Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics

Abstract Electrocardiogram (ECG) plays a vital role in the prevention, diagnosis, and prognosis of cardiovascular diseases (CVDs). However, the lack of a user-friendly and accurate long-term dynamic electrocardiogram (DCG) device in motion has made it challenging to perform many daily cardiovascular...

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Main Authors: Ding Li, Tian-Rui Cui, Jia-Hao Liu, Wan-Cheng Shao, Xiao Liu, Zhi-Kang Chen, Zi-Gan Xu, Xin Li, Shuo-Yan Xu, Zi-Yi Xie, Jin-Ming Jian, Xu Wang, Lu-Qi Tao, Xiao-Ming Wu, Zhong-Wei Cheng, Zi-Rui Dong, Hou-Fang Liu, Yi Yang, Jun Zhou, Tian-Ling Ren
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-58390-5
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author Ding Li
Tian-Rui Cui
Jia-Hao Liu
Wan-Cheng Shao
Xiao Liu
Zhi-Kang Chen
Zi-Gan Xu
Xin Li
Shuo-Yan Xu
Zi-Yi Xie
Jin-Ming Jian
Xu Wang
Lu-Qi Tao
Xiao-Ming Wu
Zhong-Wei Cheng
Zi-Rui Dong
Hou-Fang Liu
Yi Yang
Jun Zhou
Tian-Ling Ren
author_facet Ding Li
Tian-Rui Cui
Jia-Hao Liu
Wan-Cheng Shao
Xiao Liu
Zhi-Kang Chen
Zi-Gan Xu
Xin Li
Shuo-Yan Xu
Zi-Yi Xie
Jin-Ming Jian
Xu Wang
Lu-Qi Tao
Xiao-Ming Wu
Zhong-Wei Cheng
Zi-Rui Dong
Hou-Fang Liu
Yi Yang
Jun Zhou
Tian-Ling Ren
author_sort Ding Li
collection DOAJ
description Abstract Electrocardiogram (ECG) plays a vital role in the prevention, diagnosis, and prognosis of cardiovascular diseases (CVDs). However, the lack of a user-friendly and accurate long-term dynamic electrocardiogram (DCG) device in motion has made it challenging to perform many daily cardiovascular risk screenings and assessments, such as sudden cardiac arrest, resulting in additional economic burdens on society. Here, we present a motion-unrestricted dynamic electrocardiogram (MU-DCG) system, which employs skin-conformal, imperceptible electronics for long-term, comfortable, and accurate 12-lead DCG monitoring. To facilitate assembly for use on the skin, the MU-DCG system features a pressure-activated flexible skin socket for stably soft-connecting the on-skin soft module and the off-skin stiff module during dynamic movements. Crucially, blinded cardiologist evaluations confirm minimal motion artifacts in MU-DCG-acquired ECG signals. Our results demonstrate that the MU-DCG system, with large-area, ultra-thin on-skin electrodes/leads, and an off-skin module, accomplishes anti-motion interference acquisition and in-situ analysis while retaining wearing imperceptibility.
format Article
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institution OA Journals
issn 2041-1723
language English
publishDate 2025-04-01
publisher Nature Portfolio
record_format Article
series Nature Communications
spelling doaj-art-10dd50d87e1f4cdca06b0e884cf682692025-08-20T02:08:09ZengNature PortfolioNature Communications2041-17232025-04-0116111110.1038/s41467-025-58390-5Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronicsDing Li0Tian-Rui Cui1Jia-Hao Liu2Wan-Cheng Shao3Xiao Liu4Zhi-Kang Chen5Zi-Gan Xu6Xin Li7Shuo-Yan Xu8Zi-Yi Xie9Jin-Ming Jian10Xu Wang11Lu-Qi Tao12Xiao-Ming Wu13Zhong-Wei Cheng14Zi-Rui Dong15Hou-Fang Liu16Yi Yang17Jun Zhou18Tian-Ling Ren19School of Integrated Circuit, Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversitySchool of Information and Communication Engineering, University of Electronic Science and Technology of ChinaSchool of Integrated Circuit, Tsinghua UniversitySchool of Information and Communication Engineering, University of Electronic Science and Technology of ChinaSchool of Integrated Circuit, Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversitySchool of Information and Communication Engineering, University of Electronic Science and Technology of ChinaSchool of Integrated Circuit, Tsinghua UniversitySchool of Information and Communication Engineering, University of Electronic Science and Technology of ChinaBeijing National Research Center for Information Science and Technology (BNRist), Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversityDepartment of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeSchool of Integrated Circuit, Tsinghua UniversityBeijing National Research Center for Information Science and Technology (BNRist), Tsinghua UniversitySchool of Integrated Circuit, Tsinghua UniversitySchool of Information and Communication Engineering, University of Electronic Science and Technology of ChinaSchool of Integrated Circuit, Tsinghua UniversityAbstract Electrocardiogram (ECG) plays a vital role in the prevention, diagnosis, and prognosis of cardiovascular diseases (CVDs). However, the lack of a user-friendly and accurate long-term dynamic electrocardiogram (DCG) device in motion has made it challenging to perform many daily cardiovascular risk screenings and assessments, such as sudden cardiac arrest, resulting in additional economic burdens on society. Here, we present a motion-unrestricted dynamic electrocardiogram (MU-DCG) system, which employs skin-conformal, imperceptible electronics for long-term, comfortable, and accurate 12-lead DCG monitoring. To facilitate assembly for use on the skin, the MU-DCG system features a pressure-activated flexible skin socket for stably soft-connecting the on-skin soft module and the off-skin stiff module during dynamic movements. Crucially, blinded cardiologist evaluations confirm minimal motion artifacts in MU-DCG-acquired ECG signals. Our results demonstrate that the MU-DCG system, with large-area, ultra-thin on-skin electrodes/leads, and an off-skin module, accomplishes anti-motion interference acquisition and in-situ analysis while retaining wearing imperceptibility.https://doi.org/10.1038/s41467-025-58390-5
spellingShingle Ding Li
Tian-Rui Cui
Jia-Hao Liu
Wan-Cheng Shao
Xiao Liu
Zhi-Kang Chen
Zi-Gan Xu
Xin Li
Shuo-Yan Xu
Zi-Yi Xie
Jin-Ming Jian
Xu Wang
Lu-Qi Tao
Xiao-Ming Wu
Zhong-Wei Cheng
Zi-Rui Dong
Hou-Fang Liu
Yi Yang
Jun Zhou
Tian-Ling Ren
Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
Nature Communications
title Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
title_full Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
title_fullStr Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
title_full_unstemmed Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
title_short Motion-unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
title_sort motion unrestricted dynamic electrocardiogram system utilizing imperceptible electronics
url https://doi.org/10.1038/s41467-025-58390-5
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