Wearable Wireless Cardiovascular Monitoring Using Textile-Based Nanosensor and Nanomaterial Systems

Wearable and ultraportable electronics coupled with pervasive computing are poised to revolutionize healthcare services delivery. The potential cost savings in both treatment, as well as preventive care are the focus of several research efforts across the globe. In this review, we describe the motivations behind wearable solutions to real-time cardiovascular monitoring from a perspective of current healthcare services, as well as from a systems design perspective. We identify areas where emerging research is underway, namely: nanotechnology in textile-based wearable monitors and healthcare solutions targeted towards smart devices, like smartphones and tablets.

[1]  Refet Firat Yazicioglu,et al.  18.3 A multi-parameter signal-acquisition SoC for connected personal health applications , 2014, 2014 IEEE International Solid-State Circuits Conference Digest of Technical Papers (ISSCC).

[2]  Mouli Ramasamy,et al.  Nano- Bio- Textile Sensors with Mobile Wireless Platform for Wearable Health Monitoring of Neurological and Cardiovascular Disorders , 2014 .

[3]  T. Homma,et al.  Kinetic Characteristics of Electrochemical Reduction of SiO2 Granules in Molten CaCl2 , 2014 .

[4]  Joaquim Oliveira Martins,et al.  Public Spending on Health and Long-term Care: A new set of projections , 2013 .

[5]  Vijay K. Varadan,et al.  Motion artifact removal algorithm by ICA for e-bra: a women ECG measurement system , 2013, Smart Structures.

[6]  Eung Je Woo,et al.  Nanofiber Web Textile Dry Electrodes for Long-Term Biopotential Recording , 2013, IEEE Transactions on Biomedical Circuits and Systems.

[7]  Marcos Martín-Fernández,et al.  Ubiquitous Tele-monitoring Kit (UTK): Measuring Physiological Signals Anywhere at Anytime , 2012, IWAAL.

[8]  Tony Chi Chung Lee,et al.  Development of a wearable system integrated with novel biomedical sensors for ubiquitous healthcare , 2012, 2012 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[9]  Vijay K. Varadan,et al.  Carbon nanotubes polymer nanoparticles inks for healthcare textile , 2012, Other Conferences.

[10]  Vijay K. Varadan,et al.  Nanocomposite electrodes for smartphone enabled healthcare garments: e-bra and smart vest , 2012, Other Conferences.

[11]  A. Grabmaier,et al.  A modular and wireless exg signal acquisition system with a dense array of dry electrodes , 2012, 2012 IEEE Sensors.

[12]  Linfeng Zhang,et al.  Smart textiles based wireless ECG system , 2012, 2012 IEEE Long Island Systems, Applications and Technology Conference (LISAT).

[13]  Vijay K. Varadan,et al.  Smart healthcare textile sensor system for unhindered-pervasive health monitoring , 2012, Smart Structures and Materials + Nondestructive Evaluation and Health Monitoring.

[14]  Sang-Hoon Lee,et al.  CNT/PDMS Composite Flexible Dry Electrodesfor Long-Term ECG Monitoring , 2012, IEEE Transactions on Biomedical Engineering.

[15]  Ilias Maglogiannis,et al.  Managing Wearable Sensor Data through Cloud Computing , 2011, 2011 IEEE Third International Conference on Cloud Computing Technology and Science.

[16]  Eric A. Shry,et al.  Sudden death in young adults: an autopsy-based series of a population undergoing active surveillance. , 2011, Journal of the American College of Cardiology.

[17]  E. Ashley,et al.  Interpretation of the Electrocardiogram of Young Athletes , 2011, Circulation.

[18]  M. Nogi,et al.  Printable and Stretchable Conductive Wirings Comprising Silver Flakes and Elastomers , 2011, IEEE Electron Device Letters.

[19]  P. Bifulco,et al.  A wearable device for recording of biopotentials and body movements , 2011, 2011 IEEE International Symposium on Medical Measurements and Applications.

[20]  Kunal Mankodiya,et al.  Non-contact, non-obtrusive electrocardiography in clinical environements , 2011, 2011 5th International Conference on Pervasive Computing Technologies for Healthcare (PervasiveHealth) and Workshops.

