Uso de Tecnologias Vestíveis no Monitoramento de Pacientes Cardiopatas: Uma revisão integrativa de literatura
DOI:
https://doi.org/10.36557/2674-8169.2025v7n5p504-524Keywords:
Wearable electronic devices, Heart diseases, Ambulatory monitoringAbstract
Introduction: Cardiovascular diseases, the leading cause of mortality in Brazil, require continuous monitoring to prevent complications such as atrial fibrillation and heart failure. Wearable technologies, such as smartwatches and electrocardiogram (ECG) patches, offer real-time monitoring, overcoming limitations of traditional methods like the Holter monitor, with greater practicality and accessibility. Methodology: This integrative review analyzed primary studies published between 2017 and 2024, sourced from Scielo, LILACS, PubMed, MedLine, and Web of Science databases, using the descriptors “wearable electronic devices,” “heart diseases,” and “ambulatory monitoring.” Ten articles in Portuguese and English were selected, excluding reviews, meta-analyses, and duplicate studies. Qualitative analysis was conducted based on the GRADE system and the CASP checklist. Results: Devices such as smartwatches, ECG patches, electrode-embedded shirts, and accelerometers demonstrated high accuracy in detecting atrial fibrillation and monitoring heart failure, reducing hospital admissions by up to 38%. Most studies were observational, with small sample sizes, low patient adherence, and focused on developed countries, limiting generalizability. Discussion: Low adherence—particularly among the elderly—and the lack of validation in diverse populations, such as in Brazil where heart diseases are prevalent, present significant barriers. The absence of validation across various contexts hinders implementation, highlighting the need for stronger levels of evidence in different settings. Conclusions: Wearable technologies are promising tools for personalized cardiology, enabling early screening and efficient management of heart conditions. However, their adoption in Brazil depends on overcoming challenges related to access, validation in local populations, and integration into the public health system (SUS), requiring more robust research
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Copyright (c) 2025 Caio Victor Fernandes de Oliveira, Luana Nicole Sousa Magalhães , David Medeiros Nery, Maria Eduarda Dantas Silva, Magno Ariel Alves Balbino, Saulo Silas Viana de Oliveira Costa, Orfeu de Aguiar Soares, Paulo Victor da Silva Ferreira, Lucas Mateus de Oliveira Monteiro, João Elder Araújo Cavalcante de Lira, Maria Luiza Vieira de Medeiros, Matheus Dibbern de Almeida, Valquíria da Silva Raminelli, Vinícius Pereira Dantas
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