Peter Gamma (Physiologist & Director) Meditation Research Institute Switzerland (MRIS)

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RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise

Posted bypg@petergamma.org 4 Comments on RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise

Last Updated on July 8, 2022 by pg@petergamma.org

Swiss Federal Institute of Sport Magglingen SFISM

Rahel Gilgen‑Ammann Theresa Schweizer Thomas Wys

studied the

RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise

https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwiKos3IhuH4AhWF_bsIHfGlD2kQFnoECAIQAQ&url=https%3A%2F%2Fwww.ppdb.ehsm.ch%2Finf2%2Frm%2Ff.php%3Ff%3D20200416162130_5e9869eab833b.pdf%26n%3DGilgenAmmann_RRIntervalSignalQuality_2019.pdf&usg=AOvVaw23MOAobT8so8HFGAdgdcPo

The authors compared the accuracy of a AR12plus Holter monitor:

https://www.medicaldevicedepot.com/Medilog-AR12-Plus-p/1.35001.htm

to the Polar H10 chest strap.

The authors found out that the

inaccuracy of the AR12plus Holter monitor ECG is 94.6 %

whereas the

inaccuracy of the Polar H10 is 99.63 %.

Accuracy of Polar H10 & Holder ECG against peak detection methods

They concluded the the Polar H10 is a Gold Standard ECG heart rate monitor reference device. We cannot follow this conclusion. There are ECG devices on the market with much higher quality than the AR12plus Holter monitor ECG, for instance the:

Use Motion Artifact Free ECG Devices for Validation of Heart Rate Monitors

The AR12plus Holter monitor ECG has no motion artifact removal support. It is highly desirable that new studies are performed with reference devices of a higher quality with the standard of the following papers:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732081/

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0217288

It is also highly desirable, that for heart rate monitor validations, only devices with the highest accuracy standards are choosen.

First studies with ranking of the most accurate heart rate devices are published. More studies with high quality reference devices and a reproducable protocols are required to bring clarity to the confusing situation in the field of heart rate monitor validation.