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Updated: Jul 24, 2025

Patient Directed Recording of a Bipolar Three-Lead Electrocardiogram using a Smartwatch with ECG Function
Published on: December 11, 2019
Electrocardiogram Monitoring Wearable Devices and Artificial-Intelligence-Enabled Diagnostic Capabilities: A Review.
Luca Neri1,2, Matt T Oberdier1, Kirsten C J van Abeelen3,4
1Department of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD 21218, USA.
Artificial intelligence (AI) and wearable devices are revolutionizing disease detection. AI analyzes biosignals from wearables for early identification of conditions like cardiovascular diseases and sleep apnea.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence
- Health Informatics
Background:
- Global population aging and lifestyle changes drive increased incidence of cardiovascular diseases and sleep apnea.
- Wearable devices are advancing for smaller, accurate, and AI-compatible health monitoring.
- Continuous biosignal monitoring enables real-time disease detection and improved patient healthcare management.
Purpose of the Study:
- To review recent advances in using artificial intelligence (AI) with electrocardiogram (ECG) signals from wearable devices and databases.
- To focus on AI-driven detection and prediction of diseases, including heart conditions, sleep apnea, and mental stress.
- To highlight methodological trends in AI for biosignal analysis.
Main Methods:
- Analysis of electrocardiogram (ECG) signals acquired from wearable devices and public databases.
- Application of artificial intelligence (AI) methods, including traditional statistical, machine learning, and advanced deep learning techniques.
- Utilizing deep learning architectures like convolutional neural networks (CNNs) and recurrent neural networks (RNNs) for complex biosignal data.
Main Results:
- Most research focuses on detecting heart diseases, sleep apnea, and emerging areas like mental stress using AI and ECG.
- There is a notable shift towards using advanced deep learning methods over traditional statistical approaches.
- Publicly available databases are predominantly used for developing and validating new AI methods.
Conclusions:
- AI applied to wearable ECG data offers significant potential for early disease detection and prediction.
- Deep learning models are increasingly crucial for analyzing complex biosignal data effectively.
- The trend towards using public datasets facilitates reproducible research and broader AI model development in healthcare.
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