Feasibility of patch-type wireless 12-lead electrocardiogram in laypersons

Area of Science:

• Cardiology
• Biomedical Engineering
• Digital Health

Background:

• Early diagnosis of cardiovascular diseases (CVDs) is crucial for effective treatment.
• Current diagnostic methods often rely on symptom education or require in-person medical contact.
• Minimizing physical contact between patients and healthcare providers is essential, especially in certain clinical scenarios.

Purpose of the Study:

• To evaluate the feasibility of laypersons acquiring a 12-lead electrocardiogram (ECG) in an off-site setting.
• To assess the usability of a patch-type wireless 12-lead ECG (PWECG) device by individuals without prior medical training.
• To determine if layperson-acquired ECGs can be utilized for clinical diagnosis and treatment initiation.

Main Methods:

• A simulation-based, one-arm interventional study was conducted.
• Participants aged 19 years and older, undergoing outpatient cardiology treatment, were enrolled.
• Participants independently operated the PWECG device after receiving appropriate education and guidance.

Main Results:

• Laypersons, irrespective of age and education, demonstrated the ability to self-operate the PWECG device.
• The median duration for obtaining a 12-lead ECG result was 179 seconds.
• Successful acquisition of 12-lead ECG data was confirmed, enabling potential clinical use.

Conclusions:

• Laypersons can effectively obtain a 12-lead ECG using a wireless device with proper instruction.
• This approach facilitates early diagnostic data collection outside traditional healthcare settings.
• The findings support the use of PWECG for remote patient monitoring and timely cardiovascular assessment, reducing healthcare contact.