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

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^*

^*Corresponding author for this work

Amsterdam UMC - University of Amsterdam
Department of Cardiology, Tergooi Ziekenhuis, Blaricum, The Netherlands

Research output: Contribution to journal › Comment/Letter to the editor › Academic

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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.

Original language	English
Pages (from-to)	53-58
Number of pages	6
Journal	American heart journal
Volume	253
DOIs	https://doi.org/10.1016/j.ahj.2022.06.010
Publication status	Published - 1 Nov 2022

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@article{73787bbd54174f19bb84dd9e4b59137c,

title = "Six-lead device superior to single-lead smartwatch ECG in atrial fibrillation detection",

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{\textendash}99\%) but were hampered by uninterpretable recordings (20{\textendash}24\%). In cardiologists{\textquoteright} interpretation, the 6-lead device was superior (sensitivity 99\%, specificity 97\%) to both single-lead smartwatches (P < .05) for atrial fibrillation detection.",

author = "Josca Scholten and Jansen, \{Ward P. J.\} and Thomas Horsthuis and Mahes, \{Anuska D.\} and Winter, \{Michiel M.\} and Zwinderman, \{Aeilko H.\} and Keijer, \{Jan T.\} and Madelon Minneboo and \{de Groot\}, \{Joris R.\} and Bokma, \{Jouke P.\}",

note = "Funding Information: J.P. Bokma was supported by a research grant of Amsterdam Cardiovascular Sciences. All devices were purchased by the Cardiology department of Tergooi Hospital. Publisher Copyright: {\textcopyright} 2022 Elsevier Inc.",

year = "2022",

month = nov,

day = "1",

doi = "10.1016/j.ahj.2022.06.010",

language = "English",

volume = "253",

pages = "53--58",

journal = "American heart journal",

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TY - JOUR

T1 - Six-lead device superior to single-lead smartwatch ECG in atrial fibrillation detection

AU - Scholten, Josca

AU - Jansen, Ward P. J.

AU - Horsthuis, Thomas

AU - Mahes, Anuska D.

AU - Winter, Michiel M.

AU - Zwinderman, Aeilko H.

AU - Keijer, Jan T.

AU - Minneboo, Madelon

AU - de Groot, Joris R.

AU - Bokma, Jouke P.

N1 - Funding Information: J.P. Bokma was supported by a research grant of Amsterdam Cardiovascular Sciences. All devices were purchased by the Cardiology department of Tergooi Hospital. Publisher Copyright: © 2022 Elsevier Inc.

PY - 2022/11/1

Y1 - 2022/11/1

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85136541519

U2 - 10.1016/j.ahj.2022.06.010

DO - 10.1016/j.ahj.2022.06.010

M3 - Comment/Letter to the editor

C2 - 35850242

SN - 0002-8703

VL - 253

SP - 53

EP - 58

JO - American heart journal

JF - American heart journal

ER -

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

Abstract

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