ArticleIndian pacing and electrophysiology journal
Feasibility of using chest strap and dry electrode system for longer term cardiac arrhythmia monitoring: Results from a pilot observational study.
Article in Indian pacing and electrophysiology journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Chest-Worn Sensors in Cardiac Assessment: Technologies, Advantages, and Limitations.Sensors (Basel, Switzerland) · 2025Pooled it
- Physiological Monitoring Applications of Wearable Multimodal Fusion Systems Based on ECG and PPG: A Comprehensive Review.Sensors (Basel, Switzerland) · 2026Review
- The Use of Digital Devices in the Management of Athletes with Paroxysmal Arrhythmias During Exercise-A Case Series.Journal of clinical medicine · 2026Article
- Continuous biosignal acquisition beyond the limit of epidermal turnover.Materials horizons · 2025Review
- Feasibility of a using chest strap and dry electrode system for longer term cardiac arrhythmia monitoring: Correspondence.Indian pacing and electrophysiology journalArticle
- Feasibility of using chest strap and dry electrode system for longer term cardiac arrhythmia monitoring: Response to Correspondence to the Editor.Indian pacing and electrophysiology journalArticle
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Authors and funding
8 authors.
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Abstract
BACKGROUND AND
aimCardiac arrhythmia diagnostic yield improves with increased duration of monitoring. We investigated patient comfort, diagnostic quality of ECG, and arrhythmia diagnostic yield using a single lead longer term external cardiac monitor (ECM).
methodsThe observational ECM feasibility study enrolled patients with increased risk of cardiac arrhythmia. The ECM investigational prototype was designed using a chest strap with dry electrodes connected to module capable of triggered loop recording of ECG, and automatic detection of arrhythmia. In group-A of study (24-h inpatient), patients wore ECM and Holter that recorded ECG from the ECM and adhesive electrodes. In group-B of study (12-weeks ambulatory), at monthly follow-ups patients filled out a comfort survey and device stored arrhythmia episodes were reviewed.
resultsThe study enrolled 34 patients (38 % females, average age 57.5 years, 65 % had palpitations, 12 % had syncope). Diagnostic quality ECG was recorded on 76.5 % of the monitoring duration in 12 of 20 patients with reviewable data in group-A, with motion artifacts causing loss in ECG signal for 18.7 % of the time. In 14 patients in group-B, 94.9 % of the survey responses indicated that ECM was comfortable to wear. Cardiac arrhythmia was observed in 4 of 17 patients (24 %) in group-A and 9 of 14 patients (64 %) in group-B in device recorded episodes. All ECM detected pause and tachycardia were inappropriate detections due to motion artifacts and temporary device removal.
conclusionThe chest strap-based ECM device was mostly comfortable to wear and recorded diagnostic quality ECG in three-fourth of monitoring period. Cardiac arrhythmia was observed in 64 % of patients over 3-month monitoring along with large number of motion artifact induced inappropriate detections.
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