Smart textile-based ECG devices were evaluated against conventional Holter monitoring and 12-lead ECG for continuous monitoring in paroxysmal atrial fibrillation to assess performance and user acceptability.
Do smart textile-based ECG devices offer comparable performance and improved user acceptability compared to conventional Holter monitoring for continuous monitoring in paroxysmal atrial fibrillation?
This review highlights the potential of smart textile ECG wearables to provide continuous, comfortable monitoring for paroxysmal atrial fibrillation compared to traditional methods.
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.
Avanu et al. (Thu,) conducted a review in Paroxysmal atrial fibrillation. Smart textile-based ECG devices vs. Conventional Holter monitoring and 12-lead ECG was evaluated on AF detection rates, signal-to-noise ratio (SNR), total analysis time, and user acceptability. Smart textile-based ECG devices were evaluated against conventional Holter monitoring and 12-lead ECG for continuous monitoring in paroxysmal atrial fibrillation to assess performance and user acceptability.