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Validity of a smartwatch for detecting atrial fibrillation in patients after heart valve surgery: a prospective observational study.
Müller, Margrethe; Hanssen, Tove Aminda; Johansen, David; Jakobsen, Øyvind; Pedersen, John Erling; Aamot Aksetøy, Inger Lise; Rasmussen, Trine Bernholdt; Hartvigsen, Gunnar; Skogen, Vegard; Thrane, Gyrd.
Afiliación
  • Müller M; Department of Physiotherapy, University Hospital of North Norway, Tromsø, Norway.
  • Hanssen TA; Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
  • Johansen D; Department of Health and Care Sciences, UiT The Arctic University of Norway, Tromsø, Norway.
  • Jakobsen Ø; Department of Cardiology, University Hospital of North Norway, Tromsø, Norway.
  • Pedersen JE; Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
  • Aamot Aksetøy IL; Department of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.
  • Rasmussen TB; Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.
  • Hartvigsen G; Department of Cardiothoracic and Vascular Surgery, University Hospital of North Norway, Tromsø, Norway.
  • Skogen V; Department of Internal Medicine, University Hospital of North Norway, Tromsø, Norway.
  • Thrane G; Norwegian University of Science and Technology, Trondheim, Norway.
Scand Cardiovasc J ; 58(1): 2353069, 2024 Dec.
Article en En | MEDLINE | ID: mdl-38794854
ABSTRACT

OBJECTIVES:

Atrial fibrillation (AF) is a common early arrhythmia after heart valve surgery that limits physical activity. We aimed to evaluate the criterion validity of the Apple Watch Series 5 single-lead electrocardiogram (ECG) for detecting AF in patients after heart valve surgery.

DESIGN:

We enrolled 105 patients from the University Hospital of North Norway, of whom 93 completed the study. All patients underwent single-lead ECG using the smartwatch three times or more daily on the second to third or third to fourth postoperative day. These results were compared with continuous 2-4 days ECG telemetry monitoring and a 12-lead ECG on the third postoperative day.

RESULTS:

On comparing the Apple Watch ECGs with the ECG monitoring, the sensitivity and specificity to detect AF were 91% (75, 100) and 96% (91, 99), respectively. The accuracy was 95% (91, 99). On comparing Apple Watch ECG with a 12-lead ECG, the sensitivity was 71% (62, 100) and the specificity was 92% (92, 100).

CONCLUSION:

The Apple smartwatch single-lead ECG has high sensitivity and specificity, and might be a useful tool for detecting AF in patients after heart valve surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Valor Predictivo de las Pruebas / Frecuencia Cardíaca Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Scand Cardiovasc J Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibrilación Atrial / Valor Predictivo de las Pruebas / Frecuencia Cardíaca Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Scand Cardiovasc J Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Reino Unido