Comparison of one-patch and standard 12-lead electrocardiogram
DOI:
https://doi.org/10.24207/jca.v37il.3507Keywords:
Electrocardiogram, Medical Devices, TechnologyAbstract
Pre-connected and positioned patch devices have attempted to simplify the electrocardiogram (ECG) testing process. However, these devices have not been extensively tested and compared with standard ECG systems. The purpose of this study was to compare a novel patch-based ECG device with a standard 12-lead ECG system in order to determine clinical equivalence. Study participants underwent two consecutive ECG tests in a randomized fashion. ECG measurements (heart rate, PR, RR, QRS, QT intervals) were compared between the standard 12-lead ECG and the one-patch ECG. Paired t-test analysis was used for the comparisons conducted using GraphPad Prism. A total of 30 participants underwent the ECG testing (80% female; mean age 35 ± 16 years). One participant presented with first degree AV Block. All other participants were in normal sinus rhythm/sinus arrhythmia. There were no statistically significant differences identified in heart rate, PR interval, RR interval, QRS interval, and QT interval (p > 0.05) between the one-patch ECG and standard 12-lead ECG. These findings suggest that one-patch devices may provide equivalent ECG measurements compared with conventional 12-lead systems. Given the advantages of a one-patch, pre-positioned ECG system, this technology shows promising potential for cardiovascular screening.
Downloads
References
McCann K, Holdgate A, Mahammad R, Waddington A. Accuracy of ECG electrode placement by emergency department clinicians. Emergency Medicine Australasia 2007;17:442-448. https://doi.org/10.1111/j.1742-6723.2007.01004.x DOI: https://doi.org/10.1111/j.1742-6723.2007.01004.x
Rajaganeshan R, Ludlam CL, Francis DP, Parasramka SV, Sutton R. Accuracy in ECG lead placement among technicians, nurses, general physicians and cardiologists. Int J Clin Pract 2008;62(1):65-70. https://doi.org/10.1111/j.1742-1241.2007.01390..x DOI: https://doi.org/10.1111/j.1742-1241.2007.01390..x
Batchvarov VN, Malik M, Camm AJ. Incorrect electrode cable connection during electrocardiographic recording. Europace 2007;9(11):1081-1090. https://doi.org/10.1093/europace/eum198 DOI: https://doi.org/10.1093/europace/eum198
Kania M, Rix H, Fereniec M, Zavala-Fernandez H, Janusek D, Mroczka T, et al. The effect of precordial lead displacement on ECG morphology. Med Biol Eng Comput 2014;52(2):109-119. https://doi.org/10.1007/s11517-013-1115-9 DOI: https://doi.org/10.1007/s11517-013-1115-9
Luc M, Fintel DJ, Klein HO, Childers R, Mor-Avi V, Tzivoni D, et al. Comparison of twelve-lead electrocardiogram using a glove-based recording system with standard methodology. The American Journal of Cardiology 2013;112(6):895-903. https://doi.org/10.1016/j.amjcard.2013.05.018 DOI: https://doi.org/10.1016/j.amjcard.2013.05.018
Krzowski B, Skoczylas K, Osak G, Zurawska N, Peller M, Koltowski L, et al. Kardia Mobile and ISTEL HR applicability in clinical practice: A comparison of Kardia Mobile, ISTEL HR, and standard 12-lead electrocardiogram records in 98 consecutive patients of a tertiary cardiovascular care centre. European Heart Journal - Digital Health 2021;2(3):467-476. https://doi.org/10.1093/ehjdh/ztab040 DOI: https://doi.org/10.1093/ehjdh/ztab040
Roy SK, Shah SU, Villa-Lopez E, Murillo M, Arenas N, Oshima K, et al. Comparison of electrocardiogram quality and clinical interpretations using prepositioned ECG electrodes and conventional individual electrodes. Journal of Electrocardiology 2020;59:126-133. https://doi.org/10.1016/j.jelectrocard.2020.02.005 DOI: https://doi.org/10.1016/j.jelectrocard.2020.02.005
Lin HJ, Lan YT, Silka MJ, Halnon NJ, Villa-Lopez E, Arenas N, et al. Home use of a compact, 12‑lead ECG recording system for newborns. Journal of Electrocardiology 2019;53:89-94. https://doi.org/10.1016/j.jelectrocard.2019.01.086 DOI: https://doi.org/10.1016/j.jelectrocard.2019.01.086
Yoon S, Kim T, Roh T, Chang H, Hwang SY, Yoon H, et al. Twelve-lead electrocardiogram acquisition with a patchy-type wireless device in ambulance transport: simulation-based randomized controlled trial. JMIR Mhealth Uhealth 2021;9(4):e24142. https://doi.org/10.2196/24142 DOI: https://doi.org/10.2196/24142
Yiadom MY, Baugh CW, McWade CM, Liu X, Song KJ, Patterson BW, et al. Performance of emergency department screening criteria for an early ECG to identify ST-segment elevation myocardial infarction. JAHA 2017;6(3):e003528. https://doi.org/10.1161/jaha.116.003528 DOI: https://doi.org/10.1161/JAHA.116.003528
Prajapati C, Koivumäki J, Pekkanen-Mattila M, Aalto-Setälä K. Sex differences in heart: From basics to clinics. European Journal of Medical Research 2022;27(1):241. https://doi.org/10.1186/s40001-022-00880-z DOI: https://doi.org/10.1186/s40001-022-00880-z
Chang, R. Resting 12‑lead ECG tests performed by patients at home amid the COVID-19 pandemic — Results from the first 1000 patients. Journal of Electrocardiology 2022;73:108-112. https://doi.org/10.1016/j.jelectrocard.2022.06.006 DOI: https://doi.org/10.1016/j.jelectrocard.2022.06.006
