHOTOELECTRIC PLETHYSMOGRAPHY; PHYSICAL ACTIVITY; PRIORITY JOURNAL; PULSE OXIMETRY; PULSE RATE VARIABILITY; PULSE WAVE; QRS COMPLEX; REST; REVIEW; RR INTERVAL;

ELECTROCARDIOGRAPHY; HEART RATE; HUMANS; MOTOR ACTIVITY; PHOTOPLETHYSMOGRAPHY; PULSE; REST;

EID: 84877733859     PISSN: 01675273     EISSN: 18741754     Source Type: Journal    
DOI: 10.1016/j.ijcard.2012.03.119     Document Type: Review

References (105)

1. Electrophysiology TFotESoCatNASoP. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use Circulation 93 1996 1043 1065
2. R.E. Kleiger, J.P. Miller, J.T. Bigger Jr., and A.J. Moss Decreased heart rate variability and its association with increased mortality after acute myocardial infarction Am J Cardiol 59 1987 256 262
3. H. Tsuji, M.G. Larson, and F.J. Venditti Impact of reduced heart rate variability on risk for cardiac events: the Framingham Heart Study Circulation 94 1996 2850 2855
4. D. Bonaduce, M. Petretta, and F. Marciano Independent and incremental prognostic value of heart rate variability in patients with chronic heart failure Am Heart J 138 1999 273 284
5. H. Mølgaard, K.E. Sørensen, and P. Bjerregaard Attenuated 24-h heart rate variability in apparently healthy subjects, subsequently suffering sudden cardiac death Clin Auton Res 1 1991 233 237
6. S. Akselrod, D. Gordon, F. Ubel, D. Shannon, A. Berger, and R. Cohen Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control Science 213 1981 220 222
7. B. Pomeranz, R.J. Macaulay, and M.A. Caudill Assessment of autonomic function in humans by heart rate spectral analysis Am J Physiol Heart Circ Physiol 248 1985 H151 H153
8. M. Horsten, M. Ericson, A. Perski, S.P. Wamala, K. Schenck-Gustafsson, and K. Orth-Gomér Psychosocial factors and heart rate variability in healthy women Psychosom Med 61 1999 49 57
9. P.K. Stein, A.A. Ehsani, P.P. Domitrovich, R.E. Kleiger, and J.N. Rottman Effect of exercise training on heart rate variability in healthy older adults Am Heart J 138 1999 567 576
10. T. Rechlin The effect of amitriptyline, doxepin, fluvoxamine, and paroxetine treatment on heart rate variability J Clin Psychopharmacol 14 1994 392 395
11. T. Rechlin, M. Weis, A. Spitzer, and W.P. Kaschka Are affective disorders associated with alterations of heart rate variability? J Affect Disord 32 1994 271 275
12. E.R. Migliaro, R. Canetti, P. Contreras, and M. Hakas Heart rate variability: short-term studies are as useful as Holter to differentiate diabetic patients from healthy subjects Ann Noninvasive Electrocardiol 8 2003 313 320
13. R.M. Hamilton, P.S. McKechnie, and P.W. Macfarlane Can cardiac vagal tone be estimated from the 10-second ECG? Int J Cardiol 95 2004 109 115
14. A. Herzman, and C. Spielman Observations on the finger volume pulse recorded photoelectrically Am J Physiol 119 1937 334 335
15. J. Allen Photoplethysmography and its application in clinical physiological measurement Physiol Meas 28 2007 R1
16. I. Korhonen, and A. Yli-Hankala Photoplethysmography and nociception Acta Anaesthesiol Scand 53 2009 975 985
17. P. Leonard, T.F. Beattie, P.S. Addison, and J.N. Watson Standard pulse oximeters can be used to monitor respiratory rate Emerg Med J 20 2003 524 525
18. K. Shelley Photoplethysmography: Beyond the calculation of arterial oxygen saturation and heart rate Anesth Analg 105 2007 S31 S36
19. C. Chua, and C. Heneghan Continuous blood pressure monitoring using ECG and finger photoplethysmogram Proceedings of the 28th IEEE Engineering in Medicine and Biology Society Annual International Conference 2006 5117 5120
20. J. Naschitz, S. Bezobchuk, and R. Mussafia-Priselac Pulse transit time by R-wave-gated infrared photoplethysmography: review of the literature and personal experience J Clin Monit Comput 18 2004 333 342
21. B.P.M. Imholz, W. Wieling, G.A. van Montfrans, and K.H. Wesseling Fifteen years experience with finger arterial pressure monitoring Cardiovasc Res 38 1998 605 616
