Arrhythmias & electrophysiology

Ventricular arrhythmia detection with a wearable ring-type photoplethysmography sensor: A feasibility study

Heart RhythmPublished Diagnostic accuracy study

Authors' conclusion

This study suggests that a ring-type wearable device can detect, with high sensitivity, changes in arterial pulse flow during induced VA.

Study context

Population
Patients undergoing a procedure involving VA induction (defibrillation threshold testing, ventricular tachycardia (VT) ablation, electrophysiological study)37 enrolled
Participants
25 patients
Comparison
Ring-type wearable PPG sensor (CART-I) vs reference ECG for detecting induced ventricular arrhythmia
Outcome
Sensitivity of the ring-type PPG sensor to detect induced VA (loss of cardiac output: flatline or amplitude decrease ≥50%)
Methodological detailsfeasibility study
  • Feasibility study

Performance

As reported in the abstract

Sensitivity to detect induced VA

Sensitivity, all VA

94%

Sensitivity, ventricular fibrillation (VF)

100%

Sensitivity, VT

90%

Loss of cardiac output on tachograms: all VF episodes and 36 VT episodes

90%

Further findings

Agreement of PPG- and ECG-derived arrhythmia durations

Mean difference in VA duration (95% limits of agreement −1.4 to 1.7)
0.1 seconds
Intraclass correlation coefficient
0.998 (95% CI 0.997-0.999)
  • Excellent agreement

Original publication

Ventricular arrhythmia detection with a wearable ring-type photoplethysmography sensor: A feasibility study. Heart Rhythm. Published 13 June 2025. doi:10.1016/j.hrthm.2025.06.008

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