Six-lead device superior to single-lead smartwatch ECG in atrial fibrillation detection

Josca Scholten; Ward P J Jansen; Thomas Horsthuis; Anuska D Mahes; Michiel M Winter; Aeilko H Zwinderman; Jan T Keijer; Madelon Minneboo; Joris R de Groot; Jouke P Bokma

doi:10.1016/j.ahj.2022.06.010

Six-lead device superior to single-lead smartwatch ECG in atrial fibrillation detection

Am Heart J. 2022 Nov:253:53-58. doi: 10.1016/j.ahj.2022.06.010. Epub 2022 Jul 16.

Affiliations

¹ Department of Cardiology, Tergooi Hospital, Blaricum, North Holland, the Netherlands; Location Academic Medical Center, Department of Cardiology, Amsterdam University Medical Center, Meibergdreef 9, Amsterdam, North Holland 1105 AZ, the Netherlands.
² Department of Cardiology, Tergooi Hospital, Blaricum, North Holland, the Netherlands.
³ Location Academic Medical Center, Department of Cardiology, Amsterdam University Medical Center, Meibergdreef 9, Amsterdam, North Holland 1105 AZ, the Netherlands.
⁴ Location Academic Medical Center, Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam University Medical Center, Amsterdam, North Holland, the Netherlands.
⁵ Department of Cardiology, Tergooi Hospital, Blaricum, North Holland, the Netherlands; Location Academic Medical Center, Department of Cardiology, Amsterdam University Medical Center, Meibergdreef 9, Amsterdam, North Holland 1105 AZ, the Netherlands. Electronic address: j.p.bokma@amsterdamumc.nl.

PMID: 35850242
DOI: 10.1016/j.ahj.2022.06.010

Abstract

This was a head-to-head comparative study on different electrocardiogram (ECG)-based smartwatches and devices for atrial fibrillation detection. We prospectively included 220 patients scheduled for electrical cardioversion and recorded ECGs with 3 different devices (Withings Move ECG, Apple Watch 5, Kardia Mobile 6-leads) as well as the standard 12-lead ECG (gold standard), both before and after cardioversion. All atrial fibrillation detection algorithms had high accuracy (sensitivity and specificity: 91-99%) but were hampered by uninterpretable recordings (20-24%). In cardiologists' interpretation, the 6-lead device was superior (sensitivity 99%, specificity 97%) to both single-lead smartwatches (P < .05) for atrial fibrillation detection.

Publication types

Letter
Research Support, Non-U.S. Gov't

MeSH terms

Algorithms
Atrial Fibrillation* / diagnosis
Electric Countershock
Electrocardiography
Humans
Sensitivity and Specificity