Cor Vasa 2022, 64(4):411-422 | DOI: 10.33678/cor.2022.083

Feasibility of evaluation of Polar H10 chest-belt ECG in patients with a broad range of heart conditions

Tomáš Skála, Marek Vícha, Martin Rada, Jan Vácha, Jakub Flašík, Miloš Táborský
Department of Internal Medicine I - Cardiology, Palacky University and University Hospital Olomouc, Olomouc

Background: The chest-belt can be used to obtain a 1-lead ECG. Data from it have been validated for the determination of heart rate and for the possibility to detect atrial fibrillation (AF) compared to ECG-Holter on a short ECG recording in selected patients. However, validation of the possibility to evaluate long ECG recordings in patients with a wide range of heart diseases has not yet been performed. Methodology and results: 54 hospitalized patients, 53 outpatients and 54 healthy controls were enrolled in the study (n = 161 in total). Using a Polar H10 chest-belt, 1-2 hours of ECG were recorded in all patients (1 153 229 heartbeats, average heart rate 76.6/min, 86.3% in sinus rhythm, 13.7% with atrial fibrillation, 0.46% atrial premature beats, 0.49% ventricular premature beats). The presence of noise was 2.16% (A: 2.31%; B: 1.95%; C: 2.20%). 1 128 319 /1 153 229 were evaluated as easy to interpret. Using ECG from the belt, the basic rhythm was reliably determined by the physician in majority of patients (51/54, 94.4% in hospitalized patients; in 100% of outpatients and healthy controls) when compared to 12-lead ECG. 3 cases were evaluated as unclear; in all of these cases, all QRS complexes were stimulated by a pacemaker. In hospitalized patients, real-time ECG from the belt was comparable to telemetric ECG monitoring (match in 53/54, 98.1%).

Conclusion: The ECG obtained from the chest-belt in hospitalized patients and outpatients with a wide range of cardiovascular diseases, as well as in healthy individuals, is usable in real practice for evaluation of baseline rhythm, atrial fibrillation and premature contractions with a minimal proportion of difficulties to interpret recordings due to artefacts. Caution should be exercised in interpretation of the ECG in patients with stimulated rhythm and in patients with atrial flutter. The chest belt can be used as a means for continuous monitoring of ECG, evaluation of rhythm and screening of atrial fibrillation.

Keywords: Atrial fibrillation, Chest-belt, Noise, Polar H10, Screening tools

Received: July 15, 2022; Revised: July 15, 2022; Accepted: July 15, 2022; Prepublished online: August 10, 2022; Published: September 1, 2022  Show citation

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Skála T, Vícha M, Rada M, Vácha J, Flašík J, Táborský M. Feasibility of evaluation of Polar H10 chest-belt ECG in patients with a broad range of heart conditions. Cor Vasa. 2022;64(4):411-422. doi: 10.33678/cor.2022.083.
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