Why the study?
Single-use gel conductive electrodes have limited applicability for long-term monitoring due to skin irritation and detachment, prompting evaluation of a textile ECG-belt for clinical use.
Does a textile 1-lead ECG-belt provide valid RR-interval measurements compared to standard 1-lead ECG in patients with suspected sleep apnoea during overnight monitoring?
Does a textile 1-lead ECG-belt provide valid RR-interval measurements compared to standard 1-lead ECG in patients with suspected sleep apnoea during overnight monitoring?
A textile 1-lead ECG-belt provides highly valid RR-interval measurements during overnight monitoring compared to standard ECG, though signal quality may decrease in lateral sleeping positions.
Supports textile ECG-belt for comfortable overnight monitoring in select patients; leaves open need for prospective validation in broader settings.
Even for 1-lead electrocardiography (ECG), single-use gel conductive electrodes are employed in a clinical setting. However, gel electrodes show limited applicability for long-term monitoring due to skin irritation and detachment. In the present study, we investigated the validity of a textile ECG-belt suitable for long-term measurements in clinical use. In order to assess the signal quality and validity of the ECG-belt during sleep, 242 patients (186 males and 56 females, age 52 (interquartile range 42–60) years, body mass index 29 (interquartile range 26–33) kg·m−2) with suspected sleep apnoea underwent overnight polysomnography including standard 1-lead ECG recording. The single intervals between R-peaks (RR-intervals) were calculated from the ECG-signals. We found a mean difference for average RR-intervals of −2.9 ms, a standard error of estimate of 0.39%, as well as a Pearson r of 0.91. Furthermore, we found that the validity of the ECG-belt decreases when lying on the side, which was potentially due to the fitting of the belt. In conclusion, the validity of RR-interval measurements using the ECG-belt is high and it may be further improved for future applications by optimizing wear fitting.
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Fontana et al. (2019) studied this question.
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