https://scholars.lib.ntu.edu.tw/handle/123456789/590458
標題: | Identification of Atrial Fibrillation by Quantitative Analyses of Fingertip Photoplethysmogram | 作者: | SUNG-CHUN TANG Pei-Wen Huang CHI-SHENG HUNG Shih-Ming Shan YEN-HUNG LIN Jiann-Shing Shieh DAR-MING LAI An-Yeu Wu JIANN-SHING JENG AN-YEU(ANDY) WU |
公開日期: | 2017 | 卷: | 7 | 起(迄)頁: | 45644 | 來源出版物: | Scientific Reports | 摘要: | Atrial fibrillation (AF) detection is crucial for stroke prevention. We investigated the potential of quantitative analyses of photoplethysmogram (PPG) waveforms to identify AF. Continuous electrocardiogram (EKG) and fingertip PPG were recorded simultaneously in acute stroke patients (n = 666) admitted to an intensive care unit. Each EKG was visually labeled as AF (n = 150, 22.5%) or non-AF. Linear and nonlinear features from the pulse interval (PIN) and peak amplitude (AMP) of PPG waveforms were extracted from the first 1, 2, and 10 min of data. Logistic regression analysis revealed six independent PPG features feasibly identifying AF rhythm, including three PIN-related (mean, mean of standard deviation, and sample entropy), and three AMP-related features (mean of the root mean square of the successive differences, sample entropy, and turning point ratio) (all p < 0.01). The performance of the PPG analytic program comprising all 6 features that were extracted from the 2-min data was better than that from the 1-min data (area under the receiver operating characteristic curve was 0.972 (95% confidence interval 0.951-0.989) vs. 0.949 (0.929-0.970), p < 0.001 and was comparable to that from the 10-min data [0.973 (0.953-0.993)] for AF identification. In summary, our study established the optimal PPG analytic program in reliably identifying AF rhythm. © 2017 The Author(s). |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85016824249&doi=10.1038%2fsrep45644&partnerID=40&md5=94397cc9b38aaf47547a9e92afc8df88 https://scholars.lib.ntu.edu.tw/handle/123456789/590458 |
ISSN: | 20452322 | DOI: | 10.1038/srep45644 |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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