Smartphones and wearable technology: benefits and concerns in cardiology

Jin, D.S.; Adams, Heath; Cocco, A.; Martin, William G.; Palmer, Sonny

doi:10.5694/mja2.50446

Cited by 16 publications

(10 citation statements)

References 16 publications

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“…2 More sophisticated wearable devices allow electrocardiographic [6][7][8] and blood pressure 9 monitoring and can provide cost-effective methods for screening of cardiac arrhythmias, 10,11 management of hypertension, 12 and other clinical and lifestyle interventions. 13 While regulatory bodies and clinical societies increasingly endorse wearable device use in clinical care, [14][15][16] we need to evaluate whether current patterns of uptake of these devices would allow their use for improving cardiovascular (CV) care at the national level and the implications of their use for health equity. First, it is critical to identify the demographic patterns of wearable device uptake and potential disparities across sociodemographic subgroups.…”

Section: Introductionmentioning

confidence: 99%

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Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020

et al. 2023

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ImportanceWearable devices may be able to improve cardiovascular health, but the current adoption of these devices could be skewed in ways that could exacerbate disparities.ObjectiveTo assess sociodemographic patterns of use of wearable devices among adults with or at risk for cardiovascular disease (CVD) in the US population in 2019 to 2020.Design, Setting, and ParticipantsThis population-based cross-sectional study included a nationally representative sample of the US adults from the Health Information National Trends Survey (HINTS). Data were analyzed from June 1 to November 15, 2022.ExposuresSelf-reported CVD (history of heart attack, angina, or congestive heart failure) and CVD risk factors (≥1 risk factor among hypertension, diabetes, obesity, or cigarette smoking).Main Outcomes and MeasuresSelf-reported access to wearable devices, frequency of use, and willingness to share health data with clinicians (referred to as health care providers in the survey).ResultsOf the overall 9303 HINTS participants representing 247.3 million US adults (mean [SD] age, 48.8 [17.9] years; 51% [95% CI, 49%-53%] women), 933 (10.0%) representing 20.3 million US adults had CVD (mean [SD] age, 62.2 [17.0] years; 43% [95% CI, 37%-49%] women), and 5185 (55.7%) representing 134.9 million US adults were at risk for CVD (mean [SD] age, 51.4 [16.9] years; 43% [95% CI, 37%-49%] women). In nationally weighted assessments, an estimated 3.6 million US adults with CVD (18% [95% CI, 14%-23%]) and 34.5 million at risk for CVD (26% [95% CI, 24%-28%]) used wearable devices compared with an estimated 29% (95% CI, 27%-30%) of the overall US adult population. After accounting for differences in demographic characteristics, cardiovascular risk factor profile, and socioeconomic features, older age (odds ratio [OR], 0.35 [95% CI, 0.26-0.48]), lower educational attainment (OR, 0.35 [95% CI, 0.24-0.52]), and lower household income (OR, 0.42 [95% CI, 0.29-0.60]) were independently associated with lower use of wearable devices in US adults at risk for CVD. Among wearable device users, a smaller proportion of adults with CVD reported using wearable devices every day (38% [95% CI, 26%-50%]) compared with overall (49% [95% CI, 45%-53%]) and at-risk (48% [95% CI, 43%-53%]) populations. Among wearable device users, an estimated 83% (95% CI, 70%-92%) of US adults with CVD and 81% (95% CI, 76%-85%) at risk for CVD favored sharing wearable device data with their clinicians to improve care.Conclusions and RelevanceAmong individuals with or at risk for CVD, fewer than 1 in 4 use wearable devices, with only half of those reporting consistent daily use. As wearable devices emerge as tools that can improve cardiovascular health, the current use patterns could exacerbate disparities unless there are strategies to ensure equitable adoption.

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Section: Introductionmentioning

confidence: 99%

“… 2 More sophisticated wearable devices allow electrocardiographic 6 , 7 , 8 and blood pressure 9 monitoring and can provide cost-effective methods for screening of cardiac arrhythmias, 10 , 11 management of hypertension, 12 and other clinical and lifestyle interventions. 13 …”

Section: Introductionmentioning

confidence: 99%

Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020

et al. 2023

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“…Polar H10 uses BLE to transmit data to other devices including smartphones. The sensor is selected because its reading is highly accurate despite intense activities with strong body movements and provides continuous measurement [17], [18]. Prior to data acquisition, a user is required to wear Polar H10 below his chest muscles.…”

Section: Data Acquisitionmentioning

confidence: 99%

Abnormal heart rate detection through real-time heart monitoring application

et al. 2023

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Health monitoring that requires doctors and patients at the healthcare center may not be practical during the coronavirus disease 2019 (COVID-19) pandemic. Alternatively, mobile health (mHealth) should be embraced to minimize contact between patients and healthcare personnel. This research aims to enhance the detection of abnormal heart rate (HR) detection by developing a real-time heart rate monitoring (RTHM) application. Sixteen healthy adults participated in a physical real-time HR monitoring testbed. Participants HR was measured for three minutes resting and three minutes performing moderate-intensity physical activity. The results were compared with the polar beat app. Additionally, the energy consumption, the time taken to receive an alarm message, and an acceptance test were analyzed. The app is acceptably accurate, the mean absolute percentage error less than 2%. The response time to receive the alarm message is 30 seconds on average, which is under an acceptable range of medical standards. Moreover, the app is power efficient, 477 mW on average. Participants show a positive attitude towards using RTHM. RTHM is expected to provide a more plausible tool for monitoring the heart towards enhancing abnormal HR detection by promoting patient-oriented healthcare and minimizing sudden deaths due to heart failure.

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“…Polar H10 is a chest-strap HR monitor sensor. The sensor is chosen due to its recording being highly accurate and offers continuous measurement [19], [20] the QRS complex in the ECG wave and RR is the interval between successive Rs. Fig.…”

Section: A Data Acquisitionmentioning

confidence: 99%

The Design and Implementation of Mobile Heart Monitoring Applications using Wearable Heart Rate Sensor

Hashim¹,

Salahuddin²,

Ikram³

et al. 2021

IJACSA

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Heart monitoring is important to deter any catastrophic because of heart failure that may happen. Continuous real-time heart monitoring could prevent sudden death due to heart attack. Nevertheless, the major challenge associated with continuous heart monitoring in the traditional approach is to undertake regular medical check-ups at the hospital or clinic. Hence, the aim of this study is to develop a mobile app where patients can real-time monitor their heart rate (HR) and detect abnormal HR whenever it occurs. Caregivers will be notified when a patient is detected with abnormal HR. The mobile app was developed for Android-based smartphones. A wearable HR sensor is used to collect RR data and transmitted to the smartphone via Bluetooth connection. User acceptance test was conducted to comprehend the intention and satisfaction level of the prospective users to use the application. The user acceptance test shows compatibility, perceived usefulness, perceived ease of use, trust, and behavioral intention to use had a high acceptance rate. It is expected that the developed app may provide a more plausible tool in monitoring HR personally, conveniently, and continuously at any time and anywhere.

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Smartphones and wearable technology: benefits and concerns in cardiology

Cited by 16 publications

References 16 publications

Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020

Use of Wearable Devices in Individuals With or at Risk for Cardiovascular Disease in the US, 2019 to 2020

Abnormal heart rate detection through real-time heart monitoring application

The Design and Implementation of Mobile Heart Monitoring Applications using Wearable Heart Rate Sensor

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