A systematic review of noninvasive electrocardiogram monitoring devices for the evaluation of suspected cardiovascular syncope

Monica Solbiati, Lucia Trombetta, Roberto M. Sacco, Luca Erba, Viviana Bozzano, Giorgio Costantino, Satish R. Raj, Franca Barbic, Giovanni Casazza, Franca Dipaola, Raffaello Furlan, Rose A. Kenny, James V. Quinn, Robert S. Sheldon, Win Kuang Shen, Benjamin C. Sun, Venkatesh Thiruganasambandamoorthy, Matthew J. Reed

Research output: Contribution to journalReview article


The aims of this study were (1) to identify research publications studying noninvasive electrocardiogram (ECG) monitoring devices, (2) to define and categorize current technology in noninvasive ECG recording, and (3) to discuss desirable noninvasive recording features for personalized syncope evaluation to guide technological advancement and future studies. We performed a systematic review of the literature that assessed noninvasive ECG-monitoring devices, regardless of the reason for monitoring. We performed an Internet search and corresponded with syncope experts and companies to help identify further eligible products. We extracted information about included studies and device features. We found 173 relevant papers. The main reasons for ECG monitoring were atrial fibrillation (n = 45), coronary artery disease (n = 10), syncope (n = 8), palpitations (n = 8), other cardiac diseases (n = 67), and technological aspects of monitoring (n = 35). We identified 198 devices: 5 hospital telemetry devices, 12 patches, 46 event recorders, 70 Holter monitors, 23 external loop recorders, 20 mobile cardiac outpatient telemetries, and 22 multifunctional devices. The features of each device were very heterogeneous. There are a large number of ECG-monitoring devices with different features available in the market. Our findings may help clinicians select the appropriate device for their patients. Since there are only a few published articles analyzing their usefulness in syncope patients, further research might improve their use in this clinical setting.

Original languageEnglish
Article number024001
Number of pages10
JournalJournal of Medical Devices, Transactions of the ASME
Issue number2
Publication statusPublished - Jun 1 2019


ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Biomedical Engineering

Cite this

Solbiati, M., Trombetta, L., Sacco, R. M., Erba, L., Bozzano, V., Costantino, G., Raj, S. R., Barbic, F., Casazza, G., Dipaola, F., Furlan, R., Kenny, R. A., Quinn, J. V., Sheldon, R. S., Shen, W. K., Sun, B. C., Thiruganasambandamoorthy, V., & Reed, M. J. (2019). A systematic review of noninvasive electrocardiogram monitoring devices for the evaluation of suspected cardiovascular syncope. Journal of Medical Devices, Transactions of the ASME, 13(2), [024001]. https://doi.org/10.1115/1.4042795