{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T04:43:49Z","timestamp":1786164229812,"version":"build-2736575974"},"reference-count":38,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T00:00:00Z","timestamp":1785974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"crossref","award":["PI24\/00634"],"award-info":[{"award-number":["PI24\/00634"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"crossref"}]},{"award":["PI24\/00634"],"award-info":[{"award-number":["PI24\/00634"]}],"id":[{"id":"https:\/\/ror.org\/00ca2c886","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/019w4f821","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Patients with congenital heart disease (CHD) represent a special healthcare challenge due to their high complexity, which accompanies them throughout all life stages. Consequently, this population faces increased morbidity and mortality rates, often linked to hemodynamic shifts in pulmonary flow or cardiac output. These risks are further compounded by potential arrhythmias and heart failure decompensation, which may lead to the progressive progression toward advanced stages of the disease. Unfortunately, standard outpatient follow-up is often not capable of responding to the continuous monitoring needs presented by these patients and their families. This selective review frames information on the wearable devices that have emerged as a key solution for continuous and remote monitoring. Beyond clinical tracking, research is increasingly focusing on their role in assessing physical activity\u2014a critical determinant of health outcomes in the CHD population. This review examines the existing literature on wearable technology in both pediatric and adult patients while also addressing the current limitations that hinder their integration into routine clinical practice.<\/jats:p>","DOI":"10.3390\/jcm15156111","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T08:08:02Z","timestamp":1786003682000},"page":"6111","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Role of Wearable Devices in the Management of Congenital Heart Disease"],"prefix":"10.3390","volume":"15","author":[{"given":"In\u00e9s","family":"Mart\u00ednez-Saludes","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital Cl\u00ednic de Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5133-3564","authenticated-orcid":false,"given":"Cristina","family":"Ruiz-Herguido","sequence":"additional","affiliation":[{"name":"Interdisciplinary Cardiovascular Research Group, Institut de Recerca Sant Joan de D\u00e9u, Santa Rosa 39-57, Esplugues de Llobregat, 08950 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9108-4750","authenticated-orcid":false,"given":"Joan Sanchez de","family":"Toledo","sequence":"additional","affiliation":[{"name":"Interdisciplinary Cardiovascular Research Group, Institut de Recerca Sant Joan de D\u00e9u, Santa Rosa 39-57, Esplugues de Llobregat, 08950 Barcelona, Spain"},{"name":"Cardiology Department, Sant Joan de D\u00e9u Barcelona Children\u2019s Hospital, Sant Joan de D\u00e9u 2, Esplugues de Llobregat, 08950 Barcelona, Spain"},{"name":"Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA 15260, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6768-4759","authenticated-orcid":false,"given":"David","family":"Ferri-Rufete","sequence":"additional","affiliation":[{"name":"Interdisciplinary Cardiovascular Research Group, Institut de Recerca Sant Joan de D\u00e9u, Santa Rosa 39-57, Esplugues de Llobregat, 08950 Barcelona, Spain"},{"name":"Cardiology Department, Sant Joan de D\u00e9u Barcelona Children\u2019s Hospital, Sant Joan de D\u00e9u 2, Esplugues de Llobregat, 08950 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Montserrat","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Cl\u00ednic de Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David Vi\u00f1as","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Cl\u00ednic de Barcelona, 08036 Barcelona, Spain"},{"name":"Cardiology Department, Hospital General de Granollers, 08402 Granollers, Spain"},{"name":"School of Medicine, Universitat Internacional de Catalunya, 08017 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Flores-Umanzor","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Cl\u00ednic de Barcelona, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1842-929X","authenticated-orcid":false,"given":"Raquel","family":"Luna-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Cl\u00ednic de Barcelona, 08036 Barcelona, Spain"},{"name":"Interdisciplinary Cardiovascular Research Group, Institut de Recerca Sant Joan de D\u00e9u, Santa Rosa 39-57, Esplugues de Llobregat, 08950 Barcelona, Spain"},{"name":"Cardiology Department, Sant Joan de D\u00e9u Barcelona Children\u2019s Hospital, Sant Joan de D\u00e9u 2, Esplugues de Llobregat, 08950 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"100267","DOI":"10.1016\/j.jacadv.2023.100267","article-title":"Wearable Biosensors in Congenital Heart Disease: Needs to Advance the Field","volume":"2","author":"Tandon","year":"2023","journal-title":"JACC Adv."