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Study design and rationale for biomedical shirt-based electrocardiography monitoring in relevant clinical situations: ECG-shirt study
Affiliations- 1st Chair and Department of Cardiology, Medical University of Warsaw, Public Central Teaching Hospital in Warsaw, Banacha 1a, 02-097 Warsaw, Poland
- Department of Clinical Nursing, Medical University of Warsaw, Public Central Teaching Hospital in Warsaw
- Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw
- Orlik Medical Practice, Warsaw
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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)
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 articleTitle
Study design and rationale for biomedical shirt-based electrocardiography monitoring in relevant clinical situations: ECG-shirt study
Journal
Issue
Pages
52-59
Published online
2017-08-24
Page views
2941
Article views/downloads
2921
DOI
10.5603/CJ.a2017.0102
Pubmed
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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