22. S.A. Hoeksel, J.R. Jansen, J.A. Blom, and J.J. Schreuder Detection of dicrotic notch in arterial pressure signals J Clin Monit 13 1997 309 316
23. P.J. Chowienczyk, R.P. Kelly, and H. MacCallum Photoplethysmographic assessment of pulse wave reflection: blunted response to endothelium-dependent beta2-adrenergic vasodilation in type II diabetes mellitus J Am Coll Cardiol 34 1999 2007 2014
24. M. Nitzan The variability of the photoplethysmographic signal - a potential method for the evaluation of the autonomic nervous system Physiol Meas 19 1998 93
25. Y.C. Chiu, P.W. Arand, S.G. Shroff, T. Feldman, and J.D. Carroll Determination of pulse wave velocities with computerized algorithms Am Heart J 121 1991 1460 1470
26. E. Kazanavicius, R.A.V. Gircys, and S. Lugin Mathematical methods for determining the foot point of the arterial pulse wave and evaluation of proposed methods Inf Technol Control 34 2005 29 36
27. R. Rauh, R. Limley, R.-D. Bauer, M. Radespiel-Troger, and M. Mueck-Weymann Comparison of heart rate variability and pulse rate variability detected with photoplethysmography Society of Photo-Optical Instrumentation Engineers (SPIE) Conference Series 2004 115 126
28. L. Lin A concordance correlation coefficient to evaluate reproducibility Biometrics 45 1989 255 268
29. J. Bland, and D. Altman Statistical methods for assessing agreement between two methods of clinical measurement Lancet 327 1986 307 310
30. J.M. Bland, and D.G. Altman Comparing methods of measurement: why plotting difference against standard method is misleading Lancet 346 1995 1085 1087
31. K.H. Altemeyer, J. Mayer, S. Berg-Seiter, and T. Fosel Pulse oximetry as a continuous, noninvasive monitoring procedure. Comparison of 2 instruments. (in German) Anaesthesist 35 1986 43 45
32. K.J. Barrington, N.N. Finer, and C.A. Ryan Evaluation of pulse oximetry as a continuous monitoring technique in the neonatal intensive care unit Crit Care Med 16 1988 1147 1153
33. A. Johansson, P.A. Oberg, and G. Sedin Monitoring of heart and respiratory rates in newborn infants using a new photoplethysmographic technique J Clin Monit Comput 15 1999 461 467
34. L. Lindberg, H. Ugnell, and P. Öberg Monitoring of respiratory and heart rates using a fibre-optic sensor Med Biol Eng Comput 30 1992 533 537
35. K. Nakajima, T. Tamura, and H. Miike Monitoring of heart and respiratory rates by photoplethysmography using a digital filtering technique Med Eng Phys 18 1996 365 372
36. R. Kornowski, S. Zlochiver, L. Botzer, R. Tirosh, S. Abboud, and S. Misan Validation of vital signs recorded via a new telecare system J Telemed Telecare 9 2003 328 333
37. T. Atlasz, L. Kellenyi, and P. Kovacs The application of surface plethysmography for heart rate variability analysis after GSM radiofrequency exposure J Biochem Biophys Methods 69 2006 233 236
38. S. Vogel, M. Hülsbusch, D. Starke, and S. Leonhardt In-ear heart rate monitoring using a micro-optic reflective sensor Conf Proc IEEE Eng Med Biol Soc 2007 2007 1375 1378
39. C.O.F. Kamlin, J.A. Dawson, and C.P.F. O'Donnell Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery room J Pediatr 152 2008 756 760
40. J.K.S.B. Singh, C.O.F. Kamlin, C.J. Morley, C.P.F. O'Donnell, S.M. Donath, and P.G. Davis Accuracy of pulse oximetry in assessing heart rate of infants in the neonatal intensive care unit J Paediatr Child Health 44 2008 273 275
41. E. Olsson, H. Ugnell, P. Öberg, and G. Sedin Photoplethysmography for simultaneous recording of heart and respiratory rates in newborn infants Acta Paediatr 89 2000 853 861
42. S. Carrasco, R. Gonzalez, J. Jimenez, R. Roman, V. Medina, and J. Azpiroz Comparison of the heart rate variability parameters obtained from the electrocardiogram and the blood pressure wave J Med Eng Technol 22 1998 195 205
43. I. Constant, D. Laude, I. Murat, and J.L. Elghozi Pulse rate variability is not a surrogate for heart rate variability Clin Sci (Lond) 97 1999 391 397
