Acquisition and analysis of cardiovascular signals on smartphones: Potential, pitfalls and perspectives: By the Task Force of the e-Cardiology Working Group of European Society of Cardiology

European Journal of Preventive Cardiology

Volumn 21, Issue , 2014, Pages 4-13

  Bruining, Nico ^a   Caiani, Enrico ^b   Chronaki, Catherine ^c   Guzik, Przemyslaw ^d   Van Der Velde, Enno ^e  

^a ERASMUS MEDICAL CENTER   (Netherlands)

^b POLITECNICO DI MILANO   (Italy)

^c HL7 Foundation   (Belgium)

^d POZNAN UNIVERSITY OF MEDICAL SCIENCES   (Poland)

^e Department of Pathology   (Netherlands)

Author keywords

Blood pressure; electrocardiogram monitoring; electrocardiogram recording; health apps; heart rate; medical devices; mobile health; oximetry; pulse rate; smartphones; vital signs

Indexed keywords

BIOLOGICAL MARKER; OXYGEN;

BLOOD; BLOOD PRESSURE; BLOOD PRESSURE MEASUREMENT; CARDIOVASCULAR DISEASES; DEVICES; ELECTROCARDIOGRAPHY; HEART RATE; HUMAN; MOBILE APPLICATION; MOBILE PHONE; OXIMETRY; PATHOPHYSIOLOGY; PREDICTIVE VALUE; REPRODUCIBILITY; SIGNAL PROCESSING; TELEMEDICINE; TELEMETRY;

BIOLOGICAL MARKERS; BLOOD PRESSURE; BLOOD PRESSURE DETERMINATION; CARDIOVASCULAR DISEASES; CELL PHONES; ELECTROCARDIOGRAPHY; HEART RATE; HUMANS; MOBILE APPLICATIONS; OXIMETRY; OXYGEN; PREDICTIVE VALUE OF TESTS; REPRODUCIBILITY OF RESULTS; SIGNAL PROCESSING, COMPUTER-ASSISTED; TELEMEDICINE; TELEMETRY;

EID: 84938936443     PISSN: 20474873     EISSN: 20474881     Source Type: Journal    
DOI: 10.1177/2047487314552604     Document Type: Review

References (44)

