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An ICU-grade breathable cardiac electronic skin for health, diagnostics, and intraoperative and postoperative monitoring

Science Advances [2025]
Qiuna Zhuang, Kuanming Yao, Xian Song, Qiang Zhang, Chi Zhang, Huiming Wang, Ruofan Yang, Guangyao Zhao, Shanghang Li, Haihua Shu, Qiyao Huang, Yunfei Chai, Xinge Yu, Zijian Zheng
ABSTRACT

Cardiovascular digital health technologies potentially outperform traditional clinical equipment through their noninvasive, on-body, and portable monitoring with mass cardiac data beyond the confines of inpatient settings. However, existing cardiovascular wearables have difficulty with providing medical-grade accuracy with a chronically comfortable and stable patient/consumer device interface for reliable clinical decision-making. Here, we develop an intensive care unit (ICU)–grade breathable cardiac electronic skin system (BreaCARES) for real-time, wireless, continuous, and comfortable cardiac care. BreaCARES enables a novel digital cardiac care platform for health care, outpatient diagnostics, stable intraoperative monitoring during heart surgery, and continuous and comfortable inpatient postoperative cardiac care, exhibiting ICU-grade accuracy while having superior anti-interference stability, portability, and long-term on-skin biocompatibility to the clinically and commercially available cardiac monitors in cardiovascular ICUs.

MATERIALS

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