Use of mobile diagnostics and digital clinical trials in cardiology

Gehr, Sinje; Balasubramaniam, Nandha Kumar; Rußmann, Christoph

doi:10.1038/s41591-023-02263-1

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…In Figure 2, the three possible domains of interest in sports cardiology are presented, but at present we cannot prove if this approach will contribute improving the CV care of athletes. Evidence of applicability in the three domains are lacking at present, but there is a general excitement in their possible use, so we expect a plethora of studies in the next few years 41 . Questions raised on the best approach to manage the huge amount of information obtainable with the systematic use of wearables.…”

Section: Future Perspectives and Conclusionmentioning

confidence: 99%

“…Evidence of applicability in the three domains are lacking at present, but there is a general excitement in their possible use, so we expect a plethora of studies in the next few years. 41 Questions raised on the best approach to manage the huge amount of information obtainable with the systematic use of wearables. In this setting, the use of artificial intelligence coupled with machine learning will be the natural evolution, but what will be the physician's role in this new e‐medicine era?…”

Section: Future Perspectives and Conclusionmentioning

confidence: 99%

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An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future

Pingitore,

Peruzzi,

Clarich

et al. 2023

Clinical Cardiology

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BackgroundAthletes represent a mainly healthy population, which however could be considered at risk of major arrhythmic events, especially in case of undiagnosed cardiomyopathies. For this reason, the periodical sports medicine examination and the electrocardiography are essential tools in the cardiovascular screening, even though they do not always succeed in identifying rhythm disturbances, particularly when asymptomatic or rarely symptomatic.HypothesisProlonged cardiac monitoring often enables clinicians to stratify the arrhythmic risk and reach the diagnosis. The technological progress of the last decades has produced an always‐increasing number of heart rhythm monitoring devices, starting from the 24‐hour electrocardiogram Holter monitoring and ending with the wide world of wearable devices.MethodsIn the literature, the extreme utility of this equipment in the patients affected by cardiovascular diseases and in the general population is well established. On the contrary, athletes‐based randomized trials or large‐scale epidemiological studies targeting the frequency of cardiac symptoms and the use of cardiac monitoring are missing, while an ever‐growing number of case series and small observational studies are flourishing in recent years.ResultsThe present review showcases the available electrocardiographic monitoring options, principally in the medical setting, listing their characteristics, their indications, their supporting evidence, and their general pros and cons.ConclusionsThe ultimate goal of this review is guiding physicians through the wide variety of heart rhythm monitoring options in the specific subfield of sports cardiology, when an arrhythmia is suspected in an athlete, to tailor the diagnostic process and favor the best diagnostic accuracy.

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Section: Future Perspectives and Conclusionmentioning

confidence: 99%

Section: Future Perspectives and Conclusionmentioning

confidence: 99%

An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future

Pingitore,

Peruzzi,

Clarich

et al. 2023

Clinical Cardiology

View full text Add to dashboard Cite

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Mobile Technologien und digitale klinische Studien im Gesundheitswesen

Gehr,

Rußmann

2024

Technologien Und Technologiemanagement Im Gesundheitswesen

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Optimization of dry laser-induced graphene (LIG) electrodes for electrocardiography (ECG) signals monitoring

Gerardo,

Houeix,

Romero

et al. 2024

Appl. Phys. A

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This work presents the optimization of the fabrication procedure for laser-induced graphene (LIG) electrodes intended for biopotentials acquisition. The results presented in this study demonstrate a significant improvement with respect to the performance obtained for other LIG-based electrodes previously reported in the literature. In particular, we propose the use of a galvanometric laser instead of a CNC laser to improve the engraving resolution and the LIG synthesis process, thus enhancing the surface area of the interface skin–electrode. For that, we have studied the resistance of the resulting LIG patterns as a function of the laser parameters (engraving power and scan speed) seeking their optimization. After tunning the laser fabrication process, we have fabricated and characterized electrocardiogram (ECG) electrodes with different surface areas using a commercial silver-based electrode as a reference. Thus, circular electrodes with a diameter of 15 mm, 10 mm and 6.5 mm were used to acquire the ECG on different volunteers using a commercial equipment. The signals acquired were processed afterwards with cutting edge processing techniques to perform a statistical analysis in terms of sensitivity, specificity, positive prediction and accuracy for the detection of QRS complexes. The results demonstrate that the proposed electrodes improve the signal acquisition with respect to the previously reported LIG-based electrodes in terms of noise and do present comparable or even better results than commercial electrodes (even with a smaller surface area) with the additional advantage of not requiring the use of an electrolyte gel.

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Use of mobile diagnostics and digital clinical trials in cardiology

Cited by 6 publications

References 19 publications

An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future

An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future

Mobile Technologien und digitale klinische Studien im Gesundheitswesen

Optimization of dry laser-induced graphene (LIG) electrodes for electrocardiography (ECG) signals monitoring

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