Top Portable ECGs in the Status Quo
DOI:
https://doi.org/10.47611/jsrhs.v11i1.2494Keywords:
Preventive Care, Heart Disease, EKG, ECG, Portable, Sensitivity, Specificity, PriceAbstract
Electrocardiograms (ECGs) are devices that measure the heart’s electrical activity. ECGs have shown to identify issues with a person’s heart. It is quite well known that heart disease has been a leading cause of death. Using ECGs for those who have heart issues is crucial for preventing serious implications, but it’s not always possible to have immediate access to a 12-lead ECG used in healthcare facilities. For this reason, it’s important to have a portable ECG that suits the user’s needs. In the status quo, there are many portable ECGs with splendid features offered. However, a deeper dive into the categories of statistical data, mechanical qualities, price, and tech features of these ECGs reveals that we can reduce the number of high-quality portable ECG options available to a select few. Over 10 devices were identified originally. However, the number was reduced to 8 as only those had statistical data. Devices that did not have information about a subcategory or category were excluded in the analysis of identifying the best ECG for their respective categories. The study concluded with identifying AliveCor Kardia Mobile SL as the “winner” of the 8 ECG lineup, with the Microlife WatchBP Home A and AliveCor Kardia Mobile 6L devices following in second and third places, respectively. In conclusion, this study allows the consumer to make an educated decision, based on their preferences, which ECG would suit best for him/her.
Keywords: Preventive Care, Heart Disease, EKG, ECG, Portable, Sensitivity, Specificity, Price
Downloads
References or Bibliography
Thomas, J. (2020, July 16). Heart Disease: Facts, Statistics, and You. Healthline. Retrieved January 1, 2022, from https://www.healthline.com/health/heart-disease/statistics
Centers for Disease Control and Prevention. (2021, September 27). Heart Disease Facts. Centers for Disease Control and Prevention. Retrieved January 1, 2022, from https://www.cdc.gov/heartdisease/facts.htm
Virani, S. S., Alonso, A., Aparicio, H. J., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Cheng, S., Delling, F. N., Elkind, M., Evenson, K. R., Ferguson, J. F., Gupta, D. K., Khan, S. S., Kissela, B. M., Knutson, K. L., Lee, C. D., Lewis, T. T., Liu, J., … American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee (2021). Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association. Circulation, 143(8), e254–e743. https://doi.org/10.1161/CIR.0000000000000950
U.S. Department of Health and Human Services. (n.d.). Sudden Cardiac Arrest. National Heart Lung and Blood Institute. Retrieved January 1, 2022, from https://www.nhlbi.nih.gov/health-topics/sudden-cardiac-arrest
Neumann, P. J., & Cohen, J. T. (2009, September 1). Cost savings and cost-effectiveness of clinical preventive care. The Synthesis project. Research synthesis report, (18), 48508. Retrieved January 1, 2022, from https://pubmed.ncbi.nlm.nih.gov/22052182/
Roth, A. R., Lazris, A., & Ganatra, S. (2018, November 15). Overuse of Cardiac Testing. American family physician, 98(10), 561–563. Retrieved January 1, 2022 from https://www.aafp.org/afp/2018/1115/p561.html
Okere, A. (2021). What Are Your Chances of Having a Second Heart Attack? Hackensack Meridian Health. Retrieved January 1, 2022, from https://www.hackensackmeridianhealth.org/en/HealthU/2020/11/11/what-are-your-chances-of-having-a-second-heart-attack#.Yc4it2jMJ3g
Iftikhar, N. (2021, April 29). Best ECG Monitors for At-Home Use. Healthline. Retrieved January 1, 2022, from https://www.healthline.com/health/ecg-monitor#ecg-picks
Khan, M. (n.d.). 10 Best Portable ECG Monitors (2021 Helpful Buyer Guide) [web log]. Retrieved January 1, 2022, from https://www.drugsbanks.com/best-portable-ecg-monitors/.
Chung, N. (2019, December 27). Best Portable Home ECG/EKG Monitors Reviews & Buyer’s Guide [web log]. Retrieved January 1, 2022, from https://thetrendingreviews.com/best-ecg-ekg-monitor-device.
