Ambulatory ECG monitoring in the age of smartphones

@article{Sanders2019AmbulatoryEM,
  title={Ambulatory ECG monitoring in the age of smartphones},
  author={David Sanders and Leo Ungar and Michael Eskander and Arnold H. Seto},
  journal={Cleveland Clinic Journal of Medicine},
  year={2019},
  volume={86},
  pages={483 - 493}
}
Ambulatory electrocardiography (ECG) allows for extended monitoring of arrhythmias in a real-world setting. This article reviews the currently available ambulatory ECG devices and their differences in design, function, indications, efficacy, cost, and optimal use in clinical practice. Many devices are available; the best one to use depends on the specific clinical context. 

Figures and Tables from this paper

An IoT Assisted Real-Time High CMRR Wireless Ambulatory ECG Monitoring System with Arrhythmia Detection

Low cost, scalability, low latency, real-time ECG monitoring, and improved performance of the system make the system highly suitable for the real- time remote identification and management of CVDs in users of rural areas and in the COVID-19 pandemic.

The Role of Electrocardiography in Occupational Medicine, from Einthoven’s Invention to the Digital Era of Wearable Devices

A review of the evolution of the role that electrophysiology plays as part of occupational health and safety management and on its possible future use, thanks to ongoing technological innovation is conducted.

Clinical validation and evaluation of a novel six-lead handheld electrocardiogram recorder compared to the 12-lead electrocardiogram in unselected cardiology patients (EVALECG Cardio)

Several parameters recorded by the Kardia 6L perform closely to the gold standard 12-lead ECG, but that consistency weakens for left ventricular hypertrophy, QRS amplitudes (Lead I and AVL), and ischaemic changes.

Usefulness of long-term telemetric electrocardiogram monitoring in the diagnosis of tachycardia in children with medical history of palpitations.

In young patients with palpitations, telemetric cardiac monitoring lasting up to one month increased the number of patients with recorded tachyarrhythmia near tenfold, compared to two Holter ECGs.

A Wireless Power Transfer Based Implantable ECG Monitoring Device

A WPT based implantable electrocardiogram (ECG) monitoring device that continuously records ECG data has been proposed, and its effectiveness is verified through an animal experiment using a rat model.

Application of Modern Multi-Sensor Holter in Diagnosis and Treatment

In this article, actual interesting multi-sensor principles are described on the grounds of the own long-year experiences and many experiments to complement these methods and diminish the level of artifacts.

Wearable devices: monitoring the future?

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/ licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

References

SHOWING 1-10 OF 49 REFERENCES

Validation of a smartphone‐based event recorder for arrhythmia detection

An alternative approach is a smartphone‐based electrocardiographic (ECG) recorder/event recorder (Kardia Mobile), but the comparative diagnostic yield of each approach has not been studied.

ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiacmonitoring / telemetry

Ambulatory ECG (AECG) is very commonly employed in a variety of clinical contexts to detect cardiac arrhythmias and/or arrhythmia patterns which are not readily obtained from the standard ECG.

The Diagnosis of Cardiac Arrhythmias: A Prospective Multi‐Center Randomized Study Comparing Mobile Cardiac Outpatient Telemetry Versus Standard Loop Event Monitoring

The purpose of this study was to compare the relative value of a mobile cardiac outpatient telemetry system (MCOT) with a patient‐activated external looping event monitor (LOOP) for symptoms thought to be due to an arrhythmia.

Ambulatory arrhythmia monitoring: choosing the right device.

This review focuses on the available technology and factors that guide the choice of monitor, including ambulatory external monitors, implantable event recorders, pacemakers, and cardioverter-defibrillators.

Electrocardiographic patch devices and contemporary wireless cardiac monitoring

While becoming the standard for detecting arrhythmias and conduction system disorders in the outpatient setting where continuous ECG monitoring in the short to medium term is indicated, these cardiac devices and related digital mobile health technologies are reshaping the clinician-patient interface with important implications for future healthcare delivery.