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC Guidelines for the management of adult congenital heart disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1038\/s41569-022-00749-y","article-title":"Changing epidemiology of congenital heart disease: Effect on outcomes and quality of care in adults","volume":"20","author":"Liu","year":"2023","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1161\/CIRCULATIONAHA.113.008396","article-title":"Lifetime prevalence of congenital heart disease in the general population from 2000 to 2010","volume":"130","author":"Marelli","year":"2014","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Borrelli, N., Grimaldi, N., Papaccioli, G., Fusco, F., Palma, M., and Sarubbi, B. (2023). Telemedicine in Adult Congenital Heart Disease: Usefulness of Digital Health Technology in the Assistance of Critical Patients. Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20105775"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e026067","DOI":"10.1161\/JAHA.122.026067","article-title":"Wearable Seismocardiography-Based Assessment of Stroke Volume in Congenital Heart Disease","volume":"11","author":"Ganti","year":"2022","journal-title":"J. Am. Heart Assoc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"117372","DOI":"10.1016\/j.bios.2025.117372","article-title":"Soft imperceptible wearable electronics for at-home cardiovascular monitoring of infants with single ventricle heart disease","volume":"278","author":"Zhou","year":"2025","journal-title":"Biosens. Bioelectron."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1177\/1357633X20984052","article-title":"A systematic review examining the clinical and health-care outcomes for congenital heart disease patients using home monitoring programmes","volume":"29","author":"Crawford","year":"2023","journal-title":"J. Telemed. Telecare"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s11886-011-0189-y","article-title":"Preventing sudden death in the adult with congenital heart disease","volume":"13","author":"Tanel","year":"2011","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/HCO.0000000000001265","article-title":"Risk stratification for sudden death in congenital heart disease: Bridging evidence, uncertainty, and individual decision-making","volume":"41","author":"Khairy","year":"2025","journal-title":"Curr. Opin. Cardiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1735","DOI":"10.1016\/j.hrthm.2014.07.021","article-title":"Sudden death in adult congenital heart disease: Risk stratification in 2014","volume":"11","author":"Walsh","year":"2014","journal-title":"Heart Rhythm"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1038\/s41390-025-04032-x","article-title":"Long term follow up for children with congenital heart disease. For want of a nail the Kingdom was lost","volume":"98","author":"Badawi","year":"2025","journal-title":"Pediatr. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1093\/eurheartj\/eht572","article-title":"Recommendations for organization of care for adults with congenital heart disease and for training in the subspecialty of \u201cGrown-up Congenital Heart Disease\u201d in Europe","volume":"35","author":"Baumgartner","year":"2014","journal-title":"Eur. Heart J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.cjcpc.2023.06.003","article-title":"Advancing Wearable Technology for Monitoring Heart Activity in Paediatric Populations","volume":"2","author":"Drummond","year":"2023","journal-title":"CJC Pediatr. Congenit. Heart Dis."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"E1134","DOI":"10.1161\/CIR.0000000000001225","article-title":"Advancing Wearable Biosensors for Congenital Heart Disease: Patient and Clinician Perspectives: A Science Advisory from the American Heart Association","volume":"149","author":"Tandon","year":"2024","journal-title":"Circulation"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Kuan, M.T.Y., Voss, C., Lopez, J., Hemphill, N.M., and Harris, K.C. (2020). Children with congenital heart disease exhibit seasonal variation in physical activity. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0241187"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.jpeds.2019.09.077","article-title":"Children with Congenital Heart Disease Are Active but Need to Keep Moving: A Cross-Sectional Study Using Wrist-Worn Physical Activity Trackers","volume":"217","author":"Brudy","year":"2020","journal-title":"J. Pediatr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e004665","DOI":"10.1161\/JAHA.116.004665","article-title":"Physical activity and sedentary behavior in children with congenital heart disease","volume":"6","author":"Voss","year":"2017","journal-title":"J. Am. Heart Assoc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1111\/chd.12330","article-title":"Can a Home-based Cardiac Physical Activity Program Improve the Physical Function Quality of Life in Children with Fontan Circulation?","volume":"11","author":"Jacobsen","year":"2016","journal-title":"Congenit. Heart Dis."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1007\/s00246-023-03215-9","article-title":"Pilot Project: Heart Chargers\u2014A Successful Model for a Home-Based Physical Activity Program Utilizing Telemedicine for Fontan Patients","volume":"44","author":"Fernie","year":"2023","journal-title":"Pediatr. Cardiol."