open access

Vol 25, No 1 (2018)
Original articles — Clinical cardiology
Submitted: 2017-07-05
Accepted: 2017-08-07
Published online: 2017-08-24
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Study design and rationale for biomedical shirt-based electrocardiography monitoring in relevant clinical situations: ECG-shirt study

Paweł Balsam1, Piotr Lodziński1, Agata Tymińska1, Krzysztof Ozierański1, Łukasz Januszkiewicz1, Renata Główczyńska1, Katarzyna Wesołowska2, Michał Peller1, Radosław Pietrzak3, Tomasz Książczyk3, Sonia Borodzicz1, Łukasz Kołtowski1, Mariusz Borkowski4, Bożena Werner3, Grzegorz Opolski1, Marcin Grabowski1
DOI: 10.5603/CJ.a2017.0102
·
Pubmed: 28840587
·
Cardiol J 2018;25(1):52-59.
Affiliations
  1. 1st Chair and Department of Cardiology, Medical University of Warsaw, Public Central Teaching Hospital in Warsaw, Banacha 1a, 02-097 Warsaw, Poland
  2. Department of Clinical Nursing, Medical University of Warsaw, Public Central Teaching Hospital in Warsaw
  3. Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw
  4. Orlik Medical Practice, Warsaw

open access

Vol 25, No 1 (2018)
Original articles — Clinical cardiology
Submitted: 2017-07-05
Accepted: 2017-08-07
Published online: 2017-08-24

Abstract

Background: Today, the main challenge for researchers is to develop new technologies which may help to improve the diagnoses of cardiovascular disease (CVD), thereby reducing healthcare costs and improving the quality of life for patients. This study aims to show the utility of biomedical shirt-based electrocardiography (ECG) monitoring of patients with CVD in different clinical situations using the Nuubo® ECG (nECG) system.

Methods: An investigator-initiated, multicenter, prospective observational study was carried out in a cardiology (adult and pediatric) and cardiac rehabilitation wards. ECG monitoring was used with the biomedical shirt in the following four independent groups of patients: 1) 30 patients after pulmonary vein isolation (PVI), 2) 30 cardiac resynchronization therapy (CRT) recipients, 3) 120 patients during cardiac rehabilitation after myocardial infarction, and 4) 40 pediatric patients with supraventricular tachycardia (SVT) before electrophysiology study. Approval for all study groups was obtained from the institutional review board. The biomedical shirt captures the electrocardiographic signal via textile electrodes integrated into a garment. The software allows the visualization and analysis of data such as ECG, heart rate, arrhythmia detecting algorithm and relative position of the body is captured by an electronic device.

Discussion: The major advantages of the nECG system are continuous ECG monitoring during daily activities, high quality of ECG recordings, as well as assurance of a proper adherence due to adequate comfort while wearing the shirt. There are only a few studies that have examined wearable systems, especially in pediatric populations.

Trial registration: This study is registered in ClinicalTrials.gov: Identifier NCT03068169. (Cardiol J 2018; 25, 1: 52–59)

Abstract

Background: Today, the main challenge for researchers is to develop new technologies which may help to improve the diagnoses of cardiovascular disease (CVD), thereby reducing healthcare costs and improving the quality of life for patients. This study aims to show the utility of biomedical shirt-based electrocardiography (ECG) monitoring of patients with CVD in different clinical situations using the Nuubo® ECG (nECG) system.

Methods: An investigator-initiated, multicenter, prospective observational study was carried out in a cardiology (adult and pediatric) and cardiac rehabilitation wards. ECG monitoring was used with the biomedical shirt in the following four independent groups of patients: 1) 30 patients after pulmonary vein isolation (PVI), 2) 30 cardiac resynchronization therapy (CRT) recipients, 3) 120 patients during cardiac rehabilitation after myocardial infarction, and 4) 40 pediatric patients with supraventricular tachycardia (SVT) before electrophysiology study. Approval for all study groups was obtained from the institutional review board. The biomedical shirt captures the electrocardiographic signal via textile electrodes integrated into a garment. The software allows the visualization and analysis of data such as ECG, heart rate, arrhythmia detecting algorithm and relative position of the body is captured by an electronic device.

Discussion: The major advantages of the nECG system are continuous ECG monitoring during daily activities, high quality of ECG recordings, as well as assurance of a proper adherence due to adequate comfort while wearing the shirt. There are only a few studies that have examined wearable systems, especially in pediatric populations.

Trial registration: This study is registered in ClinicalTrials.gov: Identifier NCT03068169. (Cardiol J 2018; 25, 1: 52–59)

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Keywords

remote electrocardiography, atrial fibrillation, cardiac rehabilitation, cardiac resynchronization therapy, electrophysiological study, myocardial infarction, mobile health, pulmonary veins isolation, supraventricular tachycardia, telehealth, telemedicine

About this article
Title

Study design and rationale for biomedical shirt-based electrocardiography monitoring in relevant clinical situations: ECG-shirt study

Journal

Cardiology Journal

Issue

Vol 25, No 1 (2018)

Pages

52-59

Published online

2017-08-24

Page views

2941

Article views/downloads

2921

DOI

10.5603/CJ.a2017.0102

Pubmed

28840587

Bibliographic record

Cardiol J 2018;25(1):52-59.

Keywords

remote electrocardiography
atrial fibrillation
cardiac rehabilitation
cardiac resynchronization therapy
electrophysiological study
myocardial infarction
mobile health
pulmonary veins isolation
supraventricular tachycardia
telehealth
telemedicine

Authors

Paweł Balsam
Piotr Lodziński
Agata Tymińska
Krzysztof Ozierański
Łukasz Januszkiewicz
Renata Główczyńska
Katarzyna Wesołowska
Michał Peller
Radosław Pietrzak
Tomasz Książczyk
Sonia Borodzicz
Łukasz Kołtowski
Mariusz Borkowski
Bożena Werner
Grzegorz Opolski
Marcin Grabowski

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