Assessing the Diagnostic Accuracy of the Smartwatch ECG in Detecting Complete Atrioventricular Block: A Case Report
Abstract
This study aimed to assess the effectiveness of the smartwatch electrocardiogram (ECG) in detecting atrioventricular block. A case study was conducted to demonstrate the use of wearable technology, specifically the ECG, in monitoring cardiac health outside of traditional clinical settings. The patient in question was a 71-year-old woman who was hospitalized due to a complete atrioventricular (AV) block. Her ECG recordings were taken with an Apple Watch, which accurately displayed the complete AV block. After undergoing coronary angiography, the ECG recordings taken with the Apple Watch demonstrated that the complete AV block had been correct. These results indicate that wearable technology, such as smartwatches, holds great potential for monitoring third-degree AV block in non-clinical settings. The findings of this study can add to the growing body of evidence supporting the use of wearable technology in cardiac monitoring during emergencies.
Ethical Statement
Ethics Committee Approval: The patient/relatives have signed an informed consent/consent form, and the study was conducted following the international declaration. Ethics committee approval is not required
References
- Lu L, Zhang J, Xie Y, et al. Wearable health devices in health care: Narrative systematic review. JMIR Mhealth Uhealth. 2020;8(11):e18907. doi:10.2196/18907
- Seshadri DR, Bittel B, Browsky D, et al. Accuracy of apple watch for detection of atrial fibrillation. Circulation. 2020;141(8):702-703. doi:10.1161/CIRCULATIONAHA.119.044126
- Hawryszko M, Sławiński G, Kozłowski, et al. Apple watch-guided diagnosis of AVNRT in a pregnant woman-A case report and literature review. Front Cardiovasc Med. 2022;9:985421. doi:10.3389/fcvm.2022.985421
- Pay L, Yumurtaş AÇ, Satti DI, et al. Arrhythmias beyond atrial fibrillation detection using smartwatches: A systematic review. Anatol J Cardiol. 2023;27(3):126-131. doi:10.14744/AnatolJCardiol.2023.2799
- Caillol T, Strik M, Ramirez FD, et al. Accuracy of a smartwatch-derived ECG for diagnosing bradyarrhythmias, tachyarrhythmias, and cardiac ischemia. Circ Arrhythm Electrophysiol. 2021;14(1):e009260. doi:10.1161/CIRCEP.120.009260
- Pepplinkhuizen S, Hoeksema WF, van der Stuijt W, et al. Accuracy and clinical relevance of the single-lead Apple watch electrocardiogram to identify atrial fibrillation. Cardiovasc Digit Health J. 2022;3(6 Suppl):S17-S22. doi:10.1016/j.cvdhj.2022.10.004
- Isakadze N, Martin SS. How useful is the smartwatch ECG? Trends Cardiovasc Med. 2020;30(7):442-448. doi:10.1016/j.tcm.2019.10.010
- Orini M, van Duijvenboden S, Young WJ, et al. Premature atrial and ventricular contractions detected on wearable-format electrocardiograms and prediction of cardiovascular events. Eur Heart J Digit Health. 2023;4(2):112-118. doi:10.1093/ehjdh/ztad007
- Spaccarotella CAM, Polimeni A, Migliarino S, et al. Multichannel electrocardiograms obtained by a smartwatch for the diagnosis of ST-segment changes. JAMA Cardiol. 2020;5(10):1176-1180. doi:10.1001/jamacardio.2020.3994
Tam Atriyoventriküler Bloğu Saptamada Akıllı Saat EKG'sinin Tanısal Doğruluğunun Değerlendirilmesi: Bir Olgu Sunumu
Abstract
Bu çalışma, akıllı saat Elektrokardiyogramının (EKG) atriyoventriküler (AV) bloğu tespit etmedeki etkinliğini değerlendirmeyi amaçladı. Geleneksel klinik ortamların dışında kalp sağlığının izlenmesinde giyilebilir teknolojinin, özellikle de EKG'nin kullanımını göstermek için bir vaka çalışması yapıldı. Söz konusu hasta, tam AV blok nedeniyle hastaneye kaldırılan 71 yaşında bir kadındı. EKG kayıtları, tam AV bloğunu doğru bir şekilde görüntüleyen bir Apple Watch ile çekildi. Koroner anjiyografi sonrası Apple Watch ile çekilen EKG kaydında AV bloğunun tamamının düzeldiği görüldü. Bu sonuçlar, akıllı saatler gibi giyilebilir teknolojilerin, klinik dışı ortamlarda üçüncü derece AV bloğun izlenmesinde büyük potansiyel taşıdığını göstermektedir. Bu çalışmanın bulguları, acil durumlarda kardiyak izlemede giyilebilir teknolojinin kullanımını destekleyen giderek artan kanıtlara katkıda bulunabilir.
References
- Lu L, Zhang J, Xie Y, et al. Wearable health devices in health care: Narrative systematic review. JMIR Mhealth Uhealth. 2020;8(11):e18907. doi:10.2196/18907
- Seshadri DR, Bittel B, Browsky D, et al. Accuracy of apple watch for detection of atrial fibrillation. Circulation. 2020;141(8):702-703. doi:10.1161/CIRCULATIONAHA.119.044126
- Hawryszko M, Sławiński G, Kozłowski, et al. Apple watch-guided diagnosis of AVNRT in a pregnant woman-A case report and literature review. Front Cardiovasc Med. 2022;9:985421. doi:10.3389/fcvm.2022.985421
- Pay L, Yumurtaş AÇ, Satti DI, et al. Arrhythmias beyond atrial fibrillation detection using smartwatches: A systematic review. Anatol J Cardiol. 2023;27(3):126-131. doi:10.14744/AnatolJCardiol.2023.2799
- Caillol T, Strik M, Ramirez FD, et al. Accuracy of a smartwatch-derived ECG for diagnosing bradyarrhythmias, tachyarrhythmias, and cardiac ischemia. Circ Arrhythm Electrophysiol. 2021;14(1):e009260. doi:10.1161/CIRCEP.120.009260
- Pepplinkhuizen S, Hoeksema WF, van der Stuijt W, et al. Accuracy and clinical relevance of the single-lead Apple watch electrocardiogram to identify atrial fibrillation. Cardiovasc Digit Health J. 2022;3(6 Suppl):S17-S22. doi:10.1016/j.cvdhj.2022.10.004
- Isakadze N, Martin SS. How useful is the smartwatch ECG? Trends Cardiovasc Med. 2020;30(7):442-448. doi:10.1016/j.tcm.2019.10.010
- Orini M, van Duijvenboden S, Young WJ, et al. Premature atrial and ventricular contractions detected on wearable-format electrocardiograms and prediction of cardiovascular events. Eur Heart J Digit Health. 2023;4(2):112-118. doi:10.1093/ehjdh/ztad007
- Spaccarotella CAM, Polimeni A, Migliarino S, et al. Multichannel electrocardiograms obtained by a smartwatch for the diagnosis of ST-segment changes. JAMA Cardiol. 2020;5(10):1176-1180. doi:10.1001/jamacardio.2020.3994
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiology |
| Journal Section | Case report |
| Authors | |
| Early Pub Date | June 10, 2024 |
| Publication Date | June 16, 2024 |
| Submission Date | February 10, 2024 |
| Acceptance Date | April 11, 2024 |
| Published in Issue | Year 2024 Volume: 9 Issue: 2 |
