Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device
ABSTRACT Introduction Atrial fibrillation (AF), affecting 3% of the US adults, is the most common arrhythmia. While ambulatory electrocardiogram (ECG) monitoring is essential for AF detection, conventional technologies have diagnostic limitations due to AF's sporadic nature. ECG patches offer e...
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| Format: | Article |
| Language: | English |
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Wiley
2025-05-01
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| Series: | Annals of Noninvasive Electrocardiology |
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| Online Access: | https://doi.org/10.1111/anec.70068 |
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| author | Dillon J. Dzikowicz Mehmed Aktas Betty Mykins Xiaojuan Xia Wojciech Zareba Jean‐Phillippe Couderc |
| author_facet | Dillon J. Dzikowicz Mehmed Aktas Betty Mykins Xiaojuan Xia Wojciech Zareba Jean‐Phillippe Couderc |
| author_sort | Dillon J. Dzikowicz |
| collection | DOAJ |
| description | ABSTRACT Introduction Atrial fibrillation (AF), affecting 3% of the US adults, is the most common arrhythmia. While ambulatory electrocardiogram (ECG) monitoring is essential for AF detection, conventional technologies have diagnostic limitations due to AF's sporadic nature. ECG patches offer extended monitoring periods, though their effectiveness is primarily limited by deteriorating skin‐electrode contact rather than battery or memory constraints. Objectives This analysis reports our experience with the Zio ECG patch (iRhythm, San Francisco, CA) in 256 AF patients. Method We analyzed human and technical factors and their association with ECG recording duration using previously recorded data which employed the ECG patch as a reference. Descriptive statistics and logistic regression were used to identify associations. Results Body mass index (BMI) was found to be an independent predictor of poorer compliance in a dose‐dependent manner (B = −0.046, OR = 0.955, 95% CI: 0.916–0.996, p = 0.033). Loss of adhesive was the primary reason for poor compliance (n = 25; 11%). These findings can guide researchers and clinicians in determining the appropriateness of a 14‐day ECG patch based on expected wear time and patient compliance. Conclusion BMI significantly impacts ECG patch compliance, primarily through adhesive failures. These findings indicate the need for improved adhesive technologies for higher BMI patients. Future device development should prioritize maintaining electrode‐skin contact across diverse patient populations. Trial Registration ClinicalTrials.gov Identifier: NCT04267133 |
| format | Article |
| id | doaj-art-b01ebe18777c42e6aa1072ea947c54bc |
| institution | DOAJ |
| issn | 1082-720X 1542-474X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj-art-b01ebe18777c42e6aa1072ea947c54bc2025-08-20T03:12:35ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2025-05-01303n/an/a10.1111/anec.70068Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch DeviceDillon J. Dzikowicz0Mehmed Aktas1Betty Mykins2Xiaojuan Xia3Wojciech Zareba4Jean‐Phillippe Couderc5School of Nursing University of Rochester Rochester New York USAClinical Cardiovascular Research Center University of Rochester Medical Center Rochester New York USAClinical Cardiovascular Research Center University of Rochester Medical Center Rochester New York USAClinical Cardiovascular Research Center University of Rochester Medical Center Rochester New York USAClinical Cardiovascular Research Center University of Rochester Medical Center Rochester New York USAClinical Cardiovascular Research Center University of Rochester Medical Center Rochester New York USAABSTRACT Introduction Atrial fibrillation (AF), affecting 3% of the US adults, is the most common arrhythmia. While ambulatory electrocardiogram (ECG) monitoring is essential for AF detection, conventional technologies have diagnostic limitations due to AF's sporadic nature. ECG patches offer extended monitoring periods, though their effectiveness is primarily limited by deteriorating skin‐electrode contact rather than battery or memory constraints. Objectives This analysis reports our experience with the Zio ECG patch (iRhythm, San Francisco, CA) in 256 AF patients. Method We analyzed human and technical factors and their association with ECG recording duration using previously recorded data which employed the ECG patch as a reference. Descriptive statistics and logistic regression were used to identify associations. Results Body mass index (BMI) was found to be an independent predictor of poorer compliance in a dose‐dependent manner (B = −0.046, OR = 0.955, 95% CI: 0.916–0.996, p = 0.033). Loss of adhesive was the primary reason for poor compliance (n = 25; 11%). These findings can guide researchers and clinicians in determining the appropriateness of a 14‐day ECG patch based on expected wear time and patient compliance. Conclusion BMI significantly impacts ECG patch compliance, primarily through adhesive failures. These findings indicate the need for improved adhesive technologies for higher BMI patients. Future device development should prioritize maintaining electrode‐skin contact across diverse patient populations. Trial Registration ClinicalTrials.gov Identifier: NCT04267133https://doi.org/10.1111/anec.70068diagnostic techniques and procedureselectrocardiography ambulatoryheart function testsmonitoring ambulatory |
| spellingShingle | Dillon J. Dzikowicz Mehmed Aktas Betty Mykins Xiaojuan Xia Wojciech Zareba Jean‐Phillippe Couderc Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device Annals of Noninvasive Electrocardiology diagnostic techniques and procedures electrocardiography ambulatory heart function tests monitoring ambulatory |
| title | Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device |
| title_full | Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device |
| title_fullStr | Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device |
| title_full_unstemmed | Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device |
| title_short | Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single‐Lead ECG Patch Device |
| title_sort | identifying demographic factors affecting the ecg duration collected using a single lead ecg patch device |
| topic | diagnostic techniques and procedures electrocardiography ambulatory heart function tests monitoring ambulatory |
| url | https://doi.org/10.1111/anec.70068 |
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