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Sensors
Volume 25
Issue 9
10.3390/s25092848
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Review

Wearable Devices for Arrhythmia Detection: Advancements and Clinical Implications

by
Ahmed Abdelrazik
1,2,3,
Mahmoud Eldesouky
1,2,
Ibrahim Antoun
1,
Edward Y. M. Lau
1,2,
Abdulmalik Koya
1,
Zakariyya Vali
1,2,
Safiyyah A. Suleman
1,
James Donaldson
1 and
G. André Ng
1,2,3,4,*
1
Department of Cardiovascular Sciences, Clinical Science Wing, Glenfield Hospital, University of Leicester, Leicester LE3 9QP, UK
2
Department of Cardiology, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP, UK
3
NIHR Leicester Cardiovascular Biomedical Research Centre, Leicester LE3 9QP, UK
4
Leicester British Heart Foundation Centre of Research Excellence, Leicester LE3 9QP, UK
*
Author to whom correspondence should be addressed.
Sensors 2025, 25(9), 2848; https://doi.org/10.3390/s25092848
Submission received: 10 April 2025 / Revised: 25 April 2025 / Accepted: 28 April 2025 / Published: 30 April 2025
(This article belongs to the Special Issue Wearable and Unobtrusive Technologies for Healthcare Monitoring—2nd Edition)
Versions Notes

Abstract

Cardiac arrhythmias are a growing global health concern, and the need for accessible, continuous monitoring has driven rapid advancements in wearable technologies. This review explores the evolution, capabilities, and clinical impact of modern wearables for arrhythmia detection, including smartwatches, smart rings, ECG patches, and smart textiles. In light of the recent surge in commercially available wearables across all categories, this review offers a detailed comparative analysis of leading devices, evaluating cost, regulatory approval, model specifications, and system compatibility. Smartwatches and patches, in particular, show a strong performance in atrial fibrillation detection, with patches outperforming Holter monitors in long-term monitoring and diagnostic yield. This review highlights a paradigm shift toward patient-initiated diagnostics but also discusses challenges such as false positives, regulatory gaps, and healthcare integration. Overall, wearable devices hold significant promise for reshaping arrhythmia management through early detection and remote monitoring.
Keywords: arrhythmia; arrhythmia detection; wearable devices arrhythmia; arrhythmia detection; wearable devices

Share and Cite

MDPI and ACS Style

Abdelrazik, A.; Eldesouky, M.; Antoun, I.; Lau, E.Y.M.; Koya, A.; Vali, Z.; Suleman, S.A.; Donaldson, J.; Ng, G.A. Wearable Devices for Arrhythmia Detection: Advancements and Clinical Implications. Sensors 2025, 25, 2848. https://doi.org/10.3390/s25092848

AMA Style

Abdelrazik A, Eldesouky M, Antoun I, Lau EYM, Koya A, Vali Z, Suleman SA, Donaldson J, Ng GA. Wearable Devices for Arrhythmia Detection: Advancements and Clinical Implications. Sensors. 2025; 25(9):2848. https://doi.org/10.3390/s25092848

Chicago/Turabian Style

Abdelrazik, Ahmed, Mahmoud Eldesouky, Ibrahim Antoun, Edward Y. M. Lau, Abdulmalik Koya, Zakariyya Vali, Safiyyah A. Suleman, James Donaldson, and G. André Ng. 2025. "Wearable Devices for Arrhythmia Detection: Advancements and Clinical Implications" Sensors 25, no. 9: 2848. https://doi.org/10.3390/s25092848

APA Style

Abdelrazik, A., Eldesouky, M., Antoun, I., Lau, E. Y. M., Koya, A., Vali, Z., Suleman, S. A., Donaldson, J., & Ng, G. A. (2025). Wearable Devices for Arrhythmia Detection: Advancements and Clinical Implications. Sensors, 25(9), 2848. https://doi.org/10.3390/s25092848

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