Abstract

Arrhythmias are one of the leading causes of death in the United States, and their early detection is essential for patient wellness. However, traditional arrhythmia diagnosis by expert evaluation from intermittent clinical examinations is time-consuming and often lacks quantitative data. Modern wearable sensors and machine learning algorithms have attempted to alleviate this problem by providing continuous monitoring and real-time arrhythmia detection. However, current devices are still largely limited by the fundamental mismatch between skin and sensor, giving way to motion artifacts. Additionally, the desirable qualities of flexibility, robustness, breathability, adhesiveness, stretchability, and durability cannot all be met at once. Flexible sensors have improved upon the current clinical arrhythmia detection methods by following the topography of skin and reducing the natural interface mismatch between cardiac monitoring sensors and human skin. Flexible bioelectric, optoelectronic, ultrasonic, and mechanoelectrical sensors have been demonstrated to provide essential information about heart-rate variability, which is crucial in detecting and classifying arrhythmias. In this review, we analyze the current trends in flexible wearable sensors for cardiac monitoring and the efficacy of these devices for arrhythmia detection.

Highlights

  • Arrhythmia is the presence of abnormal cardiac rhythms

  • We summarize the types of sensors used to detec arrhythmias, with an emphasis on non-implantable devices and recent advances in the flexibility of previously rigid sensor types

  • Khan et al showed a flexible oximeter array in which the active materials for the organic light-emitting diode (LED) (OLED) and the organic photodiode (OPD) were fabricated on polymer substrates and placed in a grid consisting of photodiodes, red LEDs, and near-infrared LEDS [14]

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Summary

Introduction

Arrhythmia is the presence of abnormal cardiac rhythms. In 2018, more than 500,000 American deaths included arrhythmia as a contributing factor, demonstrating its deleterious impact on patient health [1]. The most common arrhythmia, occurs when the electrical pulses between the upper chambers of the heart, the atria, do not sync with the pulses in the lower chambers of the heart, the ventricles. The 12-lead Holter monitor has long been the clinical standard for detection and diagnosis of heart-rate diseases using long-term monitoring of ECG [8]. Though these devices are widely used, they are prone to poor patient compliance because of their bulkiness and reliance on wired leads [9]. New arrhythmia-detection methodologies offer more accurate, automatic information to patients for a low cost.

1–3 Piezoelectric composite
Materials for Flexible ECG Devices
Materials for Flexible PPG Devices
Electrochemical Signals
Arrhythmia Detection
Substrate Materials and Skin Interfaces
Wearable Devices
Limitations
Findings
Conclusions
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