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http://hdl.handle.net/1942/35956
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DC Field | Value | Language |
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dc.contributor.author | GRUWEZ, Henri | - |
dc.contributor.author | Evens, Stijn | - |
dc.contributor.author | Proesmans, Tine | - |
dc.contributor.author | Duncker, David | - |
dc.contributor.author | Linz, Dominik | - |
dc.contributor.author | HEIDBUCHEL, Hein | - |
dc.contributor.author | Manninger, Martin | - |
dc.contributor.author | VANDERVOORT, Pieter | - |
dc.contributor.author | Haemers, Peter | - |
dc.contributor.author | PISON, Laurent | - |
dc.date.accessioned | 2021-11-30T09:59:41Z | - |
dc.date.available | 2021-11-30T09:59:41Z | - |
dc.date.issued | 2021 | - |
dc.date.submitted | 2021-10-28T12:19:40Z | - |
dc.identifier.citation | FRONTIERS IN CARDIOVASCULAR MEDICINE, 8 (Art N° 734737) | - |
dc.identifier.uri | http://hdl.handle.net/1942/35956 | - |
dc.description.abstract | Aims: This study aims to compare the performance of physicians to detect atrial fibrillation (AF) based on photoplethysmography (PPG), single-lead ECG and 12-lead ECG, and to explore the incremental value of PPG presentation as a tachogram and Poincare plot, and of algorithm classification for interpretation by physicians.</p> Methods and Results: Email invitations to participate in an online survey were distributed among physicians to analyse almost simultaneously recorded PPG, single-lead ECG and 12-lead ECG traces from 30 patients (10 in sinus rhythm (SR), 10 in SR with ectopic beats and 10 in AF). The task was to classify the readings as 'SR', 'ectopic/missed beats', 'AF', 'flutter' or 'unreadable'. Sixty-five physicians detected or excluded AF based on the raw PPG waveforms with 88.8% sensitivity and 86.3% specificity. Additional presentation of the tachogram plus Poincare plot significantly increased sensitivity and specificity to 95.5% (P < 0.001) and 92.5% (P < 0.001), respectively. The algorithm information did not further increase the accuracy to detect AF (sensitivity 97.5%, P = 0.556; specificity 95.0%, P = 0.182). Physicians detected AF on single-lead ECG tracings with 91.2% sensitivity and 93.9% specificity. Diagnostic accuracy was also not optimal on full 12-lead ECGs (93.9 and 98.6%, respectively). Notably, there was no significant difference between the performance of PPG waveform plus tachogram and Poincare, compared to a single-lead ECG to detect or exclude AF (sensitivity P = 0.672; specificity P = 0.536).</p> Conclusion: Physicians can detect AF on a PPG output with equivalent accuracy compared to single-lead ECG, if the PPG waveforms are presented together with a tachogram and Poincare plot and the quality of the recordings is high.</p> | - |
dc.description.sponsorship | Fund for Scientific Research FlandersFWO [FWO 1S83221N] | - |
dc.language.iso | en | - |
dc.publisher | FRONTIERS MEDIA SA | - |
dc.rights | Copyright © 2021 Gruwez, Evens, Proesmans, Duncker, Linz, Heidbuchel, Manninger, Vandervoort, Haemers and Pison. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) | - |
dc.subject.other | atrial fibrillaiton; single-lead ECG; PPG (photoplethysmography); | - |
dc.subject.other | digital health; electrocardiography | - |
dc.title | Accuracy of Physicians Interpreting Photoplethysmography and Electrocardiography Tracings to Detect Atrial Fibrillation: INTERPRET-AF | - |
dc.type | Journal Contribution | - |
dc.identifier.volume | 8 | - |
local.format.pages | 10 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | Gruwez, H (corresponding author), Hosp East Limburg, Dept Cardiol, Genk, Belgium.; Gruwez, H (corresponding author), Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium.; Gruwez, H (corresponding author), Hasselt Univ, Doctoral Sch Med & Life Sci, Hasselt, Belgium. | - |
dc.description.notes | henri.gruwez@zol.be | - |
local.publisher.place | AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE, CH-1015, SWITZERLAND | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.bibliographicCitation.artnr | 734737 | - |
dc.identifier.doi | 10.3389/fcvm.2021.734737 | - |
dc.identifier.isi | WOS:000703068400001 | - |
local.provider.type | wosris | - |
local.uhasselt.uhpub | yes | - |
local.description.affiliation | [Gruwez, Henri; Vandervoort, Pieter; Pison, Laurent] Hosp East Limburg, Dept Cardiol, Genk, Belgium. | - |
local.description.affiliation | [Gruwez, Henri; Haemers, Peter] Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium. | - |
local.description.affiliation | [Gruwez, Henri] Hasselt Univ, Doctoral Sch Med & Life Sci, Hasselt, Belgium. | - |
local.description.affiliation | [Evens, Stijn] Qompium NV, Hasselt, Belgium. | - |
local.description.affiliation | [Duncker, David] Hannover Med Sch, Dept Cardiol & Angiol, Hannover Heart Rhythm Ctr, Hannover, NH, Germany. | - |
local.description.affiliation | [Linz, Dominik] Maastricht Univ, Med Ctr, Dept Cardiol, Maastricht, Netherlands. | - |
local.description.affiliation | [Linz, Dominik] Cardiovasc Res Inst Maastricht, Maastricht, Netherlands. | - |
local.description.affiliation | [Heidbuchel, Hein] Antwerp Univ Hosp, Dept Cardiol, Antwerp, Belgium. | - |
local.description.affiliation | [Heidbuchel, Hein] Antwerp Univ, Antwerp, Belgium. | - |
local.description.affiliation | [Manninger, Martin] Med Univ Graz, Dept Cardiol, Graz, Austria. | - |
local.uhasselt.international | yes | - |
item.fullcitation | GRUWEZ, Henri; Evens, Stijn; Proesmans, Tine; Duncker, David; Linz, Dominik; HEIDBUCHEL, Hein; Manninger, Martin; VANDERVOORT, Pieter; Haemers, Peter & PISON, Laurent (2021) Accuracy of Physicians Interpreting Photoplethysmography and Electrocardiography Tracings to Detect Atrial Fibrillation: INTERPRET-AF. In: FRONTIERS IN CARDIOVASCULAR MEDICINE, 8 (Art N° 734737). | - |
item.contributor | GRUWEZ, Henri | - |
item.contributor | Evens, Stijn | - |
item.contributor | Proesmans, Tine | - |
item.contributor | Duncker, David | - |
item.contributor | Linz, Dominik | - |
item.contributor | HEIDBUCHEL, Hein | - |
item.contributor | Manninger, Martin | - |
item.contributor | VANDERVOORT, Pieter | - |
item.contributor | Haemers, Peter | - |
item.contributor | PISON, Laurent | - |
item.validation | ecoom 2022 | - |
item.accessRights | Open Access | - |
item.fulltext | With Fulltext | - |
crisitem.journal.issn | 2297-055X | - |
crisitem.journal.eissn | 2297-055X | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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fcvm-08-734737.pdf | Published version | 1.35 MB | Adobe PDF | View/Open |
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