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Comparative Evaluation of Consumer Wearable Devices for Atrial Fibrillation Detection: Validation Study.

JMIR Form Res

January 2025

Limburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.

Background: Consumer-oriented wearable devices (CWDs) such as smartphones and smartwatches have gained prominence for their ability to detect atrial fibrillation (AF) through proprietary algorithms using electrocardiography or photoplethysmography (PPG)-based digital recordings. Despite numerous individual validation studies, a direct comparison of interdevice performance is lacking.

Objective: This study aimed to evaluate and compare the ability of CWDs to distinguish between sinus rhythm and AF.

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Background: Smartphone electrocardiograms (iECGs) are an innovative method of capturing transient arrhythmias that are occasionally experienced by athletes. This study aimed to assess the accuracy of a 6-lead iECG compared with 12-lead ECG in athletes and those with known genetic heart disease (positive controls).

Research Design And Methods: Each participant had a resting 12-lead ECG (supine) and a 30 s 6-lead iECG (seated) taken within 2 h.

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Background: Identifying structural heart diseases (SHDs) early can change the course of the disease, but their diagnosis requires cardiac imaging, which is limited in accessibility.

Objective: To leverage images of 12-lead ECGs for automated detection and prediction of multiple SHDs using an ensemble deep learning approach.

Methods: We developed a series of convolutional neural network models for detecting a range of individual SHDs from images of ECGs with SHDs defined by transthoracic echocardiograms (TTEs) performed within 30 days of the ECG at the Yale New Haven Hospital (YNHH).

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Article Synopsis
  • Direct current cardioversion (DCCV) is a procedure used to treat atrial fibrillation, and a study compared follow-up methods between remote photoplethysmography (PPG) and traditional 12-lead electrocardiograms (ECG).
  • The analysis involved 416 patients, showing high compliance rates for both methods, but PPG was more cost-effective, saving money and travel time for patients while also reducing carbon emissions.
  • Ultimately, the study concluded that remote PPG monitoring is a practical alternative for post-DCCV arrhythmia follow-up, with no safety concerns reported.
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