Miles, D. (2022, January 1). Best Portable EKG Machine. Community Clinic Association. Retrieved January 1, 2022, from https://communityclinicassociation.org/portable-ekg-machine/
Ryan, S. S. (2021, September 6). Do-It-Yourself ECG: A Review of Consumer Handheld ECG Monitors. Atrial Fibrillation: Resources for Patients. Retrieved January 1, 2022, from https://a-fib.com/consumer-hand-held-ecg-monitors/
TopTenReviewed. (2021, December 31). Top 10 best portable EKG monitors [updated - 2022]. TopTenReviewed. Retrieved January 1, 2022, from https://toptenreviewed.com/best-portable-ekg-monitors/
Marston, H. R., Hadley, R., Banks, D., & Duro, M. (2019). Mobile Self-Monitoring ECG Devices to Diagnose Arrhythmia that Coincide with Palpitations: A Scoping Review. Healthcare (Basel, Switzerland), 7(3), 96. https://doi.org/10.3390/healthcare7030096
Miller, J. (2020, March 16). Handheld device shows promise for detecting atrial fibrillation. Healio News. Retrieved January 1, 2022, from https://www.healio.com/news/primary-care/20200316/handheld-device-shows-promise-for-detecting-atrial-fibrillation
AliveCor. (2021). KardiaMobile 6L with KardiaCare. AliveCor. Retrieved January 1, 2022, from https://store.kardia.com/products/kardiamobile6l?gclid=Cj0KCQiAlMCOBhCZARIsANLid6YQX4vitVzY7zN9-csGknmMhDWRVP8eama2n1xWhFd6EmsP9q7gyiAaAihAEALw_wcB
AliveCor. (2021). KardiaMobile. AliveCor. Retrieved January 1, 2022, from https://store.kardia.com/products/kardiamobile
Omron. (2022). Complete™ Wireless Upper Arm Blood Pressure Monitor + EKG. Omron Healthcare Wellness & Healthcare Products. Retrieved January 1, 2022, from https://omronhealthcare.com/products/complete-upper-arm-blood-pressure-monitor-ekg-bp7900/
The HeartCheck™. (2016). CONSUMERS. The HeartCheck™. Retrieved January 1, 2022, from https://www.theheartcheck.com/consumer.html
Beurer. (n.d.). Beurer ME 90 mobile ECG device. Beurer. Retrieved January 1, 2022, from https://www.beurer.com/web/gb/products/medical/ecg-and-pulse-oximeter/mobile-ecg-device/me-90-bluetooth.php
Zenicor Medical Systems AB. (n.d.). Zenicor-ECG. Zenicor . Retrieved January 1, 2022, from https://zenicor.com/zenicor-ekg/
Spice Productions. (2018). MyDiagnostick. MyDiagnostick Medical. Retrieved January 1, 2022, from https://www.mydiagnostick.com/product.html
Microlife. (2021). WatchBP Home A. Microlife. Retrieved January 1, 2022, from https://www.microlife.com/professional-products/watchbp-home/watchbp-home-a-afib
Bartosz Krzowski, Kamila Skoczylas, Gabriela Osak, Natalia Żurawska, Michał Peller, Łukasz Kołtowski, Aleksandra Zych, Renata Główczyńska, Piotr Lodziński, Marcin Grabowski, Grzegorz Opolski, Paweł Balsam, Kardia Mobile and ISTEL HR applicability in clinical practice: a comparison of Kardia Mobile, ISTEL HR, and standard 12-lead electrocardiogram records in 98 consecutive patients of a tertiary cardiovascular care centre, European Heart Journal - Digital Health, Volume 2, Issue 3, September 2021, Pages 467–476, https://doi.org/10.1093/ehjdh/ztab040
J Scholten, A Mahes, J R De Groot, M M Winter, A H Zwinderman, J T Keijer, M Minneboo, T Horsthuis, W P J Jansen, J P Bokma, A comparison of over-the-counter available smartwatches and devices for electrocardiogram based detection of atrial fibrillation, European Heart Journal, Volume 42, Issue Supplement_1, October 2021, ehab724.3047, https://doi.org/10.1093/eurheartj/ehab724.3047
Wegner, F. K., Kochhäuser, S., Ellermann, C., Lange, P. S., Frommeyer, G., Leitz, P., Eckardt, L., & Dechering, D. G. (2020). Prospective blinded Evaluation of the smartphone-based AliveCor Kardia ECG monitor for Atrial Fibrillation detection: The PEAK-AF study. European journal of internal medicine, 73, 72–75. https://doi.org/10.1016/j.ejim.2019.11.018
