Key result
Smart textile-based ECG devices improve paroxysmal AF detection over traditional Holter monitors through extended monitoring.
Why the study?
Traditional monitoring methods for paroxysmal AF present limitations in comfort, compliance, and extended monitoring capabilities, prompting the evaluation of smart textile-based ECG devices.
Do smart textile-based ECG wearable devices improve the detection of paroxysmal atrial fibrillation in older adults compared to conventional Holter monitoring?
Do smart textile-based ECG wearable devices improve the detection of paroxysmal atrial fibrillation in older adults compared to conventional Holter monitoring?
Smart textile-based ECG devices enhance continuous, long-term monitoring for atrial fibrillation, offering improved patient comfort and potentially higher detection rates than conventional Holter monitors.
May support comfort-focused extended monitoring in paroxysmal AF; leaves open confirmation of detection gains versus Holter in RCTs.
Atrial fibrillation (AF), a prevalent cardiac arrhythmia and a major contributor to stroke risk, is anticipated to increase in incidence with the aging global population. For effective AF management, particularly for paroxysmal AF (PAF), long-term and accurate monitoring is essential. However, traditional monitoring methods, including Holter ECGs and implantable cardiac monitors (ICMs), present limitations in comfort, compliance and extended monitoring capabilities. Recent advancements in wearable technology have introduced smart textile-based ECG devices, which incorporate electrochemical sensors into fabrics, enabling non-invasive, continuous monitoring while enhancing user comfort. This review evaluates textile-based ECG devices by comparing their performance-assessed through AF detection rates, signal-to-noise ratio (SNR) and total analysis time-against conventional Holter monitoring and the 12-lead ECG. Furthermore, this review examines user acceptability factors, including patient-reported comfort, usability during resting and physical activities and skin-related adverse effects. The findings aim to provide insights for future device development and facilitate their integration into clinical practice.
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Avanu et al. (2025) conducted a review in Paroxysmal Atrial Fibrillation (PAF) (n=3,262). Smart textile-based ECG devices vs. Conventional Holter monitoring and 12-lead ECG was evaluated on AF detection rates, signal-to-noise ratio (SNR), and total analysis time. Smart textile-based ECG devices enabled extended continuous cardiac monitoring, leading to increased detection of paroxysmal atrial fibrillation compared to traditional Holter monitors, alongside high patient comfort despite minor signal challenges.
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