Wearable technology and the cardiovascular system: the future of patient assessment

Gareth J Williams; Abdulaziz Al-Baraikan; Frank E Rademakers; Fabio Ciravegna; Frans N van de Vosse; Allan Lawrie; Alexander Rothman; Euan A Ashley; Martin R Wilkins; Patricia V Lawford; Stig W Omholt; Ulrik Wisløff; D Rodney Hose; Timothy J A Chico; Julian P Gunn; Paul D Morris

doi:10.1016/S2589-7500(23)00087-0

Wearable technology and the cardiovascular system: the future of patient assessment

Lancet Digit Health. 2023 Jul;5(7):e467-e476. doi: 10.1016/S2589-7500(23)00087-0.

Authors

Gareth J Williams¹, Abdulaziz Al-Baraikan¹, Frank E Rademakers², Fabio Ciravegna³, Frans N van de Vosse⁴, Allan Lawrie⁵, Alexander Rothman⁶, Euan A Ashley⁷, Martin R Wilkins⁵, Patricia V Lawford⁸, Stig W Omholt⁹, Ulrik Wisløff¹⁰, D Rodney Hose⁸, Timothy J A Chico¹¹, Julian P Gunn¹², Paul D Morris¹³

Affiliations

¹ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
² Faculty of Medicine, Department of Cardiology, KU Leuven, Leuven, Belgium.
³ Dipartimento di Informatica, Universitàdi Torino, Turin, Italy.
⁴ Department of Biomedical Engineering, Eindhoven University of Technology, Eindhoven, Netherlands.
⁵ National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, UK.
⁶ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK; Academic Directorate of Cardiothoracic Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
⁷ Department of Medicine, Stanford University, Stanford, CA, US.
⁸ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK; Insigneo Institute for In Silico Medicine, University of Sheffield, Sheffield, UK.
⁹ Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway.
¹⁰ Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway; School of Human Movement & Nutrition Sciences, University of Queensland, QLD, Australia.
¹¹ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK; Insigneo Institute for In Silico Medicine, University of Sheffield, Sheffield, UK; Academic Directorate of Cardiothoracic Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK; BHF Data Centre, Health Data Research UK, London, UK.
¹² Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK; Insigneo Institute for In Silico Medicine, University of Sheffield, Sheffield, UK; Academic Directorate of Cardiothoracic Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
¹³ Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK; Insigneo Institute for In Silico Medicine, University of Sheffield, Sheffield, UK; Academic Directorate of Cardiothoracic Services, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK. Electronic address: paul.morris@sheffield.ac.uk.

PMID: 37391266
DOI: 10.1016/S2589-7500(23)00087-0

Abstract

The past decade has seen a dramatic rise in consumer technologies able to monitor a variety of cardiovascular parameters. Such devices initially recorded markers of exercise, but now include physiological and health-care focused measurements. The public are keen to adopt these devices in the belief that they are useful to identify and monitor cardiovascular disease. Clinicians are therefore often presented with health app data accompanied by a diverse range of concerns and queries. Herein, we assess whether these devices are accurate, their outputs validated, and whether they are suitable for professionals to make management decisions. We review underpinning methods and technologies and explore the evidence supporting the use of these devices as diagnostic and monitoring tools in hypertension, arrhythmia, heart failure, coronary artery disease, pulmonary hypertension, and valvular heart disease. Used correctly, they might improve health care and support research.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Cardiovascular Diseases* / diagnosis
Cardiovascular System*
Coronary Artery Disease*
Heart Failure*
Humans
Wearable Electronic Devices*

Abstract

Publication types

MeSH terms

Grants and funding