Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. (2024)

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Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. (1)

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Abstract

Pulse oximeters are being widely used for non-invasive, simultaneous assessment of haemoglobin oxygen saturation. They are reliable, accurate, relatively inexpensive and portable. Pulse oximeters are often used for estimating heart rate at rest and during exercise. However, at present the data available to validate their use as heart rate monitors are not sufficient. We evaluated the accuracy of two oximeters (Radiometer, ear and finger probe; Ohmeda 3700, ear probe) in monitoring heart rate during incremental exercise by comparing the pulse oximeters with simultaneous ECG readings. Data were collected on eight men (713 heart rate readings) during graded cycle ergometer and treadmill exercise to volitional fatigue. Analysis by linear regression revealed that general oximeter readings significantly correlated with those of ECG (r = 0.91, P less than 0.0001). However, comparison of heart rate at each level of work showed that oximeter readings significantly (P less than 0.05) under-estimated rates above 155 beats/min. These results indicate that the use of pulse oximeters as heart rate monitors during strenuous exercise is questionable. This inaccuracy may well originate from the instability of the probes, sweating, other artefacts during exercise, and measurement of different components in the cardiovascular cycle.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

Accuracy of pulse oximeters in estimating heart rate at rest and during exercise. (2024)

FAQs

Accuracy of pulse oximeters in estimating heart rate at rest and during exercise.? ›

However, comparison of heart rate at each level of work showed that oximeter readings significantly (P less than 0.05) under-estimated rates above 155 beats/min. These results indicate that the use of pulse oximeters as heart rate monitors during strenuous exercise is questionable.

Are pulse oximeters accurate for heart rate? ›

They are reliable, accurate, relatively inexpensive and portable. Pulse oximeters are often used for estimating heart rate at rest and during exercise.

Can a pulse oximeter be used during exercise? ›

Some people find them helpful for monitoring oxygen levels during exercise and high-altitude activities. You can even find fitness trackers with built-in oximeter sensors, so you can measure other metrics at the same time, like breathing rate, heart rate, activity duration and more.

How do you measure resting heart rate with oximeter? ›

When placing the pulse oximeter on your (or someone's) fingertip, ensure that the hand is warm, is placed below heart level, the particular finger is clean without any fingernail polish or jewelry, and that you are relaxed. Sit still and do not move your hand with the device.

What can affect the reliability or accuracy of the reading from a pulse oximeter? ›

In conclusion, the accuracy and reliability of wrist pulse oximeter readings can be affected by several factors, including proper placement, movement, ambient light interference, and skin pigmentation and nail polish.

Is heart sure pulse oximeter accurate? ›

More than ever before, measuring the oxygen saturation level in your blood is vitally important as an early warning sign for those who may require urgent medical care. The Heart Sure Bluetooth Pulse Oximeter provides this quickly and accurately along with your pulse rate.

Can an oximeter give a false heart rate? ›

This inaccuracy may well originate from the instability of the probes, sweating, other artefacts during exercise, and measurement of different components in the cardiovascular cycle.

Are pulse oximeters accurate in estimating heart rate at rest and during exercise? ›

Sixteen of the 24 pulse oximeters (67%), from 7 of the 10 studies, observed pulse oximeter estimates (%SpO2) during exercise to be accurate, at least when %HbO2 was > or = 85% in nonsmokers. However, the degree of accuracy of the pulse oximeters was variable, even among the same models.

What are three conditions that can give a false pulse oximetry reading? ›

Excessive motion—shivering, shaking, or other movement—can also cause erroneous readings. Skin temperature and thickness can also reduce the accuracy of pulse pulse oximeters, and whether a person smokes tobacco can affect the device's accuracy.

Does a pulse oximeter work while moving? ›

However, motion can induce considerable error into pulse oximetry accuracy, resulting in loss of data, inaccurate readings, and false alarms.

What is a good resting heart rate? ›

A normal resting heart rate for adults ranges from 60 to 100 beats per minute. Generally, a lower heart rate at rest implies more efficient heart function and better cardiovascular fitness. For example, a well-trained athlete might have a normal resting heart rate closer to 40 beats per minute.

How accurate is the pulse oximeter reading? ›

Pulse oximeters are most accurate when blood oxygen saturation is between 90% and 100%. Accuracy decreases when blood oxygen saturation is between 80% and 90%, and the devices are least accurate when saturation is below 80%. Keep in mind that readings may be off by a few percentage points.

What is a normal heart rate on an oximeter? ›

An ideal blood oxygen level is between 95% and 99%. An ideal heart rate is between 50 and 90 beats per minute (bpm). You will need to alert your doctor or 111 if it drops below 95% and your heart rate goes above 100.

What can mess up a pulse oximeter reading? ›

But pulse oximeters aren't always accurate. According to the FDA, there are a number of factors that can affect accuracy, including poor circulation, skin thickness, smoking, and even fingernail polish. What's more, a recent report suggests that your reading may not be as accurate if you have darker skin, too.

What is the most common error with pulse oximetry? ›

However, pulse oximeters can be inaccurate. Movement, poor blood flow and outside light interference decreases their accuracy. And because the technology relies on light absorption, differences in skin pigmentation affects it, too.

What is a bad pi in an oximeter? ›

The normal perfusion index (PI) ranges from 0.02% to 20%. If the perfusion index is at or below 0.4% showing weak pulse strength, then the oximeter reading can be unreliable. Peripheral artery diseases, diabetes, obesity, blood clots, etc.

Can an oximeter detect abnormal heart rate? ›

Abnormalities Affecting Heart Rate

If your resting heart rate is below the normal parameters, it does not necessarily mean that you have a medical condition. However, if you keep coming up with the same abnormal heart rate when you use your pulse oximeter, it might be worth investigating further.

Can pulse oximeter detect heart problems? ›

Pulse oximetry is also used to check the health of a person with any condition that affects blood oxygen levels, such as: Heart attack. Heart failure. Chronic obstructive pulmonary disease (COPD)

Why does my heart rate fluctuate on a pulse oximeter? ›

That rate changes depending on what you're doing at the time. Slower heart rates happen when you're resting or relaxed, and faster rates happen when you're active, stressed or when you're in danger. There is variability in your heart rate based on the needs of your body and your respiratory patterns.

What is a normal PR BPM on oximeter? ›

It can peak and rise during a run or exercise, reducing and staying low due to certain cardiovascular complications. However, the standard studies suggest that the pr bpm normal range in oximeter in healthy adults is between 60-100 beats per minute.

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