A novel contact-free atrial fibrillation monitor: A pilot study

Ben Sadeh, Ilan Merdler, Sapir Sadon, Lior Lupu, Ariel Borohovitz, Eihab Ghantous, Philippe Taieb, Yoav Granot, Orit Goldstein, Jonathan Calderón Soriano, Ricardo Rubio-Oliver, Joaquin Ruiz-Rivas, Zeev Zalevsky, Javier Garcia-Monreal, Maxim Shatsky, Sagi Polani, Yaron Arbel*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: Atrial fibrillation (AF) is a major cause of morbidity and mortality. Current guidelines support performing electrocardiogram (ECG) screenings to spot AF in high-risk patients. The purpose of this study was to validate a new algorithm aimed to identify AF in patients measured with a recent FDA-cleared contact-free optical device. Methods and results: Study participants were measured simultaneously using two devices: A contact-free optical system that measures chest motion vibrations (investigational device, 'Gili') and a standard reference bed-side ECG monitor (Mindray®). Each reference ECG was evaluated by two board certified cardiologists that defined each trace as: regular rhythm, AF, other irregular rhythm or indecipherable/missing. A total of 3582, 30-s intervals, pertaining to 444 patients (41.9% with a history of AF) were made available for analysis. Distribution of patients with active AF, other irregular rhythm, and regular rhythm was 16.9%, 29.5%, and 53.6% respectively. Following application of cross-validated machine learning approach, the observed sensitivity and specificity were 0.92 [95% confidence interval (CI): 0.91-0.93] and 0.96 (95% CI: 0.95-0.96), respectively. Conclusion: This study demonstrates for the first time the efficacy of a contact-free optical device for detecting AF.

Original languageEnglish
Pages (from-to)105-113
Number of pages9
JournalEuropean Heart Journal - Digital Health
Volume3
Issue number1
DOIs
StatePublished - 1 Mar 2022

Keywords

  • Camera
  • Contact free
  • Heart rate
  • Laser
  • Respiratory rate
  • Vital signs

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