PocketECG: A New Noninvasive Method for Continuous and Real-Time ECG Monitoring—Initial Results in Children and Adolescents

Abstract

Long-term ECG is widely used in diagnosis and assessment of many cardiac symptoms which may be caused by dangerous arrhythmias that sometimes can be difficult to document. The PocketECG system is a new technological solution for a long-term, noninvasive, continuous and real-time ECG monitoring that provides automatic diagnosis of dysrhythmias. ECG data transmission occurs over a mobile network. The goal of this study was to assess the reliability of long-term ECG recordings acquired with the PocketECG system. One hundred and fifteen patients (43 girls and 72 boys) of an average age of 15.5 ± 2.5 years were examined at the Department of Cardiology at the Children's Memorial Health Institute. Two simultaneous 24-h ECG recordings were conducted: one with a Holter monitor and one with the PocketECG system. A linear correlation was demonstrated between the two methods with regard to the recorded QRS complexes [H = 1173.0 (-1946.40; 4838.50) + PocketECG*0.98 (0.94; 1.02)]. Mean diurnal heart rhythms were comparable (p > 0.05) despite the fact that the slowest and the fastest rates were different. The rate of detection for ventricular, supraventricular dysrhythmias and pauses in ventricular rhythm were comparable in both methods. The PocketECG system for continuous and real-time ECG recording is a reliable method for the assessment of heart rhythm and dysrhythmias in children and adolescents.

Usefulness of long-term telemetric electrocardiogram monitoring in the diagnosis of tachycardia in children with a medical history of palpitations

“…This method makes it possible to extend the monitoring time for ECG recording up to 30 days, which increases the probability of recording an incident and detecting clinically dangerous arrhythmias in individuals with periodically occurring symptoms [13][14]. The use of continuous ECG recording for the period of up to one month significantly improved the diagnosis and facilitated implementation of appropriate therapeutic procedures, such as percutaneous ablation.…”

“…The Bioethics Committee of the Institute of an ongoing basis and to print out relevant fragments. After the monitoring, Holter-like report is generated with a full statistical and graphical presentation of arrhythmia, activity and symptoms in a diagnostic report ( Figure 2) [13][14].…”

Application of wearable devices for monitoring cardiometabolic dysfunction under the exposome paradigm

“…For instance, the noninvasive measurement of intraocular pressure is an early step in the evaluation of diabetes using portable devices. In addition, electrocardiography is replacing the heart rate used to infer the long‐term risk of cardiac symptoms with a 24‐h real‐time monitoring solution, even for children 63 . As shown in Figure 2, there are two different settings for monitoring vital signs: observing alternations in vital signs in the preceding disease and avoiding disease‐related lesions (Table 2).…”

Wearable devices for remote vital signs monitoring in the outpatient setting: an overview of the field

“…Until recently, outpatient vital signs monitoring has been mostly limited to ECG monitoring with Holter devices. These monitors have been used for over 40 years as a non-invasive method of continuously monitoring heart rate and ECG for set periods of time 4–6. Holter monitors do not allow real-time monitoring or monitoring of other vital signs such as oxygen saturation, blood pressure, respiratory rate and temperature 7.…”