1. Health Research Institute, PwC. New Health Economy Healthcare’s new entrants: Who will be the industry’s Amazon.com?, http://pwchealth.com/cgi-local/hregister.cgi/reg/pwc-hri-new-entrants.pdf April 2014, accessed 19 August 2014.
2. Research2Guidance. Mobile Health Market Report 2013–2017. The commercialization of mHealth Apps vol. 3, Berlin, Germany: Research2Guidance, March 2013.
3. Barnes K, Connolly C, Gitlin J. Health Research Institute, PwC, Top health industry issues of 2014: A new health economy takes shape, http://pwchealth.com/cgi-local/hregister.cgi/reg/pwc-hri-top-healthcare-issues.pdf December 2013, accessed 19 August 2014.
4. Economist Intelligence Unit, Emerging mHealth: Paths for growth, PwC, http://www.pwc.com/gx/en/healthcare/mhealth/assets/pwc-emerging-mhealth-full.pdf June 2012, accessed 19 August 2014.
5. European Directory of Health Apps 2012-2013: A review by patient groups and empowered consumers. Patient View, London, UK, http://www.patient-view.com/uploads/6/5/7/9/6579846/pv_appdirectory_final_web_300812.pdf 2011, accessed 19 August 2014.
6. Martínez-Pérez B, de la Torre-Díez I, López-Coronado M, et al. Mobile apps in cardiology: Review. JMIR mHealth Uhealth 2013, pp. e1–e15.
7. Singer E. The measured life. MIT Technology Review, http://www.technologyreview.com/featuredstory/424390/the-measured-life/ 2011, accessed 19 August 2014.
8. Scully CG, Lee J, Meyer J, et al. Physiological parameter monitoring from optical recordings with a mobile phone. IEEE Trans Biomed Eng 2012; 59: 303–306.
9. Bolkhovsky J, Scully CG, Chon KH. Statistical analysis of heart rate and heart rate variability monitoring through the use of smartphone cameras. Conf Proc IEEE Eng Med Biol Soc 2012; 2012: 1610–1613.
10. Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R and Becerro-de-Bengoa-Losa KR. Reliability and concurrent validity of a peripheral pulse oximeter and health-app system for the quantification of heart rate in healthy adults. Health Informatics J. Epub ahead of print 18 July 2014.
11. Ho CL, Fu YC, Lin MC, et al. Smartphone applications (apps) for heart rate measurement in children: Comparison with electrocardiography monitor. Pediatr Cardiol 2014; 35: 726–731.
12. Wackel P, Beerman L, West L, et al. Tachycardia detection using smartphone applications in pediatric patients. J Pediatr 2014; 164: 1133–1135.
13. McManus DD, Lee J, Maitas O, et al. A novel application for the detection of an irregular pulse using an iPhone 4S in patients with atrial fibrillation. Heart Rhythm 2013; 10: 315–319.
14. Bonaventura K, Wellnhofer E, Fleck E. Comparison of standard and derived 12-lead electrocardiograms registrated by a simplified 3-lead setting with four electrodes for diagnosis of coronary angioplasty-induced myocardial ischaemia. European Cardiology Review 2012; 8: 179–179.
15. Garabelli P, Albert D, Reynolds D. Accuracy and novelty of an inexpensive iphone-based event recorder. Heart Rhythm conference, Boston, USA, http://bit.ly/Yk8npC 2012, accessed 19 August 2014.
16. Lau JK, Lowres N, Neubeck L, et al. iPhone ECG application for community screening to detect silent atrial fibrillation: A novel technology to prevent stroke. Int J Cardiol 2013; 165: 193–194.
17. Diagnostic and Interventional Cardiology. One million ECGs recorded with AliveCor heart monitor, http://www.dicardiology.com/article/one-million-ecgs-recorded-alivecor-heart-monitor 2014, accessed 25 August 2014.
18. Diagnostic and Interventional Cardiology. Studies presented at Heart Rhythm 2014 demonstrate accuracy of AliveCor heart monitor, confirm patient satisfaction, http://www.dicardiology.com/article/studies-presented-heart-rhythm-2014-demonstrate-accuracy-alivecor-heart-monitor-confirm-pati 2014, accessed 25 August 2014.
19. Lowres N, Freedman SB, Redfern J, et al. Screening education and recognition in community pharmacies of Atrial Fibrillation to prevent stroke in an ambulant population aged >=65 years (SEARCH-AF stroke prevention study): A cross-sectional study protocol. Br Med J Open 2012; 2: e0011355–e0011355.
20. Orchard J, Freedman SB, Lowres N, et al. iPhone ECG screening by practice nurses and receptionists for atrial fibrillation in general practice: The GP-SEARCH qualitative pilot study. Aust Fam Physician 2014; 43: 315–319.
21. Perloff D, Grim C, Flack J, et al. Human blood pressure determination by sphygmomanometry. Circulation 1993; 88: 2460–2470.