44. S.L. Dawson, R.B. Panerai, and J.F. Potter Should one use electrocardiographic or Finapres-derived pulse intervals for calculation of cardiac baroreceptor sensitivity? Blood Press Monit 3 1998 315 320
45. M. Karrakchou, J. Vesin, S. Laberer, and E. Pruvot Analysis of heart rate variability: comparison between spectra obtained from ECG and finger blood pressure Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society 14 1992 559 560
46. P.S. McKinley, P.A. Shapiro, and E. Bagiella Deriving heart period variability from blood pressure waveforms J Appl Physiol 95 2003 1431 1438
47. A. Suhrbier, R. Heringer, T. Walther, H. Malberg, and N. Wessel Comparison of three methods for beat-to-beat-interval extraction from continuous blood pressure and electrocardiogram with respect to heart rate variability analysis Biomed Tech (Berl) 51 2006 70 76
48. N.K. Kristiansen, J. Fleischer, M.S. Jensen, K.S. Andersen, and H. Nygaard Design and evaluation of a handheld impedance plethysmograph for measuring heart rate variability Med Biol Eng Comput 43 2005 516 521
49. E.F. Treo, M.C. Herrera, and M.E. Valentinuzzi Algorithm for identifying and separating beats from arterial pulse records Biomed Eng Online 4 2005 48
50. J. Nyboer Electrical impedance plethysmography 1970 Charles C Thomas Springfield, IL
51. M. Merri, D.C. Farden, J.G. Mottley, and E.L. Titlebaum Sampling frequency of the electrocardiogram for spectral analysis of the heart rate variability Biomed Eng IEEE Trans 37 1990 99 106
52. N.D. Giardino, P.M. Lehrer, and R. Edelberg Comparison of finger plethysmograph to ECG in the measurement of heart rate variability Psychophysiology 39 2002 246 253
53. N. Selvaraj, A. Jaryal, J. Santhosh, K.K. Deepak, and S. Anand Assessment of heart rate variability derived from finger-tip photoplethysmography as compared to electrocardiography J Med Eng Technol 32 2008 479 484
54. P. Shi, S. Hu, and Y. Zhu A preliminary attempt to understand compatibility of photoplethysmographic pulse rate variability with electrocardiogramic heart rate variability J Med Biol Eng 28 2008 173 180
55. J. Hayano, A.K. Barros, A. Kamiya, N. Ohte, and F. Yasuma Assessment of pulse rate variability by the method of pulse frequency demodulation Biomed Eng Online 4 2005 62
56. E. Gil Photoplethysmography pulse rate variability as a surrogate measurement of heart rate variability during non-stationary conditions Physiol Meas 31 2010 1271
57. S. Lu, H. Zhao, and K. Ju Can photoplethysmography variability serve as an alternative approach to obtain heart rate variability information? J Clin Monit Comput 22 2008 23 29
58. G. Lu, F. Yang, J.A. Taylor, and J.F. Stein A comparison of photoplethysmography and ECG recording to analyse heart rate variability in healthy subjects J Med Eng Technol 33 2009 634 641
59. K. Charlot Interchangeability between heart rate and photoplethysmography variabilities during sympathetic stimulations Physiol Meas 30 2009 1357
60. A.H. Khandoker, C.K. Karmakar, and M. Palaniswami Comparison of pulse rate variability with heart rate variability during obstructive sleep apnea Med Eng Phys 33 2011 204 209
61. F. Roche, J.-M. Gaspoz, and I. Court-Fortune Screening of obstructive sleep apnea syndrome by heart rate variability analysis Circulation 100 1999 1411 1415
62. J. Haba-Rubio, G. Darbellay, and F.R. Herrmann Obstructive sleep apnea syndrome: effect of respiratory events and arousal on pulse wave amplitude measured by photoplethysmography in NREM sleep Sleep Breath 9 2005 73 81
63. S. Hu, J. Zheng, V. Chouliaras, and R. Summers Feasibility of imaging photoplethysmography International Conference on BioMedical Engineering and Informatics 2008 72 75
64. F. Wieringa, F. Mastik, and A. Steen Contactless multiple wavelength photoplethysmographic imaging: a first step toward "SpO2 camera" technology Ann Biomed Eng 33 2005 1034 1041
