Digital Devices for Detection and Diagnosis of Cardiac Arrhythmias

Authors

  • Komsing Methavigul Department of Cardiology, Central Chest Institute of Thailand

Keywords:

Digital, Arrhythmias, Photoplethysmography, Smartwatch, Handheld ECG

Abstract

Electrocardiography is currently the standard method for diagnosis of cardiac arrhythmias. However, digital devices have been developed for detecting intermittent cardiac arrhythmias. These devices are classified following heart rhythm detection technology into non-ECG (photoplethysmography) and ECG-based digital devices. In 2022, the European Heart Rhythm Association has recommended to choose ECG-based digital devices for diagnosis of cardiac arrhythmias while non-ECG based digital devices may be used in patients with palpitation and a low likelihood of cardiac arrhythmias for excluding cardiac arrhythmias if normal heart rate and rhythm is found. In such cases, investigations should be conducted to identify causes other than cardiac arrhythmias.

References

Svennberg E, Tjong F, Goette A, Akoum N, Biase LD, Bordachar P, et al. How to use digital devices to detect and manage arrhythmias: an EHRA practical guide. Europace 2022;24(6):979- 1005.

Elgendi M. On the analysis of fingertip photoplethysmogram signals. Curr Cardiol Rev 2012;8(1):14-25.

Brandes A, Stavrakis S, Freedman B, Antoniou S, Boriani G, Camm AJ, et al. Consumer-led screening for atrial fibrillation: frontier review of the AF-SCREEN international collaboration. Circulation 2022;146(19):1461-74.

Elbey MA, Young D, Kanuri SH, Akella K, Murtaza G, Garg J, et al. Diagnostic utility of smartwatch technology for atrial fibrillation detection - A systematic analysis. J Atr Fibrillation 2021;13(6):20200446.

Mirvis DM, Goldberger AL. Electrocardiography. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, editors. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 12th edition. Philadelphia: Elsevier Inc; 2022. p.141-74.

Strik M, Ploux S, Ramirez FD, Abu-Alrub S, Jaîs P, Haïssaguerre M, et al. Smartwatch-based detection of cardiac arrhythmias: Beyond the differentiation between sinus rhythm and atrial fibrillation. Heart Rhythm 2021;18(9):1524-32.

Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for CardioThoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 2021;42(5):373-498.

Turakhia MP. Wearable Devices in Cardiovascular Medicine. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, editors. Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. 12th edition. Philadelphia: Elsevier Inc; 2022. p.117-22.

Downloads

Published

15-09-2023

How to Cite

1.
Methavigul K. Digital Devices for Detection and Diagnosis of Cardiac Arrhythmias. J DMS [Internet]. 2023 Sep. 15 [cited 2024 May 16];48(3):139-44. Available from: https://he02.tci-thaijo.org/index.php/JDMS/article/view/261522

Issue

Vol. 48 No. 3 (2023): July-September 2023

Section

Refresher Course

License

Copyright (c) 2023 Department of Medical Services, Ministry of Public Health

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของกรมการแพทย์ กระทรวงสาธารณสุข

ข้อความและข้อคิดเห็นต่างๆ เป็นของผู้เขียนบทความ ไม่ใช่ความเห็นของกองบรรณาธิการหรือของวารสารกรมการแพทย์