Table 1

Comparison of ECG HRV measures obtained from monitor and wearables

FeatureMonitor ECG, n=836*ECG wearable, n=863*Q value†Monitor PPG, n=775*PPG wearable, n=923*Q value†
HR100 (92–108)103 (94–111)<0.001105 (97–113)103 (95–111)<0.001
Time domain
 pNN500.5 (0.0–2.0)0.6 (0.0–3.7)0.0072 (0–7)1 (0–6)0.078
 SDNN30 (18–56)28 (17–47)0.01432 (22–52)29 (19–48)0.005
 SDSD15 (8–51)16 (9–41)0.424 (13–45)21 (14–39)0.039
 rMSSD15 (8–51)16 (9–41)0.424 (13–45)21 (13–39)0.039
 IRRR25 (16–41)27 (20–39)0.432 (24–48)30 (20–41)0.011
 MADRR4.10 (4.10–8.20)3.91 (3.91–7.81)<0.0018.00 (8.00–8.00)8.00 (8.00–9.00)<0.001
 TINN81 (61–109)84 (64–117)0.04399 (77–131)90 (69–119)<0.001
 HRVi5.16 (3.89–6.96)5.38 (4.10–7.50)0.0436.32 (4.90–8.39)5.73 (4.40–7.60)<0.001
Frequency domain
 VLF0.53 (0.28–0.75)0.55 (0.36–0.75)0.0720.46 (0.31–0.65)0.47 (0.30–0.66)>0.9
 LF0.22 (0.13–0.29)0.19 (0.10–0.30)0.0090.24 (0.17–0.32)0.24 (0.16–0.33)>0.9
 HF0.15 (0.05–0.47)0.15 (0.05–0.36)0.50.24 (0.11–0.39)0.24 (0.10–0.39)>0.9
 LFnu0.59 (0.31–0.78)0.57 (0.30–0.78)0.30.49 (0.37–0.67)0.49 (0.37–0.67)>0.9
 HFnu0.41 (0.22–0.69)0.43 (0.22–0.70)0.30.51 (0.33–0.63)0.51 (0.33–0.63)>0.9
 LF:HF1.4 (0.4–3.4)1.3 (0.4–3.6)0.30.97 (0.58–2.06)0.97 (0.58–2.08)>0.9
  • *Statistics presented: median (IQR).

  • †Statistical tests performed: Wilcoxon rank-sum test, adjusted for multiple testing.

  • HF, high frequency; HFnu, high frequency normalised units; HR, heart rate; HRV, heart rate variability; HRVi, integral of the density of the RR interval histogram divided by height; IRRR, IQR of RR intervals; LF, low frequency; LF:HF, low to high frequency ratio; LFnu, low frequency normalised units; MADRR, median of the absolute differences between RR intervals; pNN50, percentage of successive RR intervals that differ by more than 50 ms; PPG, photoplethysmography; rMSSD, route mean square of successive; RR, interval difference; SDNN, SD of NN intervals; SDSD, SD of successive RR intervals; TINN, baseline width of the RR interval histogram; VLF, very low frequency.