Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, Italy.
Postgraduate Training Programme, Mater Dei Hospital, MSD2090 Msida, Malta.
Int J Environ Res Public Health. 2020 Jul 10;17(14):4975. doi: 10.3390/ijerph17144975.
Clinical-instrumental investigations, such as electrocardiography (ECG), represent a corollary of a procedures that, nowadays, is called upon as part of the principles of precision medicine. However when carrying out the professional routine examinations, most tend to ignore how a "simple" instrument can offer indispensable support in clinical practice, even in occupational medicine. The advent of the digital age, made of silicon and printed circuit boards, has allowed the miniaturization of the electronic components of these electro-medical devices. Finally, the adoption of patient wearables in medicine has been rapidly expanding worldwide for a number of years. This has been driven mainly by consumers' demand to monitor their own health. With the ongoing research and development of new features capable of assessing and transmitting real-time biometric data, the impact of wearables on cardiovascular management has become inevitable. Despite the potential offered by this technology, as evident from the scientific literature, the application of these devices in the field of health and safety in the workplace is still limited. This may also be due to the lack of targeted scientific research. While offering great potential, it is very important to consider and evaluate ethical aspects related to the use of these smart devices, such as the management of the collected data relating to the physiological parameters and the location of the worker. This technology is to be considered as being aimed at monitoring the subject's physiological parameters, and not at the diagnosis of any pathological condition, which should always be on charge of the medical specialist We conducted a review of the evolution of the role that electrophysiology plays as part of occupational health and safety management and on its possible future use, thanks to ongoing technological innovation.
临床仪器检查，如心电图（ECG），是精准医疗原则所要求的程序的必然结果。然而，在进行专业常规检查时，大多数人往往忽略了一个“简单”仪器如何在临床实践中提供不可或缺的支持，即使在职业医学中也是如此。硅和印刷电路板的数字时代的到来，使得这些电医疗设备的电子元件得以微型化。最后，患者可穿戴设备在医学中的应用在全球范围内迅速扩展已有多年。这主要是由于消费者对监测自身健康的需求推动的。随着对能够评估和传输实时生物特征数据的新功能的持续研究和开发，可穿戴设备对心血管管理的影响已不可避免。尽管这项技术具有很大的潜力，正如科学文献所表明的那样，但这些设备在工作场所健康和安全领域的应用仍然有限。这也可能是由于缺乏有针对性的科学研究。虽然这项技术提供了很大的潜力，但考虑和评估与使用这些智能设备相关的伦理方面非常重要，例如与工人生理参数和位置相关的收集数据的管理。这项技术旨在监测受试者的生理参数，而不是诊断任何病理状况，这应该始终由医学专家负责。我们回顾了电生理学在职业健康和安全管理中的作用的演变及其可能的未来用途，这要归功于正在进行的技术创新。
