{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T17:17:36Z","timestamp":1794071856339,"version":"4.8.0"},"reference-count":36,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,2,18]],"date-time":"2024-02-18T00:00:00Z","timestamp":1708214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Business, Innovation, and Employment, New Zealand","id":[{"id":"https:\/\/ror.org\/02jtq1b51","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>In the rapidly evolving landscape of continuous electrocardiogram (ECG) monitoring systems, there is a heightened demand for non-invasive sensors capable of measuring ECGs and detecting heart rate variability (HRV) in diverse populations, ranging from cardiovascular patients to sports enthusiasts. Challenges like device accuracy, patient privacy, signal noise, and long-term safety impede the use of wearable devices in clinical practice. This scoping review aims to assess the performance and safety of novel multi-channel, sensor-based biopotential wearable devices in adults. A comprehensive search strategy was employed on four databases, resulting in 143 records and the inclusion of 12 relevant studies. Most studies focused on healthy adult subjects (n = 6), with some examining controlled groups with atrial fibrillation (AF) (n = 3), long QT syndrome (n = 1), and sleep apnea (n = 1). The investigated bio-sensor devices included chest-worn belts (n = 2), wrist bands (n = 2), adhesive chest strips (n = 2), and wearable textile smart clothes (n = 4). The primary objective of the included studies was to evaluate device performance in terms of accuracy, signal quality, comparability, and visual assessment of ECGs. Safety findings, reported in five articles, indicated no major side effects for long-term\/continuous monitoring, with only minor instances of skin irritation. Looking forward, there are ample opportunities to enhance and test these technologies across various physical activity intensities and clinical conditions.<\/jats:p>","DOI":"10.3390\/s24041318","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T03:18:38Z","timestamp":1708312718000},"page":"1318","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":72,"title":["Wearable Technology for Monitoring Electrocardiograms (ECGs) in Adults: A Scoping Review"],"prefix":"10.3390","volume":"24","author":[{"given":"Ekta Singh","family":"Dahiya","sequence":"first","affiliation":[{"name":"Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland 1010, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7908-3053","authenticated-orcid":false,"given":"Anubha Manju","family":"Kalra","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland 1010, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0612-1036","authenticated-orcid":false,"given":"Andrew","family":"Lowe","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland 1010, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3388-1225","authenticated-orcid":false,"given":"Gautam","family":"Anand","sequence":"additional","affiliation":[{"name":"Institute of Biomedical Technologies (IBTec), Auckland University of Technology, Auckland 1010, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/S1474-5151(11)00111-3","article-title":"The global burden of cardiovascular disease","volume":"10","author":"Deaton","year":"2011","journal-title":"Eur. J. Cardiovasc. Nurs."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Feigin, V.L., Krishnamurthi, R.V., Barker-Collo, S., McPherson, K.M., Barber, P.A., Parag, V., Arroll, B., Bennett, D.A., Tobias, M., and Jones, A. (2015). 30-year trends in stroke rates and outcome in Auckland, New Zealand (1981\u20132012): A multi-ethnic population-based series of studies. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0134609"},{"key":"ref_3","first-page":"e29","article-title":"Heart disease and stroke statistics\u20142015 update: A report from the American Heart Association","volume":"131","author":"Mozaffarian","year":"2015","journal-title":"Circulation"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Delano, M.K. (2012). A Long Term Wearable Electrocardiogram (ECG) Measurement System. [Ph.D. Thesis, Massachusetts Institute of Technology].","DOI":"10.1109\/BSN.2013.6575459"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"012001","DOI":"10.1088\/1361-6501\/aaf2b7","article-title":"Critical review of electrocardiography measurement systems and technology","volume":"30","author":"Kalra","year":"2018","journal-title":"Meas. Sci. Technol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"505","DOI":"10.3390\/hearts2040039","article-title":"ECG interpretation: Clinical relevance, challenges, and advances","volume":"2","author":"Rafie","year":"2021","journal-title":"Hearts"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"867033","DOI":"10.3389\/fphys.2022.867033","article-title":"Golden standard or obsolete method? Review of ECG applications in clinical and experimental context","volume":"13","author":"Stracina","year":"2022","journal-title":"Front. Physiol."