Zaprutko, T., Zaprutko, J., Sprawka, J., Pogodzińska, M., Michalak, M., Paczkowska, A., Kus, K., Nowakowska, E., & Baszko, A. (2021). The comparison of Kardia Mobile and Hartmann Veroval 2 in 1 in detecting first diagnosed atrial fibrillation. Cardiology journal, 10.5603/CJ.a2021.0083. Advance online publication. https://doi.org/10.5603/CJ.a2021.0083
Brasier, N., Raichle, C. J., Dörr, M., Becke, A., Nohturfft, V., Weber, S., Bulacher, F., Salomon, L., Noah, T., Birkemeyer, R., & Eckstein, J. (2019). Detection of atrial fibrillation with a smartphone camera: first prospective, international, two-centre, clinical validation study (DETECT AF PRO). Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 21(1), 41–47. https://doi.org/10.1093/europace/euy176
Desteghe, L., Raymaekers, Z., Lutin, M., Vijgen, J., Dilling-Boer, D., Koopman, P., Schurmans, J., Vanduynhoven, P., Dendale, P., & Heidbuchel, H. (2017). Performance of handheld electrocardiogram devices to detect atrial fibrillation in a cardiology and geriatric ward setting. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 19(1), 29–39. https://doi.org/10.1093/europace/euw025
Pitman, B. M., Chew, S. H., Wong, C. X., Jaghoori, A., Iwai, S., Thomas, G., Chew, A., Sanders, P., & Lau, D. H. (2021). Performance of a Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Screening in a Semirural African Population: Insights From "The Heart of Ethiopia: Focus on Atrial Fibrillation" (TEFF-AF) Study. JMIR mHealth and uHealth, 9(5), e24470. https://doi.org/10.2196/24470
Senoo, K., Miki, T., Okura, T., Shiraishi, H., Shirayama, T., Inoue, K., Sakatani, T., Kakita, K., Hattori, T., Nakai, K., Ikeda, T., & Matoba, S. (2020). Diagnostic Value of Atrial Fibrillation by Built-in Electrocardiogram Technology in a Blood Pressure Monitor. Circulation reports, 2(7), 345–350. https://doi.org/10.1253/circrep.CR-20-0032
Wiesel, J., Arbesfeld, B., & Schechter, D. (2014). Comparison of the Microlife blood pressure monitor with the Omron blood pressure monitor for detecting atrial fibrillation. The American journal of cardiology, 114(7), 1046–1048. https://doi.org/10.1016/j.amjcard.2014.07.016
Quinn, F. R., Gladstone, D. J., Ivers, N. M., Sandhu, R. K., Dolovich, L., Ling, A., Nakamya, J., Ramasundarahettige, C., Frydrych, P. A., Henein, S., Ng, K., Congdon, V., Birtwhistle, R. V., Ward, R., & Healey, J. S. (2018). Diagnostic accuracy and yield of screening tests for atrial fibrillation in the family practice setting: a multicentre cohort study. CMAJ open, 6(3), E308–E315. https://doi.org/10.9778/cmajo.20180001
Brito, R., Mondouagne, L. P., Stettler, C., Combescure, C., & Burri, H. (2018). Automatic atrial fibrillation and flutter detection by a handheld ECG recorder, and utility of sequential finger and precordial recordings. Journal of electrocardiology, 51(6), 1135–1140. https://doi.org/10.1016/j.jelectrocard.2018.10.093
Usadel, L., Haverkämper, G., Herrmann, S., Löber, R., Weiss, K., Opgen-Rhein, B., Berger, F., & Will, J. C. (2016). Arrhythmia Detection in Pediatric Patients: ECG Quality and Diagnostic Yield of a Patient-Triggered Einthoven Lead-I Event Recorder (Zenicor EKG-2™). Pediatric cardiology, 37(3), 491–496. https://doi.org/10.1007/s00246-015-1304-4
Doliwa, P. S., Frykman, V., & Rosenqvist, M. (2009). Short-term ECG for out of hospital detection of silent atrial fibrillation episodes. Scandinavian cardiovascular journal : SCJ, 43(3), 163–168. https://doi.org/10.1080/14017430802593435
Svennberg, E., Stridh, M., Engdahl, J., Al-Khalili, F., Friberg, L., Frykman, V., & Rosenqvist, M. (2017). Safe automatic one-lead electrocardiogram analysis in screening for atrial fibrillation. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 19(9), 1449–1453. https://doi.org/10.1093/europace/euw286
