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Comparative Performance of Patch-Type and Lead-Type Wearable Electrocardiogram Devices for Arrhythmia Detection in

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Wearable ECG monitors, patch-type and lead-type, show similar atrial fibrillation detection rates. Patch-type offers longer monitoring and better pause detection but with more noise, guiding individualized device selection.

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Area of Science:

  • Cardiology
  • Medical Devices
  • Digital Health

Background:

  • Wearable electrocardiogram (ECG) monitoring is crucial for detecting atrial fibrillation (AF) and subclinical arrhythmias.
  • Patch-type and lead-type monitors are common but have different pros and cons.

Purpose of the Study:

  • To compare patch-type and lead-type wearable ECG monitors in real-world clinical settings.
  • To evaluate their respective strengths and limitations for arrhythmia detection.

Main Methods:

  • Retrospective analysis of 639 outpatients using wearable ECG monitors (March 2022-October 2023).
  • Patients divided into patch-type (n=466) and lead-type (n=173) groups.
  • Assessed indications, monitoring duration, arrhythmia detection, and noise rates.

Main Results:

  • Atrial fibrillation detection rates were comparable (24.0% vs. 24.9%).
  • Patch-type monitors yielded longer recording durations and higher pause event detection (p<0.001, p=0.004).
  • Patch-type monitors had a significantly increased noise burden (p<0.001).

Conclusions:

  • Both patch-type and lead-type wearable ECGs are clinically applicable for arrhythmia surveillance.
  • Patch-type offers extended monitoring and better pause detection, while lead-type is often for symptomatic patients.
  • Individualized device selection based on patient needs is recommended for optimal wearable ECG use.