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Current Respiratory Medicine Reviews

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ISSN (Print): 1573-398X
ISSN (Online): 1875-6387

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Research Article

Validity of Heart Rate Variability Measurement by Polar® V800 Heart Rate Monitor in Critically Ill Patients

Author(s): Carlos Torres-Herrera, Mario Silva-Tetlak, Leonardo Zarate-Vidal, Darwig Burrows-Rojo, María Isabel Vega-Zambrano and Ruvistay Gutierrez-Arias*

Volume 19, Issue 2, 2023

Published on: 25 January, 2023

Page: [138 - 145] Pages: 8

DOI: 10.2174/1573398X19666230117123608

Price: $65

Abstract

Background: Heart rate variability (HRV) analysis is a relevant indicator of autonomic nervous system function over the cardiovascular system. The usual way to measure this variability is from the electrocardiogram (ECG).

Objective: To assess the validity of HRV measurements obtained from a heart rate monitor (HRM) Polar® V800 in critically ill adult subjects.

Materials and Methods: A prospective, repeated measures, observational study was conducted in two in the Chilean intensive care units. Twenty-one different HRV variables were simultaneously assessed using a Polar® V800 HRM and an ECG Mortara® H3 Holter device. The data was collected from the clinical record and physical examinations. The evaluations were conducted for 10 minutes at a time and simultaneously, during which the subjects had to remain supine and at rest. The sampling frequency was 1000 Hz, providing a temporal resolution of 1 millisecond for each RR period.

Results: Thirty adult subjects were included with an average age of 33.63 ± 8.91 years. When comparing both HRV assessment methods, only 3 variables showed statistically significant differences (p ≤ 0.05). As well, the correlations showed 4 strong and 17 near-perfect associations, which were positive and statistically significant (p ≤ 0.001). In addition, intraclass correlation coefficients (between 0.744 and 1) and bias determined using the Bland-Altman method found both methods to be concordant.

Conclusion: The Polar® V800 monitor is a valid tool for assessing HRV in critically ill adult subjects.

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