The Use of Wearable ECG Devices in the Clinical Setting: a Review.

IF 0.8 Q3 EMERGENCY MEDICINE

Current Emergency and Hospital Medicine Reports Pub Date : 2022-01-01 Epub Date: 2022-06-25 DOI:10.1007/s40138-022-00248-x

Paola Kamga, Rasik Mostafa, Saba Zafar

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引用次数: 16

Abstract

Purpose of review: This review investigates the use of wearable electrocardiograms (ECGs) in the clinic and acute care setting, and their impact on patient care, particularly pertaining to the management of cardiac arrhythmias.

Recent findings: Wearable ECGs have consistently demonstrated their non-inferiority in detecting arrhythmias when compared to the current standard of care. Different studies have highlighted their ability to improve patient care and reduce healthcare costs, while more devices are being created to work as a screening tool at a larger scale or to fit the physical abilities of a variety of patients.

Summary: The use of wearable cardiac monitoring devices demonstrated considerable symptom-rhythm correlation in various clinical settings, which often resulted in a reduction in time to diagnosis and lower rates of ED visits. However, this relatively new technology raised concerns for patient accessibility and privacy among others. Further research is needed to assess their sensitivity and specificity in the clinical setting, as well as their limitations.

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可穿戴心电图设备在临床中的应用综述

综述目的:本综述调查了可穿戴式心电图(ECGs)在临床和急性护理环境中的使用，以及它们对患者护理的影响，特别是与心律失常管理有关的影响。最近的发现:与目前的护理标准相比，可穿戴心电图在检测心律失常方面一直表现出非劣等性。不同的研究强调了它们改善患者护理和降低医疗成本的能力，而更多的设备正在被创造出来，作为更大规模的筛查工具，或适应各种患者的身体能力。摘要:在各种临床环境中，可穿戴心脏监测设备的使用显示出相当大的症状-节律相关性，这通常导致诊断时间缩短和急诊科就诊率降低。然而，这种相对较新的技术引起了对患者可及性和隐私等方面的担忧。需要进一步的研究来评估它们在临床环境中的敏感性和特异性，以及它们的局限性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current Emergency and Hospital Medicine Reports EMERGENCY MEDICINE-

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期刊介绍： This journal aims to offer expert review articles on the most significant recent developments in emergency and hospital medicine, with particular emphasis on the transition of patient care from the emergency department to the hospitalist service. By providing clear, insightful, balanced contributions, the journal intends to serve 1) those who provide immediate medical attention to patients with acute injuries or conditions in emergency departments and emergency medical service settings, and 2) hospitalists who deliver comprehensive medical care in collaboration with physicians and other health care personnel responsible for hospitalized patients. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include acute coronary syndrome; chronic obstructive pulmonary disease; community-acquired infections; diabetes and metabolic disease; heart failure; hospital-acquired infections; pharmacology of acute care; shared practice and economic issues; and thrombosis.