Tieleman, R. G., Plantinga, Y., Rinkes, D., Bartels, G. L., Posma, J. L., Cator, R., Hofman, C., & Houben, R. P. (2014). Validation and clinical use of a novel diagnostic device for screening of atrial fibrillation. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 16(9), 1291–1295. https://doi.org/10.1093/europace/euu057
Hermans, A., Gawalko, M., Dohmen, L., van der Velden, R., Betz, K., Duncker, D., Verhaert, D., Heidbuchel, H., Svennberg, E., Neubeck, L., Eckstein, J., Lane, D. A., Lip, G., Crijns, H., Sanders, P., Hendriks, J. M., Pluymaekers, N., & Linz, D. (2021). Mobile health solutions for atrial fibrillation detection and management: a systematic review. Clinical research in cardiology : official journal of the German Cardiac Society, 1–13. Advance online publication. https://doi.org/10.1007/s00392-021-01941-9
Tavernier, R., Wolf, M., Kataria, V., Phlips, T., Huys, R., Taghji, P., Louw, R., Hoeyweghen, R. V., Vandekerckhove, Y., Knecht, S., & Duytschaever, M. (2018). Screening for atrial fibrillation in hospitalised geriatric patients. Heart (British Cardiac Society), 104(7), 588–593. https://doi.org/10.1136/heartjnl-2017-311981
Zwart, L. A., Jansen, R. W., Ruiter, J. H., Germans, T., Simsek, S., & Hemels, M. E. (2020). Opportunistic screening for atrial fibrillation with a single lead device in geriatric patients. Journal of geriatric cardiology : JGC, 17(3), 149–154. https://doi.org/10.11909/j.issn.1671-5411.2020.03.007
Vaes, B., Stalpaert, S., Tavernier, K., Thaels, B., Lapeire, D., Mullens, W., & Degryse, J. (2014). The diagnostic accuracy of the MyDiagnostick to detect atrial fibrillation in primary care. BMC family practice, 15, 113. https://doi.org/10.1186/1471-2296-15-113
Chan, P. H., Wong, C. K., Pun, L., Wong, Y. F., Wong, M. M., Chu, D. W., & Siu, C. W. (2017). Diagnostic performance of an automatic blood pressure measurement device, Microlife WatchBP Home A, for atrial fibrillation screening in a real-world primary care setting. BMJ open, 7(6), e013685. https://doi.org/10.1136/bmjopen-2016-013685
Chan, P. H., Wong, C. K., Pun, L., Wong, Y. F., Wong, M. M., Chu, D. W., & Siu, C. W. (2017). Head-to-Head Comparison of the AliveCor Heart Monitor and Microlife WatchBP Office AFIB for Atrial Fibrillation Screening in a Primary Care Setting. Circulation, 135(1), 110–112. https://doi.org/10.1161/CIRCULATIONAHA.116.024439
Gandolfo, C., Balestrino, M., Bruno, C., Finocchi, C., & Reale, N. (2015). Validation of a simple method for atrial fibrillation screening in patients with stroke. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 36(9), 1675–1678. https://doi.org/10.1007/s10072-015-2231-0
Kearley, K., Selwood, M., Van den Bruel, A., Thompson, M., Mant, D., Hobbs, F. R., Fitzmaurice, D., & Heneghan, C. (2014). Triage tests for identifying atrial fibrillation in primary care: a diagnostic accuracy study comparing single-lead ECG and modified BP monitors. BMJ open, 4(5), e004565. https://doi.org/10.1136/bmjopen-2013-004565
Wiesel, J., Abraham, S., & Messineo, F. C. (2013). Screening for asymptomatic atrial fibrillation while monitoring the blood pressure at home: trial of regular versus irregular pulse for prevention of stroke (TRIPPS 2.0). The American journal of cardiology, 111(11), 1598–1601. https://doi.org/10.1016/j.amjcard.2013.01.331
New York State Department of Health. (1999, April). Disease Screening - Statistics Teaching Tools. New York State Department of Health. Retrieved January 1, 2022, from https://www.health.ny.gov/diseases/chronic/discreen.htm
Published
How to Cite
Issue
Section
Copyright (c) 2023 Sai Ashutosh Chellarapu; Chloe Cavanaugh
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright holder(s) granted JSR a perpetual, non-exclusive license to distriute & display this article.