title: Accuracy of the StressEraser in the detection of cardiac rhythms.
abstract: StressEraser is a commercially marketed biofeedback device designed to enhance heart rate variability. StressEraser makes its internal calculations on beat-to-beat measures of finger pulse intervals. However, the accuracy and precision of StressEraser in quantifying interbeat intervals using finger pulse intervals has not been evaluated against standard laboratory equipment using R-R intervals. Accuracy was assessed by simultaneously recording interbeat intervals using StressEraser and a standard laboratory ECG system. The interbeat intervals were highly correlated between the systems. The average deviation in interbeat interval recordings between the systems was approximately 6 ms. Moreover, correlations approached unity between the systems on estimates of heart period, heart rate, and heart rate variability. Feedback from StressEraser is based on an interbeat time series that provides sufficient information to provide an excellent estimate of the dynamic changes in heart rate and heart rate variability. The slight variations between StressEraser and the laboratory equipment in quantifying heart rate and heart rate variability are due to features related to monitoring heart rate with finger pulse: (1) a lack in precision in the peak of the finger pulse relative to the clearly defined inflection point in the R-wave, and (2) contribution of variations in pulse transit time.
authors: Department of Psychiatry, Brain-Body Center, University of Illinois at Chicago, 1601 West Taylor Street, Chicago, IL 60612, USA. kheilman@psych.uic.edu
authors: Keri J
authors: KJ
authors: Heilman
authors: Mika
authors: M
authors: Handelman
authors: Gregory
authors: G
authors: Lewis
authors: Stephen W
authors: SW
authors: Porges
mesh_terms: D001676:Biofeedback, Psychology / Q000295:instrumentation*; D003627:Data Interpretation, Statistical; D004562:Electrocardiography; D005385:Fingers / Q000098:blood supply / Q000502:physiology; D006321:Heart / Q000502:physiology*; D006801:Humans; D011674:Pulse / Q000295:instrumentation*; D012039:Regional Blood Flow; D015203:Reproducibility of Results