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Serhani, M.A., El Kassabi, H.T., Ismail, H., and Nujum Navaz, A. (2020). ECG Monitoring Systems: Review, Architecture, Processes, and Key Challenges. Sensors, 20.","DOI":"10.3390\/s20061796"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2721","DOI":"10.1161\/01.CIR.0000145144.56673.59","article-title":"Practice standards for electrocardiographic monitoring in hospital settings: An American Heart Association scientific statement from the Councils on Cardiovascular Nursing, Clinical Cardiology, and Cardiovascular Disease in the Young: Endorsed by the International Society of Computerized Electrocardiology and the American Association of Critical-Care Nurses","volume":"110","author":"Drew","year":"2004","journal-title":"Circulation"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1177\/0017896912472328","article-title":"Accurate interpretation of the 12-lead ECG electrode placement: A systematic review","volume":"73","author":"Khunti","year":"2014","journal-title":"Health Educ. J."},{"key":"ref_11","unstructured":"Lilly, L.S. (2012). Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty, Lippincott Williams & Wilkins."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"104501","DOI":"10.1016\/j.autcon.2022.104501","article-title":"Wearable devices: Cross benefits from healthcare to construction","volume":"142","author":"Abuwarda","year":"2022","journal-title":"Autom. Constr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"54","DOI":"10.28920\/dhm50.1.54-65","article-title":"The current use of wearable sensors to enhance safety and performance in breath-hold diving: A systematic review","volume":"50","author":"Vinetti","year":"2020","journal-title":"Diving Hyperb. Med."},{"key":"ref_14","unstructured":"Hayward, J., and Chansin, G. (2015). Wearable Sensors 2015\u20132025: Market Forecasts, Technologies, Players, IDTechEx."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Prieto-Avalos, G., Cruz-Ramos, N.A., Alor-Hern\u00e1ndez, G., S\u00e1nchez-Cervantes, J.L., Rodr\u00edguez-Mazahua, L., and Guarneros-Nolasco, L.R. (2022). Wearable devices for physical monitoring of heart: A review. Biosensors, 12.","DOI":"10.3390\/bios12050292"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1038\/s41569-021-00522-7","article-title":"Smart wearable devices in cardiovascular care: Where we are and how to move forward","volume":"18","author":"Bayoumy","year":"2021","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"109243","DOI":"10.1016\/j.measurement.2021.109243","article-title":"Wireless ECG and cardiac monitoring systems: State of the art, available commercial devices and useful electronic components","volume":"177","author":"Cosoli","year":"2021","journal-title":"Measurement"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.jad.2019.11.156","article-title":"Mobile and wearable technology for monitoring depressive symptoms in children and adolescents: A scoping review","volume":"265","author":"Sequeira","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_19","first-page":"2356","article-title":"A 0.5-\u03bc Vrms 12-\u03bc W Wirelessly Powered Patch-Type Healthcare Sensor for Wearable Body Sensor Network","volume":"45","author":"Yan","year":"2010","journal-title":"IEEE J. Solid-State Circuits"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1126\/science.1206157","article-title":"Epidermal electronics","volume":"333","author":"Kim","year":"2011","journal-title":"Science"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Lin, W.Y., Ke, H.L., Chou, W.C., Chang, P.C., Tsai, T.H., and Lee, M.Y. (2018). Realization and Technology Acceptance Test of a Wearable Cardiac Health Monitoring and Early Warning System with Multi-Channel MCGs and ECG. Sensors, 