Smart Wearables for Cardiac Monitoring-Real-World Use beyond Atrial Fibrillation

The possibilities and implementation of wearable cardiac monitoring beyond atrial fibrillation are increasing continuously. This review focuses on the real-world use and evolution of these devices for other arrhythmias, cardiovascular diseases and some of their risk factors beyond atrial fibrillation. The management of nonatrial fibrillation arrhythmias represents a broad field of wearable technologies in cardiology using Holter, event recorder, electrocardiogram (ECG) patches, wristbands and textiles. Implementation in other patient cohorts, such as ST-elevation myocardial infarction (STEMI), heart failure or sleep apnea, is feasible and expanding. In addition to appropriate accuracy, clinical studies must address the validation of clinical pathways including the appropriate device and clinical decisions resulting from the surrogate assessed.

Automated summary

This review focuses on the real-world use and evolution of wearable cardiac monitoring devices for other arrhythmias, cardiovascular diseases and some risk factors beyond atrial fibrillation. Wearable technologies such as Holter, event recorder, ECG patches have a broad application in cardiology. Implementation in other patient cohorts, such as STEMI, heart failure or sleep apnea, is feasible and expanding, with the need for clinical studies to address validation of clinical pathways and appropriate device usage leading to clinical decisions.