22. Pickering TG, Hall JE, Appel LJ, et al. Recommendations for blood pressure measurement in humans and and experimental animals. Part 1: Blood pressure measurement in humans. Hypertension 2005; 45: 142–161.
23. 2013 ESH/ESC guidelines for the management of arterial hypertension: The Task Force for the management of Arterial Hypertension of the European Society of Hypertension ESH and of the European Society of Cardiology ESC. Eur Heart J 2013; 34: 2159-2219.
24. British Hypertension Society. Blood pressure monitors validated for home use, http://www.bhsoc.org/index.php?cID=246 updated 25 July 2012, accessed 25 August 2014.
25. Bilo G, Zorzi C, Munera J, et al. Validation according to ESH International Protocol of Somnotouch NIBP, a device for noninvasive continuous blood pressure monitoring. J Hypertension 2014; 32 e-Supplement 1: e689–PP.LB03.13.
26. Iltifat H, Top 10 downloaded iPhone health app can cause significant patient harm, http://www.imedicalapps.com/2014/07/iphone-health-app-patient-harm/ 14 July 2014, accessed 25 August 2014.
27. Dolan B. The rise of the seemingly serious but ‘just for entertainment purposes' medical app, http://mobihealthnews.com/35444/the-rise-of-the-seemingly-serious-but-just-for-entertainment-purposes-medical-app/ 7 August 2014, accessed 19 August 2014.
28. Ansermino JM. Universal access to essential vital signs monitoring. Anesth Analg 2013; 117: 883–890.
29. Hudson J, Nguku SM, Sleiman J, et al. Usability testing of a prototype phone oximeter with healthcare providers in high- and low-medical resource environments. Anaesthesia 2012; 67: 957–967.
30. Garde A, Karlen W, Dehkordi P, et al. Oxygen saturation in children with and without obstructive sleep apnea using the phone-oximeter. 35th Annual International Conference of the IEEE EMBS, Osaka, Japan, 3–7 July, 2013.
31. European Commission, Green paper on mobile health ‘mHealth', http://ec.europa.eu/information_society/newsroom/cf/dae/document.cfm?doc_id=5147 2014, accessed 19 August 2014.
32. Afolabi BA, Kusumoto FM. Remote monitoring of patients with implanted cardiac devices – a review. Eur Cardiol 2012; 8: 88–93.
33. FDA: Mobile medical applications, http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/default.htm 2014, accessed 19 August 2014.
34. Office of the National Coordinator for Health IT. FDASIA Health IT report, proposed strategy and recommendations for a risk-based framework, http://www.fda.gov/downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHReports/UCM391521.pdf April 2014, accessed 11 September 2014.
35. Food and Drug Administration. Examples of mobile apps for which the FDA will exercise enforcement discretion, http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ConnectedHealth/MobileMedicalApplications/ucm368744.htm 11 June 2014, accessed 19 August 2014.
36. Tsang L, Pollard V and Kracov D. EU and US regulation of health information technology, software and mobile Apps, www.practicallaw.com/3-518-3154 2012, accessed 19 August 2014.
37. Cortez NG, Cohen IG, Kesselheim AS. FDA regulation of mobile health technologies. N Engl J Med 2014; 371: 372–379.
38. European Commission, Commission staff working document: Existing EU legal framework applicable to lifestyle & wellbeing apps, http://ec.europa.eu/digital-agenda/en/news/commission-staff-working-document-existing-eu-legal-framework-applicable-lifestyle-and 2014, accessed 19 August 2014.
39. Misra S. Happtique’s recent setback shows that health app certification is a flawed proposition, http://www.imedicalapps.com/2014/01/happtiques-setback-future-app-certification/ 8 January 2014, accessed 25 August 2014.
40. Widmer RJ, Allison TJ, Keane B, et al. Using an online, personalized program reduces cardiovascular risk factor profiles in a motivated, adherent population of participants. Am Heart J 2014; 167: 93–100.
41. Widmer RJ. Report from the American College of Cardiology meeting 2014, http://newsnetwork.mayoclinic.org/discussion/cardiac-rehab-patients-who-use-smartphone-app-recover-better-mayo-clinic-research-shows 2014, accessed 19 August 2014.
42. Hein B. Apple met with top health insurance providers about HealthKit partnership, http://www.cultofmac.com/292319/apple-met-unitedhealth-talk-health-initiatives/ 2014, accessed 25 August 2014.
43. Parmar A. 5 Humble medical devices get an mHealth makeover, http://www.mddionline.com/article/5-humble-medical-devices-get-mhealth-makeover 2014, accessed 25 August 2014.
44. Lin G, Nakajima T, Rahul P, et al. Seamlessly embedded heart rate monitor US 8615290. http://www.google.com/patents/US8615290 2013, accessed 19 August 2014.