},{"key":"ref_21","first-page":"799","article-title":"Validity of Commercial Activity Trackers in Children with Congenital Heart Disease","volume":"33","author":"Voss","year":"2017","journal-title":"Can. J. Cardiol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.1161\/CIR.0000000000001245","article-title":"Evaluation and Management of Chronic Heart Failure in Children and Adolescents with Congenital Heart Disease: A Scientific Statement from the American Heart Association","volume":"150","author":"Amdani","year":"2024","journal-title":"Circulation"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e014548","DOI":"10.1161\/JAHA.119.014548","article-title":"Interstage home monitoring for infants with single ventricle heart disease: Education and management","volume":"9","author":"Rudd","year":"2020","journal-title":"J. Am. Heart Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s00246-021-02715-w","article-title":"Accuracy of the Apple Watch iECG in Children with and Without Congenital Heart Disease","volume":"43","author":"Kobel","year":"2022","journal-title":"Pediatr. Cardiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e000095","DOI":"10.1161\/HCG.0000000000000095","article-title":"Data Interoperability for Ambulatory Monitoring of Cardiovascular Disease: A Scientific Statement from the American Heart Association","volume":"17","author":"Armoundas","year":"2024","journal-title":"Circ. Genom. Precis. Med."},{"key":"ref_26","first-page":"e26","article-title":"Sudden cardiac death in Italy: Preventin and intervention strategies","volume":"27","author":"Aschieri","year":"2026","journal-title":"G. Ital. Cardiol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1007\/s10741-026-10638-y","article-title":"Wearable Cardioverter-Defibrillator in Adult Congenital Heart Disease: A Bridge to Decision, Recovery, and Advanced Therapies","volume":"31","author":"Sarubbi","year":"2026","journal-title":"Heart Fail Rev."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.ipej.2022.06.005","article-title":"Wearable cardioverter-defibrillator (life-vest): A feasible bridging treatment in adult congenital heart disease","volume":"22","author":"Sarubbi","year":"2022","journal-title":"Indian Pacing Electrophysiol. J."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Sch\u00f6neburg, C., Uphoff, I., Ludwig, V., Oberhoffer-Fritz, R., Ewert, P., and M\u00fcller, J. (2025). Sleep Stage Monitoring in Congenital Heart Disease (CHD) Using a Digital Health Application Programming Interface (API). J. Clin. Med., 14.","DOI":"10.3390\/jcm14228097"},{"key":"ref_30","first-page":"100582","article-title":"Feasibility and effectiveness of telemedicine for adult patients with congenital heart disease: A one-year single-center experience-based study","volume":"20","author":"Borrelli","year":"2025","journal-title":"Int. J. Cardiol. Congenit. Heart Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.ipej.2022.01.007","article-title":"Use of the Apple Watch iECG in adult congenital heart disease patients","volume":"22","author":"Striepe","year":"2022","journal-title":"Indian Pacing Electrophysiol. J."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"euaf247","DOI":"10.1093\/europace\/euaf247","article-title":"Feasibility and accuracy of wearable electrocardiogram monitoring in adult congenital heart disease","volume":"27","author":"Runge","year":"2025","journal-title":"Europace"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1017\/S1047951119001355","article-title":"Accuracy of a portable pulse oximeter in monitoring hypoxemic infants with cyanotic heart disease","volume":"29","author":"Harris","year":"2019","journal-title":"Cardiol. Young"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.ahj.2021.07.004","article-title":"Move more\u2014Be happier? physical activity and health-related quality of life in children with congenital heart disease","volume":"241","author":"Brudy","year":"2021","journal-title":"Am. Heart J."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"102849","DOI":"10.1016\/j.jchf.2025.102849","article-title":"Standardized Reporting in Heart Failure Noninvasive Remote Monitoring Trials","volume":"14","author":"Shalowitz","year":"2026","journal-title":"JACC Heart Fail."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/PCC.0000000000002682","article-title":"Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset","volume":"22","author":"Aczon","year":"2021","journal-title":"Pediatr. Crit. Care Med."},{"key":"ref_37","first-page":"e516","article-title":"Continuous Prediction of Mortality in the PICU: A Recurrent Neural Network Model in a Single-Center Dataset","volume":"47","author":"Aczon","year":"2019","journal-title":"Crit. Care Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"3184","DOI":"10.1016\/j.jacc.2021.04.072","article-title":"Automated Prediction of Cardiorespiratory Deterioration in Patients with Single Ventricle","volume":"77","author":"Rusin","year":"2021","journal-title":"J. Am. Coll. Cardiol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/15\/6111\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T04:18:28Z","timestamp":1786162708000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/15\/6111"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,6]]},"references-count":38,"journal-issue":{"issue":"15","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["jcm15156111"],"URL":"https:\/\/doi.org\/10.3390\/jcm15156111","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,6]]}}}