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Wireless smart sensing is now widely used in various applications such as health monitoring and structural monitoring. In conventional wireless sensor nodes, significant power is consumed in wirelessly transmitting the raw data. Smart sensing adds local intelligence to the sensor node and reduces the amount of wireless data transmission via on-node digital signal processing. While the total power consumption is reduced compared to conventional wireless sensing, the power consumption of the digital processing becomes as dominant as wireless data transmission. This paper reviews the state-of-the-art energy-efficient digital and wireless IC design techniques for reducing the power consumption of the wireless smart sensor node to prolong battery life and enable self-powered applications.