ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2020
Assessment of signal quality measured with a smart 12-lead ECG acquisition T-shirt.
Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed.
- Applications of Smart Textiles for Ambulatory Electrocardiogram Monitoring: Scoping Review of the Literature.JMIR cardio · 2026Article
- Smart Textile Technology for the Monitoring of Mental Health.Sensors (Basel, Switzerland) · 2025Review
- Wearable armband with a floating mobile exploratory electrode at fingertip for on-demand touch-and-measure multilead electrocardiography.Wearable technologies · 2025Article
- Monitoring Adolescent and Young Adult Patients With Cancer via a Smart T-Shirt: Prospective, Single-Cohort, Mixed Methods Feasibility Study (OncoSmartShirt Study).JMIR mHealth and uHealth · 2024Article
- Cardiac sensing at a spinal cord stimulation lead: a promising on-device potential biomarker for pain and wellbeing.Frontiers in physiology · 2024Article
- AI-based preeclampsia detection and prediction with electrocardiogram data.Frontiers in cardiovascular medicine · 2024Article
- Sensorized T-Shirt with Intarsia-Knitted Conductive Textile Integrated Interconnections: Performance Assessment of Cardiac Measurements during Daily Living Activities.Sensors (Basel, Switzerland) · 2023Article
- Recent Advances and Challenges in Textile Electrodes for Wearable Biopotential Signal Monitoring: A Comprehensive Review.Biosensors · 2023Review
- Smart devices to measure and monitor QT intervals.Frontiers in cardiovascular medicine · 2023Review
- Feasibility of Monitoring Patients Who Have Cancer With a Smart T-shirt: Protocol for the OncoSmartShirt Study.JMIR research protocols · 2022Article
- The Recent Advances of Mobile Healthcare in Cardiology Practice.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2022Review
- How to use digital devices to detect and manage arrhythmias: an EHRA practical guide.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022Article
- Impact of Technologic Innovation and COVID-19 Pandemic on Pediatric Cardiology Telehealth.Current treatment options in pediatrics · 2022Review
- Effect of Mobile Internet on Attitude and Self-Efficacy of Patients with Coronary Heart Disease Diagnosed by 12-Lead Holter ECG.Journal of healthcare engineering · 2022Article
- The E-Textile for Biomedical Applications: A Systematic Review of Literature.Diagnostics (Basel, Switzerland) · 2021Review
- Signal Quality Assessment of a Novel ECG Electrode for Motion Artifact Reduction.Sensors (Basel, Switzerland) · 2021Article
- [Research progress on wearable physiological parameter monitoring and its clinical applications].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2021Review
- Smart Wearables for Cardiac Monitoring-Real-World Use beyond Atrial Fibrillation.Sensors (Basel, Switzerland) · 2021Review
- Article
- Smart Textiles and Sensorized Garments for Physiological Monitoring: A Review of Available Solutions and Techniques.Sensors (Basel, Switzerland) · 2021Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundAmbulatory ECG monitoring is typically achieved using portable devices with limited number of surface leads, autonomy, and length of recording. Smart garments with multiple conductive textile electrodes provide great promise to perform continuous and comfortable ECG monitoring.
methodsWe evaluated the ECG signal quality measured on healthy subjects with a smart 12-lead ECG acquisition T-shirt or a 12-lead Holter recording. ECG signals were recorded during 3 min with both techniques in three resting positions (supine, seated, standing) and while walking. Three readers independently assessed ECG patterns and evaluated the denoising of the isoelectric line, the distinction of p waves, R peaks and RR intervals, and the possible appreciation of cardiac rhythm in at least 3 leads.
resultsThirty healthy subjects (70% males, 29.5 ± 7.8 years) were enrolled in the study. For all three resting conditions, cardiac rhythm was appreciated in 100% of recordings with distinction of p waves, R peaks, and isoelectric line in >97% of recordings. Appreciation of cardiac rhythm was lower in the walking conditions with both techniques (53.3% vs. 46.7%, Holter vs. smart T-shirt, p = .60) mainly due to difficulties to distinguish p waves. These results were consistent across both genders. All ECG parameters (heart rate, PR, QRS and QTC intervals) were comparable between both techniques. No skin irritation was seen with the textile electrodes.
conclusionsA smart T-shirt with 13 textiles electrodes allows short-duration 12-lead ECG acquisition with quality levels comparable to Holter recordings. The novel device should now be evaluated for long-term non-invasive ECG monitoring.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.