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A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality

Diagnosis of arrhythmic disorders is challenging because of their short-lasting, intermittent character. Conventional technologies of noninvasive ambulatory rhythm monitoring are limited by modest sensitivity. We present a novel form of wearable electrocardiogram (ECG) sensors providing an alternati...

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Autores principales: Steinberg, Christian, Philippon, François, Sanchez, Marina, Fortier-Poisson, Pascal, O’Hara, Gilles, Molin, Franck, Sarrazin, Jean-François, Nault, Isabelle, Blier, Louis, Roy, Karine, Plourde, Benoit, Champagne, Jean
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468449/
https://www.ncbi.nlm.nih.gov/pubmed/30669678
http://dx.doi.org/10.3390/bios9010017
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author Steinberg, Christian
Philippon, François
Sanchez, Marina
Fortier-Poisson, Pascal
O’Hara, Gilles
Molin, Franck
Sarrazin, Jean-François
Nault, Isabelle
Blier, Louis
Roy, Karine
Plourde, Benoit
Champagne, Jean
author_facet Steinberg, Christian
Philippon, François
Sanchez, Marina
Fortier-Poisson, Pascal
O’Hara, Gilles
Molin, Franck
Sarrazin, Jean-François
Nault, Isabelle
Blier, Louis
Roy, Karine
Plourde, Benoit
Champagne, Jean
author_sort Steinberg, Christian
collection PubMed
description Diagnosis of arrhythmic disorders is challenging because of their short-lasting, intermittent character. Conventional technologies of noninvasive ambulatory rhythm monitoring are limited by modest sensitivity. We present a novel form of wearable electrocardiogram (ECG) sensors providing an alternative tool for long-term rhythm monitoring with the potential of increased sensitivity to detect intermittent or subclinical arrhythmia. The objective was to assess the signal quality and R-R coverage of a wearable ECG sensor system compared to a standard 3-lead Holter. In this phase-1 trial, healthy individuals underwent 24-h simultaneous rhythm monitoring using the OMsignal system together with a 3-lead Holter recording. The OMsignal system consists of a garment (bra or shirt) with integrated sensors recording a single-lead ECG and an acquisition module for data storage and processing. Head-to-head signal quality was assessed regarding adequate P-QRS-T distinction and was performed by three electrophysiologists blinded to the recording technology. The accuracy of signal coverage was assessed using Bland-Altman analysis. Fifteen individuals underwent simultaneous 24-h recording. Signal quality and accuracy of the OMgaments was equivalent to Holter-monitoring (84% vs. 93% electrophysiologists rating, p = 0.06). Signal coverage of R-R intervals showed a very close overlay between the OMsignal system and Holter signals, mean difference in heart rate of 2 ± 5 bpm. The noise level of OMgarments was comparable to Holter recording. OMgarments provide high signal quality for adequate rhythm analysis, representing a promising novel technology for long-term non-invasive ECG monitoring.
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spelling pubmed-64684492019-04-23 A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality Steinberg, Christian Philippon, François Sanchez, Marina Fortier-Poisson, Pascal O’Hara, Gilles Molin, Franck Sarrazin, Jean-François Nault, Isabelle Blier, Louis Roy, Karine Plourde, Benoit Champagne, Jean Biosensors (Basel) Article Diagnosis of arrhythmic disorders is challenging because of their short-lasting, intermittent character. Conventional technologies of noninvasive ambulatory rhythm monitoring are limited by modest sensitivity. We present a novel form of wearable electrocardiogram (ECG) sensors providing an alternative tool for long-term rhythm monitoring with the potential of increased sensitivity to detect intermittent or subclinical arrhythmia. The objective was to assess the signal quality and R-R coverage of a wearable ECG sensor system compared to a standard 3-lead Holter. In this phase-1 trial, healthy individuals underwent 24-h simultaneous rhythm monitoring using the OMsignal system together with a 3-lead Holter recording. The OMsignal system consists of a garment (bra or shirt) with integrated sensors recording a single-lead ECG and an acquisition module for data storage and processing. Head-to-head signal quality was assessed regarding adequate P-QRS-T distinction and was performed by three electrophysiologists blinded to the recording technology. The accuracy of signal coverage was assessed using Bland-Altman analysis. Fifteen individuals underwent simultaneous 24-h recording. Signal quality and accuracy of the OMgaments was equivalent to Holter-monitoring (84% vs. 93% electrophysiologists rating, p = 0.06). Signal coverage of R-R intervals showed a very close overlay between the OMsignal system and Holter signals, mean difference in heart rate of 2 ± 5 bpm. The noise level of OMgarments was comparable to Holter recording. OMgarments provide high signal quality for adequate rhythm analysis, representing a promising novel technology for long-term non-invasive ECG monitoring. MDPI 2019-01-21 /pmc/articles/PMC6468449/ /pubmed/30669678 http://dx.doi.org/10.3390/bios9010017 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Steinberg, Christian
Philippon, François
Sanchez, Marina
Fortier-Poisson, Pascal
O’Hara, Gilles
Molin, Franck
Sarrazin, Jean-François
Nault, Isabelle
Blier, Louis
Roy, Karine
Plourde, Benoit
Champagne, Jean
A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title_full A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title_fullStr A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title_full_unstemmed A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title_short A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality
title_sort novel wearable device for continuous ambulatory ecg recording: proof of concept and assessment of signal quality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6468449/
https://www.ncbi.nlm.nih.gov/pubmed/30669678
http://dx.doi.org/10.3390/bios9010017
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