Candidate gold standard devices for RR interval assessments if intense activities with strong body movements are investigated

Last Updated on August 19, 2023 by pg@petergamma.org

A paper of the Swiss Federal institute of Magglingen says:

https://pubmed.ncbi.nlm.nih.gov/31004219/

«A simple chest strap such as the Polar H10 might be recommended as the gold standard for RR interval assessments if intense activities with strong body movements are investigated».

  • But there is no scientific proof that the Polar H10 is the gold standard for these activities. The following four devices where not tested mentioned in the above paper, which are also candiate devices in this discipline:

1. The iWorx TA 220 with the iWorx ECG toolbox

2. HeartPy with for instance an OpenBCI Cyton board can handle with very noisy ECG signals

3. The Adinstruments Equivital with the Labchart software offers noise and motion artifact free ECG

4. ECG devices from g.tec medical can minimize ECG motion artifacts by using active electrodes

In this paper written by cardiologists from the Cleveland Clinic in Ohio:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732081/#r9

it says:

«The Mason-Likar electrode placement was used and allowed for the assessment of modified leads I, II, and III. The ECG was monitored on a Quinton Q-tel RMS telemetry system and ECG-based HR was determined by visual assessment by trained research personnel.

Using a 3 lead ECG in this fashion is considered the gold standard for HR measurement (9).

9. Lin LI. A concordance correlation coefficient to evaluate reproducibility. Biometrics 1989;45:255-68. 10.2307/2532051

  • The Polar H10 chest strap is not a 3 lead ECG device.
  • The Adinstruments Equivital is not a 3 lead ECG device, it has only 2 leads.

Devices 1, 2, and 4 are 3 lead ECG devices.

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