65. M.Y.M. Wong Contactless and continuous monitoring of heart rate based on photoplethysmography on a mattress Physiol Meas 31 2010 1065
66. M.Y.M. Wong, H.K. Leung, E. Pickwell-MacPherson, W.B. Gu, and Y.T. Zhang Contactless recording of photoplethysmogram on a sleeping bed Engineering in Medicine and Biology Society Annual International Conference of the IEEE2009 2009 907 910
67. L. Nilsson, T. Goscinski, S. Kalman, L.G. Lindberg, and A. Johansson Combined photoplethysmographic monitoring of respiration rate and pulse: a comparison between different measurement sites in spontaneously breathing subjects Acta Anaesthesiol Scand 51 2007 1250 1257
68. X.F. Teng, and Y.T. Zhang The effect of contacting force on photoplethysmographic signals Physiol Meas 25 2004 1323
69. X.F. Teng, and Y.T. Zhang The effect of applied sensor contact force on pulse transit time Physiol Meas 27 2006 675
70. K.H. Shelley, M. Dickstein, and S.M. Shulman The detection of peripheral venous pulsation using the pulse oximeter as a plethysmograph J Clin Monit 9 1993 283 287
71. K.H. Shelley, D. Tamai, D. Jablonka, M. Gesquiere, R.G. Stout, and D.G. Silverman The effect of venous pulsation on the forehead pulse oximeter wave form as a possible source of error in Spo2 calculation Anesth Analg 100 2005 743 747 table of contents
72. T. Thong, K. Li, J. McNames, M. Aboy, and B. Goldstein Accuracy of ultra-short heart rate variability measures Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society 3 2003 2424 2427
73. W. Zong, T. Heldt, G. Moody, and R. Mark An open-source algorithm to detect onset of arterial blood pressure pulses Comput Cardiol 30 2003 259 262
74. M. Takada, T. Ebara, Y. Sakai, and Y. Kuwano Stationarity of the heart rate variability by acceleration plethysmography: short-term measurements of healthy young males in daily life J Hum Ergol (Tokyo) 38 2009 41 50
75. M. Aboy, J. McNames, T. Thong, D. Tsunami, M. Ellenby, and B. Goldstein An automatic beat detection algorithm for pressure signals IEEE Trans Biomed Eng 52 2005 1662 1670
76. T.-H. Fu, S.-H. Liu, and K.-T. Tang Heart rate extraction from photoplethysmogram waveform using wavelet multi-resolution analysis J Med Biol Eng 28 2008 229 232
77. P. Xu, M. Bergsneider, and X. Hu Pulse onset detection using neighbor pulse-based signal enhancement Med Eng Phys 31 2009 337 345
78. M. Hayes, and P. Smith A new method for pulse oximetry possessing inherent insensitivity to artifact IEEE Trans Biomed Eng 48 2001 452 461
79. B. Kim, and S. Yoo Motion artifact reduction in photoplethysmography using independent component analysis IEEE Trans Biomed Eng 53 2006 566 568
80. C. Yu, Z. Liu, T. McKenna, A.T. Reisner, and J. Reifman A method for automatic identification of reliable heart rates calculated from ECG and PPG waveforms J Am Med Inform Assoc 13 2006 309 320
81. M. Bolanos, H. Nazeran, and E. Haltiwanger Comparison of heart rate variability signal features derived from electrocardiography and photoplethysmography in healthy individuals Engineering in Medicine and Biology Society, 2006 EMBS '06 28th Annual International Conference of the IEEE 2006 4289 4294
82. W. Johnston, and Y. Mendelson Extracting heart rate variability from a wearable reflectance pulse oximeter Bioengineering Conference, 2005 Proceedings of the IEEE 31st Annual Northeast 2005 157 158
83. N. Selvaraj, J. Santhosh, and S. Anand Feasibility of photoplethymographic signal for assessment of autonomic response using heart rate variability analysis F. Ibrahim, N.A.A. Osman, J. Usman, N.A. Kadri, 3rd Kuala Lumpur International Conference on Biomedical Engineering 2006 2007 Springer Berlin Heidelberg 391 395
84. K. Srinivas, L.R.G. Reddy, and R. Srinivas Estimation of heart rate variability from peripheral pulse wave using PPG sensor F. Ibrahim, N.A.A. Osman, J. Usman, N.A. Kadri, 3rd Kuala Lumpur International Conference on Biomedical Engineering 2006 2007 Springer Berlin Heidelberg 325 328
