Aiming to address the limitations of existing photoplethysmography (PPG)-based algorithms for atrial fibrillation (AF) detection—particularly their failure to account for the influence of non-AF arrhythmias such as premature ventricular contractions (PVC) and their lack of specificity in the presence of complex electrocardiogram (ECG) rhythms, this study proposes a high-specificity PPG algorithm for AF detection based on dual-channel feature fusion. The algorithm extracts PPG waveform features using a lightweight convolutional neural network (CNN), analyzes RR interval sequences through a long short-term memory (LSTM) network and identifies AF through feature fusion and hierarchical decision-making. On an independent test set, the method achieved a sensitivity, specificity and accuracy of 99.6%, 94.8%, and 96.3% respectively. The results demonstrate that the proposed algorithm effectively reduces the risk of misdiagnosis while maintaining a high detection rate in complex ECG backgrounds. It exhibits strong performance in AF identification and offers a more reliable screening solution for wearable health monitoring devices utilizing PPG technology.

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A PPG-Based Atrial Fibrillation Detection Algorithm with Enhanced Specificity via Dual-Channel Feature Fusion

  • Yutong Wu,
  • Liang Wei,
  • Feng Wang,
  • Xuan Yang,
  • Meiyun Zhao,
  • Mi He,
  • Jia Xu,
  • Yongqin Li,
  • Jian Sun

摘要

Aiming to address the limitations of existing photoplethysmography (PPG)-based algorithms for atrial fibrillation (AF) detection—particularly their failure to account for the influence of non-AF arrhythmias such as premature ventricular contractions (PVC) and their lack of specificity in the presence of complex electrocardiogram (ECG) rhythms, this study proposes a high-specificity PPG algorithm for AF detection based on dual-channel feature fusion. The algorithm extracts PPG waveform features using a lightweight convolutional neural network (CNN), analyzes RR interval sequences through a long short-term memory (LSTM) network and identifies AF through feature fusion and hierarchical decision-making. On an independent test set, the method achieved a sensitivity, specificity and accuracy of 99.6%, 94.8%, and 96.3% respectively. The results demonstrate that the proposed algorithm effectively reduces the risk of misdiagnosis while maintaining a high detection rate in complex ECG backgrounds. It exhibits strong performance in AF identification and offers a more reliable screening solution for wearable health monitoring devices utilizing PPG technology.