TY - JOUR
T1 - The photoplethysmography dictionary: practical guidance on signal interpretation and clinical scenarios from TeleCheck-AF
AU - Van Der Velden, Rachel M J
AU - Verhaert, Dominique V M
AU - Hermans, Astrid N L
AU - Duncker, David
AU - Manninger, Martin
AU - Betz, Konstanze
AU - Gawalko, Monika
AU - Desteghe, Lien
AU - Pisters, Ron
AU - Hemels, Martin
AU - Pison, Laurent
AU - Sohaib, Afzal
AU - Sultan, Arian
AU - Steven, Daniel
AU - Wijtvliet, Petra
AU - Gupta, Dhiraj
AU - Svennberg, Emma
AU - Luermans, Justin C L M
AU - Chaldoupi, Marisevi
AU - Vernooy, Kevin
AU - Den Uijl, Dennis
AU - Lodzinski, Piotr
AU - Jansen, Ward P J
AU - Eckstein, Jens
AU - Bollmann, Andreas
AU - Vandervoort, Pieter
AU - Crijns, Harry J G M
AU - Tieleman, Robert
AU - Heidbuchel, Hein
AU - Pluymaekers, Nikki A H A
AU - Hendriks, Jeroen M
AU - Linz, Dominik
N1 - Publisher Copyright:
© 2021 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2021/9/30
Y1 - 2021/9/30
N2 - Aims Within the TeleCheck-AF project, numerous centres in Europe used on-demand photoplethysmography (PPG) technology to remotely assess heart rate and rhythm in conjunction with teleconsultations. Based on the TeleCheck-AF investigator experiences, we aimed to develop an educational structured stepwise practical guide on how to interpret PPG signals and to introduce typical clinical scenarios how on-demand PPG was used. Methods and results During an online conference, the structured stepwise practical guide on how to interpret PPG signals was discussed and further refined during an internal review process. We provide the number of respective PPG recordings (FibriCheck®) and number of patients managed within a clinical scenario during the TeleCheck-AF project. To interpret PPG recordings, we introduce a structured stepwise practical guide and provide representative PPG recordings. In the TeleCheck-AF project, 2522 subjects collected 90 616 recordings in total. The majority of these recordings were classified by the PPG algorithm as sinus rhythm (57.6%), followed by AF (23.6%). In 9.7% of recordings, the quality was too low to interpret. The most frequent clinical scenarios where PPG technology was used in the TeleCheck-AF project was a follow-up after AF ablation (1110 patients) followed by heart rate and rhythm assessment around (tele)consultation (966 patients). Conclusion We introduce a newly developed structured stepwise practical guide on PPG signal interpretation developed based on presented experiences from TeleCheck-AF. The present clinical scenarios for the use of on-demand PPG technology derived from the TeleCheck-AF project will help to implement PPG technology in the management of AF patients.
AB - Aims Within the TeleCheck-AF project, numerous centres in Europe used on-demand photoplethysmography (PPG) technology to remotely assess heart rate and rhythm in conjunction with teleconsultations. Based on the TeleCheck-AF investigator experiences, we aimed to develop an educational structured stepwise practical guide on how to interpret PPG signals and to introduce typical clinical scenarios how on-demand PPG was used. Methods and results During an online conference, the structured stepwise practical guide on how to interpret PPG signals was discussed and further refined during an internal review process. We provide the number of respective PPG recordings (FibriCheck®) and number of patients managed within a clinical scenario during the TeleCheck-AF project. To interpret PPG recordings, we introduce a structured stepwise practical guide and provide representative PPG recordings. In the TeleCheck-AF project, 2522 subjects collected 90 616 recordings in total. The majority of these recordings were classified by the PPG algorithm as sinus rhythm (57.6%), followed by AF (23.6%). In 9.7% of recordings, the quality was too low to interpret. The most frequent clinical scenarios where PPG technology was used in the TeleCheck-AF project was a follow-up after AF ablation (1110 patients) followed by heart rate and rhythm assessment around (tele)consultation (966 patients). Conclusion We introduce a newly developed structured stepwise practical guide on PPG signal interpretation developed based on presented experiences from TeleCheck-AF. The present clinical scenarios for the use of on-demand PPG technology derived from the TeleCheck-AF project will help to implement PPG technology in the management of AF patients.
U2 - 10.1093/ehjdh/ztab050
DO - 10.1093/ehjdh/ztab050
M3 - Article
SN - 2634-3916
VL - 2
SP - 363
EP - 373
JO - European Heart Journal - Digital Health
JF - European Heart Journal - Digital Health
IS - 3
ER -