85. X.F. Teng, and Y.T. Zhang Study on the peak interval variability of photoplethysmogtaphic signals IEEE EMBS Asian-Pacific Conference on2003 Biomedical Engineering 2003 140 141
86. D. Laude, F. Weise, A. Girard, and J. Elghozi Spectral analysis of systolic blood pressure and heart rate oscillations related to respiration Clin Exp Pharmacol Physiol 22 1995 352 357
87. M. Mueck-Weymann, T. Rechlin, and F. Ehrengut Effects of olanzapine and clozapine upon pulse rate variability Depress Anxiety 16 2002 93 99
88. D. Veerman, B. Imholz, W. Wieling, J. Karemaker, and G. van Montfrans Effects of aging on blood pressure variability in resting conditions Hypertension 24 1994 120 130
89. Q. Yihong, H. Sijung, and P.Y.S. Cheang Poincaré plot analysis for pulse interval extracted from non-contact photoplethysmography Engineering in Medicine and Biology Society IEEE-EMBS 2005 27th Annual International Conference of the2005 2005 1964 1967
90. M. Janssen, C. Swenne, J. de Bie, H. ter Heide, J. van Bemmel, and O. Rompelman Methods in heart rate variability analysis: may the ventricular or the pulse rhythm be used as a substitute for the atrial rhythm? High Blood Pressure 3 1994 23 29
91. H. Ma, and Y. Zhang Spectral analysis of pulse transit time variability and its coherence with other cardiovascular variabilities Conf Proc IEEE Eng Med Biol Soc 2006 6442 6445
92. J. Foo, and C. Lim Pulse transit time as an indirect marker for variations in cardiovascular related reactivity Technol Health Care 14 2006 97 108
93. L. Bernardi, A. Radaelli, and P.L. Solda Autonomic control of skin microvessels: assessment by power spectrum of photoplethysmographic waves Clin Sci 90 1996 345 355
94. P. Larsen, M. Harty, and M. Thiruchelvam Spectral analysis of AC and DC components of the pulse photoplethysmograph at rest and during induction of anaesthesia Int J Clin Monit Comput 14 1997 89 95
95. J. Peters, C. Fraser, R.S. Stuart, W. Baumgartner, and J.L. Robotham Negative intrathoracic pressure decreases independently left ventricular filling and emptying Am J Physiol Heart Circ Physiol 257 1989 H120 H131
96. D. Pitson Stradling. Value of beat-to-beat blood pressure changes, detected by pulse transit time, in the management of the obstructive sleep apnoea/hypopnoea syndrome Eur Respir J 12 1998 685 692
97. L. Bernardi, D. Hayoz, and R. Wenzel Synchronous and baroceptor-sensitive oscillations in skin microcirculation: evidence for central autonomic control Am J Physiol Heart Circ Physiol 273 1997 H1867 H1878
98. J.P. Saul, R.D. Berger, P. Albrecht, S.P. Stein, M.H. Chen, and R.J. Cohen Transfer function analysis of the circulation: unique insights into cardiovascular regulation Am J Physiol Heart Circ Physiol 261 1991 H1231 H1245
99. C. Lydakis, A. Momen, and C. Blaha Changes of central haemodynamic parameters during mental stress and acute bouts of static and dynamic exercise J Hum Hypertens 22 2008 320 328
100. L. Xu, D. Zhang, and K. Wang Wavelet-based cascaded adaptive filter for removing baseline drift in pulse waveforms IEEE Trans Biomed Eng 52 2005 1973 1975
101. L.G.G. Porto, and L.F. Junqueira Jr. Comparison of time-domain short-term heart interval variability analysis using a wrist-worn heart rate monitor and the conventional electrocardiogram Pacing Clin Electrophysiol 32 2009 43 51
102. M. Radespiel-Tröger, R. Rauh, C. Mahlke, T. Gottschalk, and M. Mück-Weymann Agreement of two different methods for measurement of heart rate variability Clin Auton Res 13 2003 99 102
103. A. Schäfer, and K. Kratky Estimation of breathing rate from respiratory sinus arrhythmia: comparison of various methods Ann Biomed Eng 36 2008 476 485
104. F. Chang, C. Chang, C. Chiu, S. Hsu, and Y. Lin Variations of HRV analysis in different approaches Comput Cardiol 34 2007 17 20
105. A.H. Khandoker, C.K. Karmakar, and M. Palaniswami Comparison of pulse rate variability with heart rate variability during obstructive sleep apnea Med Eng Phys 33 2011 204 209