title: A user-friendly integrated monitor-adhesive patch for long-term ambulatory electrocardiogram monitoring.
abstract: BACKGROUND
  Compliance to long-term ambulatory electrocardiogram monitoring is important for diagnosis in patients with cardiac arrhythmia. This requires a system with a minimal impact on daily activities.
  
  
  OBJECTIVE
  The aim of this study was to investigate if a lightweight integrated adhesive monitor for long-term use without unacceptable adverse effects is feasible.
  
  
  METHODS
  The participants wore either a prototype lightweight monitor or a control system for a total of up to 30 days, changing patches once (investigational device) or twice (control) weekly. Comfort, skin irritation, and impact on quality of life were recorded.
  
  
  RESULTS
  The new monitor can be worn by most participants for periods of at least 6 days. Skin irritation and comfort rating were comparable, and impact on the quality of life was low compared with the control. Patients considered the device comfortable.
  
  
  CONCLUSIONS
  An integrated adhesive monitor that can be worn on the skin up to 7 days with minimal side effects is feasible.
authors.affiliation: Philips Research Laboratories, Eindhoven, The Netherlands. paul.ackermans@philips.com
authors.forename: Paul A J
authors.initials: PA
authors.lastname: Ackermans
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Solosko
authors.forename: Elise C
authors.initials: EC
authors.lastname: Spencer
authors.forename: Stacy E
authors.initials: SE
authors.lastname: Gehman
authors.forename: Krishnakant
authors.initials: K
authors.lastname: Nammi
authors.forename: Jan
authors.initials: J
authors.lastname: Engel
authors.forename: James K
authors.initials: JK
authors.lastname: Russell
mesh_terms: D000269:Adhesives / Q000009:adverse effects; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011788:Quality of Life; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
chemical_list: D000269:Adhesives