Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias.
<h4>Background</h4>A 12-lead electrocardiogram (ECG) and Holter ECG have been established as gold standards for detection of arrhythmias. Recently, wearable ECG monitoring devices have been available. Our purpose of the present study was to investigate whether a novel wearable electrode...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0273541 |
| _version_ | 1811262323019481088 |
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| author | Kazuaki Amami Akiomi Yoshihisa Yuko Horikoshi Shinya Yamada Takeshi Nehashi Naoko Hijioka Minoru Nodera Takashi Kaneshiro Tetsuro Yokokawa Tomofumi Misaka Yasuchika Takeishi |
| author_facet | Kazuaki Amami Akiomi Yoshihisa Yuko Horikoshi Shinya Yamada Takeshi Nehashi Naoko Hijioka Minoru Nodera Takashi Kaneshiro Tetsuro Yokokawa Tomofumi Misaka Yasuchika Takeishi |
| author_sort | Kazuaki Amami |
| collection | DOAJ |
| description | <h4>Background</h4>A 12-lead electrocardiogram (ECG) and Holter ECG have been established as gold standards for detection of arrhythmias. Recently, wearable ECG monitoring devices have been available. Our purpose of the present study was to investigate whether a novel wearable electrode embedded in an undershirt is useful for ECG monitoring and detection of arrhythmias.<h4>Methods</h4>We studied 31 consecutive hospitalized patients who underwent catheter ablation of tachyarrhythmias. Patients equipped a wearable electrode and a lead CM5 of Holter ECG simultaneously, and total heart beats, maximum heart rate (HR), mean HR, minimum HR, detections of arrhythmias, such as atrial fibrillation, non-sustained ventricular tachycardia, and premature ventricular contractions (Lown's grade >II), were compared between the two methods using a Holter ECG analysis software.<h4>Results</h4>Median recording time of ECG by wearable electrodes was 12.6 hours. Strong correlations between the two methods were observed in total heart beats (R = 0.999, P <0.001), maximum HR (R = 0.997, P <0.001), mean HR (R = 0.999, P <0.001), minimum HR (R = 0.989, P <0.001) and QRS duration (R = 0.900, P <0.001). Bland-Altman analysis showed excellent concordance between each parameter measured by two methods. In addition, the detection of atrial fibrillation (nine events), non-sustained ventricular tachycardia (two events), and premature ventricular contractions of Lown's grade >II (five events) were concordant in two methods. In addition, there were no significant difference in parameters of time-domain and frequency-domain analyses of heart rate variability between the two methods.<h4>Conclusions</h4>The usefulness of a novel electrode embedded in an undershirt is equivalent to that of a Holter ECG in monitoring the ECG and detection of arrythmias. |
| first_indexed | 2024-04-12T19:23:15Z |
| format | Article |
| id | doaj.art-d05719e418a940d2bb28bfbc52a570e0 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T19:23:15Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-d05719e418a940d2bb28bfbc52a570e02022-12-22T03:19:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027354110.1371/journal.pone.0273541Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias.Kazuaki AmamiAkiomi YoshihisaYuko HorikoshiShinya YamadaTakeshi NehashiNaoko HijiokaMinoru NoderaTakashi KaneshiroTetsuro YokokawaTomofumi MisakaYasuchika Takeishi<h4>Background</h4>A 12-lead electrocardiogram (ECG) and Holter ECG have been established as gold standards for detection of arrhythmias. Recently, wearable ECG monitoring devices have been available. Our purpose of the present study was to investigate whether a novel wearable electrode embedded in an undershirt is useful for ECG monitoring and detection of arrhythmias.<h4>Methods</h4>We studied 31 consecutive hospitalized patients who underwent catheter ablation of tachyarrhythmias. Patients equipped a wearable electrode and a lead CM5 of Holter ECG simultaneously, and total heart beats, maximum heart rate (HR), mean HR, minimum HR, detections of arrhythmias, such as atrial fibrillation, non-sustained ventricular tachycardia, and premature ventricular contractions (Lown's grade >II), were compared between the two methods using a Holter ECG analysis software.<h4>Results</h4>Median recording time of ECG by wearable electrodes was 12.6 hours. Strong correlations between the two methods were observed in total heart beats (R = 0.999, P <0.001), maximum HR (R = 0.997, P <0.001), mean HR (R = 0.999, P <0.001), minimum HR (R = 0.989, P <0.001) and QRS duration (R = 0.900, P <0.001). Bland-Altman analysis showed excellent concordance between each parameter measured by two methods. In addition, the detection of atrial fibrillation (nine events), non-sustained ventricular tachycardia (two events), and premature ventricular contractions of Lown's grade >II (five events) were concordant in two methods. In addition, there were no significant difference in parameters of time-domain and frequency-domain analyses of heart rate variability between the two methods.<h4>Conclusions</h4>The usefulness of a novel electrode embedded in an undershirt is equivalent to that of a Holter ECG in monitoring the ECG and detection of arrythmias.https://doi.org/10.1371/journal.pone.0273541 |
| spellingShingle | Kazuaki Amami Akiomi Yoshihisa Yuko Horikoshi Shinya Yamada Takeshi Nehashi Naoko Hijioka Minoru Nodera Takashi Kaneshiro Tetsuro Yokokawa Tomofumi Misaka Yasuchika Takeishi Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. PLoS ONE |
| title | Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. |
| title_full | Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. |
| title_fullStr | Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. |
| title_full_unstemmed | Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. |
| title_short | Utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias. |
| title_sort | utility of a novel wearable electrode embedded in an undershirt for electrocardiogram monitoring and detection of arrhythmias |
| url | https://doi.org/10.1371/journal.pone.0273541 |
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