Skip to main content
Erschienen in: European Journal of Applied Physiology 7/2019

19.04.2019 | Original Article

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

verfasst von: Rahel Gilgen-Ammann, Theresa Schweizer, Thomas Wyss

Erschienen in: European Journal of Applied Physiology | Ausgabe 7/2019

Einloggen, um Zugang zu erhalten

Abstract

This study was designed to examine the RR interval signal qualities of a Holter device and a heart rate chest belt monitor at rest and during exercise. Ten healthy individuals completed five low- to high-intensity activities while simultaneously using the medilog® AR12plus  Holter monitor and the Polar H10 heart rate monitor. The RR interval signal quality was based on the quantification of the missing RR intervals and RR interval detection errors. Therefore, both measurement systems were compared against visual inspection of the raw electrocardiography signal. The missing and wrong R-wave peak detections were counted manually for both measurement systems. RR interval signal quality was defined as the relative number of correctly detected RR intervals. Overall, RR interval signal qualities of 94.6% and 99.6% were demonstrated for the medilog® AR12plus  and the Polar H10. During the high-intensity activities, the RR interval signal quality of the medilog® AR12plus  dropped to 89.8%, whereas the Polar H10 maintained a signal quality of 99.4%. The correlation between both systems was high (r = 0.997, p > 0.001). The excellent RR interval signal quality during low- to moderate-intensity activities in the medilog® AR12plus  and during low- to high-intensity activities in the Polar H10 demonstrates both measurement systems’ validity for the detection of RR intervals throughout a wide range of activities. 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.
Literatur
Zurück zum Zitat Barbosa MP, da Silva NT, de Azevedo FM, Pastre CM, Vanderlei LC (2016) Comparison of Polar(R) RS800G3 heart rate monitor with Polar(R) S810i and electrocardiogram to obtain the series of RR intervals and analysis of heart rate variability at rest. Clin Physiol Funct Imaging 36(2):112–117. https://doi.org/10.1111/cpf.12203 CrossRefPubMed Barbosa MP, da Silva NT, de Azevedo FM, Pastre CM, Vanderlei LC (2016) Comparison of Polar(R) RS800G3 heart rate monitor with Polar(R) S810i and electrocardiogram to obtain the series of RR intervals and analysis of heart rate variability at rest. Clin Physiol Funct Imaging 36(2):112–117. https://​doi.​org/​10.​1111/​cpf.​12203 CrossRefPubMed
Zurück zum Zitat Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1(8476):307–310CrossRef Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1(8476):307–310CrossRef
Zurück zum Zitat Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2(2):92–98 Borg G (1970) Perceived exertion as an indicator of somatic stress. Scand J Rehabil Med 2(2):92–98
Zurück zum Zitat Cheatham SW, Kolber MJ, Ernst MP (2015) Concurrent validity of resting pulse-rate measurements: a comparison of 2 smartphone applications, the polar H7 belt monitor, and a pulse oximeter with bluetooth. J Sport Rehabil 24(2):171–178CrossRefPubMed Cheatham SW, Kolber MJ, Ernst MP (2015) Concurrent validity of resting pulse-rate measurements: a comparison of 2 smartphone applications, the polar H7 belt monitor, and a pulse oximeter with bluetooth. J Sport Rehabil 24(2):171–178CrossRefPubMed
Zurück zum Zitat Costa RBMPd, Mícolis AF, Marcelo PC, Marques VLC (2016) Comparison of Polar® RS800G3™ heart rate monitor with Polar® S810i™ and electrocardiogram to obtain the series of RR intervals and analysis of heart rate variability at rest. Clin Physiol Funct Imaging 36(2):112–117. https://doi.org/10.1111/cpf.12203 CrossRef Costa RBMPd, Mícolis AF, Marcelo PC, Marques VLC (2016) Comparison of Polar® RS800G3™ heart rate monitor with Polar® S810i™ and electrocardiogram to obtain the series of RR intervals and analysis of heart rate variability at rest. Clin Physiol Funct Imaging 36(2):112–117. https://​doi.​org/​10.​1111/​cpf.​12203 CrossRef
Zurück zum Zitat Hedelin R, Wiklund U, Bjerle P, Henriksson-Larsen K (2000) Cardiac autonomic imbalance in an overtrained athlete. Med Sci Sports Exerc 32(9):1531–1533CrossRefPubMed Hedelin R, Wiklund U, Bjerle P, Henriksson-Larsen K (2000) Cardiac autonomic imbalance in an overtrained athlete. Med Sci Sports Exerc 32(9):1531–1533CrossRefPubMed
Zurück zum Zitat Malliani A, Lombardi F, Pagani M (1994) Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J 71(1):1–2CrossRefPubMedPubMedCentral Malliani A, Lombardi F, Pagani M (1994) Power spectrum analysis of heart rate variability: a tool to explore neural regulatory mechanisms. Br Heart J 71(1):1–2CrossRefPubMedPubMedCentral
Zurück zum Zitat Mourot L, Bouhaddi M, Perrey S, Cappelle S, Henriet MT, Wolf JP, Rouillon JD, Regnard J (2004) Decrease in heart rate variability with overtraining: assessment by the Poincare plot analysis. Clin Physiol Funct Imaging 24(1):10–18CrossRefPubMed Mourot L, Bouhaddi M, Perrey S, Cappelle S, Henriet MT, Wolf JP, Rouillon JD, Regnard J (2004) Decrease in heart rate variability with overtraining: assessment by the Poincare plot analysis. Clin Physiol Funct Imaging 24(1):10–18CrossRefPubMed
Zurück zum Zitat Ruha A, Sallinen S, Nissilä S (1997) A real-time microprocessor QRS detector system with a 1-ms timing accuracy for the measurement of ambulatory HRV. IEEE Trans Bio-Med Eng 44(3):159–167CrossRef Ruha A, Sallinen S, Nissilä S (1997) A real-time microprocessor QRS detector system with a 1-ms timing accuracy for the measurement of ambulatory HRV. IEEE Trans Bio-Med Eng 44(3):159–167CrossRef
Zurück zum Zitat Task Force of the European Society of Cardiology the North American Society of Pacing and Electrophysiology (1996) Heart Rate Variability: standards of measurement, physiological interpretation and clinical use. Circulation 93(5):1043–1065CrossRef Task Force of the European Society of Cardiology the North American Society of Pacing and Electrophysiology (1996) Heart Rate Variability: standards of measurement, physiological interpretation and clinical use. Circulation 93(5):1043–1065CrossRef
Zurück zum Zitat Tulppo MP, Makikallio TH, Seppanen T, Laukkanen RT, Huikuri HV (1998) Vagal modulation of heart rate during exercise: effects of age and physical fitness. Am J Physiol 274(2 Pt 2):H424–H429PubMed Tulppo MP, Makikallio TH, Seppanen T, Laukkanen RT, Huikuri HV (1998) Vagal modulation of heart rate during exercise: effects of age and physical fitness. Am J Physiol 274(2 Pt 2):H424–H429PubMed
Metadaten
Titel
RR interval signal quality of a heart rate monitor and an ECG Holter at rest and during exercise
verfasst von
Rahel Gilgen-Ammann
Theresa Schweizer
Thomas Wyss
Publikationsdatum
19.04.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 7/2019
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-019-04142-5

Weitere Artikel der Ausgabe 7/2019

European Journal of Applied Physiology 7/2019 Zur Ausgabe