Effectiveness of wearable technologies used in the monitoring of cardiovascular diseases in the community: A systematic review of randomized controlled trials

Aim: This study aimed to conduct a comprehensive systematic review of wearable technologies used for monitoring cardiovascular diseases (CVD) in community settings. Methods and results: An extensive search of international literature was performed across several electronic databases, including MEDLINE (3588 records), Web of Science (112), PUBMED (24), Scopus (2,393), Science Direct (805), and Google Scholar (176). The review followed the PRISMA-P guidelines, which are designed to enhance the quality of systematic reviews and meta-analyses. Studies were identified using relevant keywords, covering publications up to February 3, 2025. Initially, two authors independently screened the titles, abstracts, and full texts based on inclusion criteria. In cases of disagreement, all authors discussed the studies to reach a consensus. The data were analyzed and reported according to the PRISMA 2020 checklist. Out of the 7098 studies identified, 15 met the inclusion criteria and were critically evaluated. Conclusion: Wearable devices have shown significant potential in monitoring patients with CVD, a condition associated with high mortality rates. These technologies offer an efficient follow-up approach, potentially reducing healthcare costs. Moreover, the confidence these devices instill in users may enhance their adherence to CVD monitoring and management. © 2025 Elsevier Ltd