[21]  Vijay K. Varadan,et al.  e-Nanoflex sensor system: Smartphone-based roaming health monitor , 2011 .

[22]  Jens Haueisen,et al.  Novel Ti/TiN Dry Electrodes and Ag/AgCl: A Direct Comparison in Multichannel EEG , 2011 .

[23]  José Higino Correia,et al.  New dry electrodes based on iridium oxide (IrO) for non-invasive biopotential recordings and stimulation , 2010 .

[24]  Gregorio López,et al.  LOBIN: E-Textile and Wireless-Sensor-Network-Based Platform for Healthcare Monitoring in Future Hospital Environments , 2010, IEEE Transactions on Information Technology in Biomedicine.

[25]  Tzyy-Ping Jung,et al.  Dry-Contact and Noncontact Biopotential Electrodes: Methodological Review , 2010, IEEE Reviews in Biomedical Engineering.

[26]  Vijay K. Varadan,et al.  Wireless Point-of-Care Diagnosis for Sleep Disorder With Dry Nanowire Electrodes , 2010 .

[27]  P. M. Mendes,et al.  Flexible PDMS -based dry electrodes for electro-optic acquisition of ECG signals in wearable devices , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[28]  Marta Mas-Torrent,et al.  Flexible Film-Based Sensors Structured with a High Piezoresistive Organic Molecular Conductor as an Active Component , 2010, 2010 First International Conference on Sensor Device Technologies and Applications.

[29]  Steffen Leonhardt,et al.  Portable Bioimpedance Spectroscopy device and textile electrodes for mobile monitoring applications , 2010 .

[30]  Barry J Maron,et al.  National Electrocardiography Screening for Competitive Athletes: Feasible in the United States? , 2010, Annals of Internal Medicine.

[31]  Andrea Ridolfi,et al.  BIOTEX—Biosensing Textiles for Personalised Healthcare Management , 2010, IEEE Transactions on Information Technology in Biomedicine.

[32]  R. Shephard Sudden Deaths in Young Competitive Athletes: Analysis of 1866 Deaths in the United States, 1980–2006 , 2010 .

[33]  Roman Ruff,et al.  Electrode structures for acquisition and neural stimulation controlling the cardiovascular system , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[34]  Wan-Young Chung,et al.  Wireless sensor network based wearable smart shirt for ubiquitous health and activity monitoring , 2009 .

[35]  Veronica Sanchez Romaguera,et al.  Inkjet Printing of Conductive Materials for Smart Textiles and Flexible Electronics , 2009 .

[36]  N. Kotov,et al.  Smart electronic yarns and wearable fabrics for human biomonitoring made by carbon nanotube coating with polyelectrolytes. , 2008, Nano letters.

[37]  A. Pelliccia Differences in cardiac remodeling associated with race implications for pre-participation screening and the unfavorable situation of black athletes. , 2008, Journal of the American College of Cardiology.

[38]  K. Park,et al.  Flexible polymeric dry electrodes for the long-term monitoring of ECG , 2008 .

[39]  Fernando Vidal-Verdú,et al.  Evaluation of a low cost piezorresistive material for high resolution tactile sensors , 2008 .

[40]  L. Faber,et al.  Athlete screening for occult cardiac disease: no risk, no fun? , 2008, Journal of the American College of Cardiology.

[41]  Hargsoon Yoon,et al.  Aligned nanowire growth using lithography-assisted bonding of a polycarbonate template for neural probe electrodes , 2008, Nanotechnology.

[42]  B. Maron,et al.  Outcomes in athletes with marked ECG repolarization abnormalities. , 2008, The New England journal of medicine.

[43]  H. T. Nagle,et al.  Utility of nonwovens in the production of integrated electrical circuits via printing conductive inks , 2008 .

[44]  J. Stockman Trends in Sudden Cardiovascular Death in Young Competitive Athletes After Implementation of a Preparticipation Screening Program , 2008 .

[45]  M.A. Mestrovic,et al.  Preliminary study of dry knitted fabric electrodes for physiological monitoring , 2007, 2007 3rd International Conference on Intelligent Sensors, Sensor Networks and Information.

