Clinical Applicability of a Textile 1-Lead ECG Device for Overnight Monitoring

被引:12
作者
Fontana, Piero [1 ,2 ]
Adao Martins, Neusa R. [1 ,3 ]
Camenzind, Martin [1 ]
Rossi, Rene M. [1 ]
Baty, Florent [4 ]
Boesch, Maximilian [4 ]
Schoch, Otto D. [4 ]
Brutsche, Martin H. [4 ]
Annaheim, Simon [1 ]
机构
[1] Empa, Lab Biomimet Membranes & Text, Lerchenfeldstr 5, CH-9014 St Gallen, Switzerland
[2] High Performance Sci GmbH, Wilenstr 24, CH-8832 Wilen Bei Wollerau, Switzerland
[3] Univ Lisbon, Fac Ciencias, Campo Grande, P-1749016 Lisbon, Portugal
[4] Kantonsspital St Gallen, Klin Pneumol Schlafmed, Rorschacher Str 95, CH-9007 St Gallen, Switzerland
关键词
validation; long-term electrocardiogram; textile electrodes; ECG-belt; polysomnography; clinical applicability; HEART-RATE-VARIABILITY; MECHANISMS; PRESSURE;
D O I
10.3390/s19112436
中图分类号
O65 [分析化学];
学科分类号
070302 ; 081704 ;
摘要
Even for 1-lead electrocardiography (ECG), single-use gel conductive electrodes are employed in a clinical setting. However, gel electrodes show limited applicability for long-term monitoring due to skin irritation and detachment. In the present study, we investigated the validity of a textile ECG-belt suitable for long-term measurements in clinical use. In order to assess the signal quality and validity of the ECG-belt during sleep, 242 patients (186 males and 56 females, age 52 (interquartile range 42-60) years, body mass index 29 (interquartile range 26-33) kgm(-2)) with suspected sleep apnoea underwent overnight polysomnography including standard 1-lead ECG recording. The single intervals between R-peaks (RR-intervals) were calculated from the ECG-signals. We found a mean difference for average RR-intervals of -2.9 ms, a standard error of estimate of 0.39%, as well as a Pearson r of 0.91. Furthermore, we found that the validity of the ECG-belt decreases when lying on the side, which was potentially due to the fitting of the belt. In conclusion, the validity of RR-interval measurements using the ECG-belt is high and it may be further improved for future applications by optimizing wear fitting.
引用
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页数:12
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