18.","DOI":"10.3390\/s18103538"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1249\/MSS.0000000000001471","article-title":"Validity of Wearable Activity Monitors during Cycling and Resistance Exercise","volume":"50","author":"Boudreaux","year":"2018","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2381","DOI":"10.1016\/j.jacc.2018.03.003","article-title":"Smartwatch Algorithm for Automated Detection of Atrial Fibrillation","volume":"71","author":"Bumgarner","year":"2018","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.ijcard.2018.03.097","article-title":"A wearable remote monitoring system for the identification of subjects with a prolonged QT interval or at risk for drug-induced long QT syndrome","volume":"266","author":"Castelletti","year":"2018","journal-title":"Int. J. Cardiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1123\/ijspp.2019-0406","article-title":"Validity of a Smartphone Application and Chest Strap for Recording RR Intervals at Rest in Athletes","volume":"15","author":"Pereira","year":"2020","journal-title":"Int. J. Sports Physiol. Perform."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Fontana, P., Martins, N.R.A., Camenzind, M., Rossi, R.M., Baty, F., Boesch, M., Schoch, O.D., Brutsche, M.H., and Annaheim, S. (2019). Clinical Applicability of a Textile 1-Lead ECG Device for Overnight Monitoring. Sensors, 19.","DOI":"10.3390\/s19112436"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.ijpsycho.2018.09.005","article-title":"Effects of a cardiorespiratory synchronization training mobile application on heart rate variability and electroencephalography in healthy adults","volume":"134","author":"Lin","year":"2018","journal-title":"Int. J. Psychophysiol."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Peng, S., Xu, K., and Chen, W. (2019). Comparison of Active Electrode Materials for Non-Contact ECG Measurement. Sensors, 19.","DOI":"10.3390\/s19163585"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Reverberi, C., Rabia, G., De Rosa, F., Bosi, D., Botti, A., and Benatti, G. (2019). The RITMIA\u2122 Smartphone App for Automated Detection of Atrial Fibrillation: Accuracy in Consecutive Patients Undergoing Elective Electrical Cardioversion. BioMed Res. Int., 2019.","DOI":"10.1155\/2019\/4861951"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Steinberg, C., Philippon, F., Sanchez, M., Fortier-Poisson, P., O\u2019Hara, G., Molin, F., Sarrazin, J.F., Nault, I., Blier, L., and Roy, K. (2019). A Novel Wearable Device for Continuous Ambulatory ECG Recording: Proof of Concept and Assessment of Signal Quality. Biosensors, 9.","DOI":"10.3390\/bios9010017"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1007\/s00380-019-01347-8","article-title":"Validation of wearable textile electrodes for ECG monitoring","volume":"34","author":"Tsukada","year":"2019","journal-title":"Heart Vessel."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1111\/pace.13507","article-title":"Feasibility of using a leadless patch monitor in community cohort studies: The Multi-ethnic Study of Atherosclerosis","volume":"41","author":"Zhang","year":"2018","journal-title":"Pacing Clin. Electrophysiol."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Fontana, P., Martins, N.R.A., Camenzind, M., Boesch, M., Baty, F., Schoch, O.D., Brutsche, M.H., Rossi, R.M., and Annaheim, S. (2019). Applicability of a Textile ECG-Belt for Unattended Sleep Apnoea Monitoring in a Home Setting. Sensors, 19.","DOI":"10.3390\/s19153367"},{"key":"ref_35","unstructured":"Word Health Organization (2021, July 31). Physical Activity. Available online: https:\/\/www.who.int\/en\/news-room\/fact-sheets\/detail\/physical-activity."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1249\/MSS.0000000000000727","article-title":"Comparison of consumer and research monitors under semistructured settings","volume":"48","author":"Bai","year":"2016","journal-title":"Med. Sci. Sports Exerc."}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/4\/1318\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:01:43Z","timestamp":1760104903000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/4\/1318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,18]]},"references-count":36,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["s24041318"],"URL":"https:\/\/doi.org\/10.3390\/s24041318","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,18]]}}}