Evaluation of ECG Waveform Accuracy in the CardioBAN Wearable Device: An Initial Analysis

This study evaluates the morphological performance of the CardioBAN wearable electrocardiogram (ECG) device by comparing its beat-level waveform accuracy against a clinically certified reference system (GE Vivid E9). A cycle-by-cycle Dynamic Time Warping (DTW) analysis was employed to assess beat-level waveform similarity between both devices in 17 healthy participants under controlled conditions. Each cardiac cycle from CardioBAN was aligned to its reference counterpart, enabling a fine-grained comparison of waveform shape. The resulting DTW distances (mean 0.493 ± 0.166) demonstrated overall high morphological agreement, with lower values occurring in recordings with stable beat morphology and higher values primarily reflecting normal variability related to minor motion artifacts or electrode–skin impedance fluctuations. A complementary Bland–Altman analysis of point-wise amplitude differences after DTW alignment showed minimal bias (0.079) and narrow limits of agreement (−0.897–1.055), confirming strong amplitude concordance between systems. These findings indicate that the CardioBAN wearable reliably reproduces key ECG morphological features under controlled, short-term recording conditions. Further studies encompassing ambulatory environments and clinical populations are needed to evaluate its suitability for real-world and pathological scenarios.