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Comparison of Continuous ECG Monitoring by Wearable Patch Device and Conventional Telemonitoring Device

Journal of Korean Medical Science 2020년 35권 44호 p.363 ~ 363
최원석, 김순화, 이원재, 강시혁, 윤창환, 연태진, 채인호,
소속 상세정보
최원석 ( Choi Won-Suk ) - Seoul National University Bundang Hospital Department of Internal Medicine
김순화 ( Kim Sun-Hwa ) - Seoul National University Bundang Hospital Department of Internal Medicine
이원재 ( Lee Won-Jae ) - Seoul National University Bundang Hospital Department of Internal Medicine
강시혁 ( Kang Si-Hyuck ) - Seoul National University Bundang Hospital Department of Internal Medicine
윤창환 ( Yoon Chang-Hwan ) - Seoul National University Bundang Hospital Department of Internal Medicine
연태진 ( Youn Tae-Jin ) - Seoul National University Bundang Hospital Department of Internal Medicine
채인호 ( Chae In-Ho ) - Seoul National University Bundang Hospital Department of Internal Medicine

Abstract


Background: Detection of arrhythmias is crucial for the treatment of cardiovascular diseases. However, conventional devices do not provide sufficient diagnostic accuracy while patients should suffer from bothersome diagnostic process. We sought to evaluate diagnostic capability and safety of the new adhesive electrocardiogram (ECG) monitoring device in patients who need ECG monitoring during admission.

Methods: We enrolled 10 patients who admitted to Seoul National University Bundang Hospital and required continuous ECG monitoring between October 31, 2019 and December 18, 2019. New adhesive ECG monitoring device and conventional ECG monitoring device were simultaneously applied to the patients and maintained for 48 hours. From each patient, 48 pairs of ECG signal were collected and analyzed by two cardiologists independently. Discrepancy of diagnosis and frequency of noise or signal loss were compared between the two devices.

Results: From analyzable ECG data, discrepancy of arrhythmia diagnosis was not observed between the two devices. Noise rate was higher in conventional ECG monitoring device (2.5% vs. 17.3%, P < 0.001) and signal loss was not observed in new adhesive device while there was 9.4% of signal losses in conventional Holter recorder group. The new device was well-tolerated among 48 hours of monitoring period and no adverse event was observed.

Conclusion: A newer adhesive ECG monitoring device demonstrated similar diagnostic accuracy compared to conventional ECG monitoring device.

키워드

Arrhythmias; Atrial Fibrillation; Cardiac Monitoring; Continuous Monitoring; Long-term Monitoring; Wearable Electronic Devices

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