[46]  R. Myerburg,et al.  Electrocardiograms Should Be Included in Preparticipation Screening of Athletes , 2007, Circulation.

[47]  B. Chaitman An Electrocardiogram Should Not Be Included in Routine Preparticipation Screening of Young Athletes , 2007, Circulation.

[48]  P. Silva,et al.  ENOBIO dry electrophysiology electrode; first human trial plus wireless electrode system , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[49]  P. Hult,et al.  Electrical Properties of Textile Electrodes , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[50]  S. Kalra,et al.  EXERCISE AND ACUTE CARDIOVASCULAR EVENTS: PLACING THE RISKS INTO PERSPECTIVE: A SCIENTIFIC STATEMENT FROM THE AMERICAN HEART ASSOCIATION COUNCIL ON NUTRITION, PHYSICAL ACTIVITY, AND METABOLISM AND THE COUNCIL ON CLINICAL CARDIOLOGY , 2007 .

[51]  Sungmee Park,et al.  Wearable Biomedical Systems: Research to Reality , 2007, 2007 IEEE International Conference on Portable Information Devices.

[52]  Fernando Costa,et al.  Exercise and acute cardiovascular events placing the risks into perspective: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism and the Council on Clinical Cardiology. , 2007, Circulation.

[53]  B. Maron,et al.  Recommendations and Considerations Related to Preparticipation Screening for Cardiovascular Abnormalities in Competitive Athletes: 2007 Update: A Scientific Statement From the American Heart Association Council on Nutrition, Physical Activity, and Metabolism Endorsed by the American College of Cardi , 2007, Circulation.

[54]  Lieva Van Langenhove,et al.  SMART TEXTILES FOR MEDICINE AND HEALTHCARE , 2007 .

[55]  M. Link,et al.  Inter-association Task Force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs: a consensus statement. , 2007, Journal of athletic training.

[56]  T. Jung,et al.  Using novel MEMS EEG sensors in detecting drowsiness application , 2006, 2006 IEEE Biomedical Circuits and Systems Conference.

[57]  H. Dickhuth,et al.  [Cardiovascular preparticipation screening of competitive athletes]. , 2006, Herz.

[58]  C.C.Y. Poon,et al.  A Health-Shirt using e-Textile Materials for the Continuous and Cuffless Monitoring of Arterial Blood Pressure , 2006, 2006 3rd IEEE/EMBS International Summer School on Medical Devices and Biosensors.

[59]  D. Zipes,et al.  Mechanisms of sudden cardiac death. , 2005, The Journal of clinical investigation.

[60]  Fabrice Axisa,et al.  Flexible technologies and smart clothing for citizen medicine, home healthcare, and disease prevention , 2005, IEEE Transactions on Information Technology in Biomedicine.

[61]  B. Hermans,et al.  Integrating wireless ECG monitoring in textiles , 2005, The 13th International Conference on Solid-State Sensors, Actuators and Microsystems, 2005. Digest of Technical Papers. TRANSDUCERS '05..

[62]  C. Wren Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. , 2005, European heart journal.

[63]  Lisa Pearse,et al.  Sudden Death in Young Adults: A 25-Year Review of Autopsies in Military Recruits , 2004, Annals of Internal Medicine.

[64]  Xiaoming Tao,et al.  Smart fibres, fabrics and clothing , 2001 .

[65]  B. Maron,et al.  Clinical significance of abnormal electrocardiographic patterns in trained athletes. , 2000, Circulation.

[66]  L. Kirkup,et al.  A direct comparison of wet, dry and insulating bioelectric recording electrodes. , 2000, Physiological measurement.

[67]  S Park,et al.  The Wearable Motherboard: a flexible information infrastructure or sensate liner for medical applications. , 1999, Studies in health technology and informatics.

[68]  D. Reneker,et al.  Nanometre diameter fibres of polymer, produced by electrospinning , 1996 .

[69]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[70]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .

[71]  Willis J. Tompkins,et al.  A Real-Time QRS Detection Algorithm , 1985, IEEE Transactions on Biomedical Engineering.

[72]  K. Shadan,et al.  Available online: , 2012 .