HRX 2024 AbstracX Library-Use of a Novel Digital Platform for ECG Rate and Rhythm Monitoring in Patients Using an Apple Watch

Use of a Novel Digital Platform for ECG Rate and Rhythm Monitoring in Patients Using an Apple Watch

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The document outlines the use of a novel digital platform using the Apple Watch for ECG rate and rhythm monitoring in clinical practice, as led by Dr. Suneet Mittal. This platform employs a smartwatch app that patients download, enabling continuous data collection for remote cardiac monitoring. The methodology involves the Apple Watch recording photoplethysmography (PPG) data every 2-10 minutes when the patient is at rest and every 5 seconds during exercise. The PPG data, along with ECG readings, are automatically transferred to a digital platform for instant availability and manual reclassification if needed. <br /><br />Since the inception of the study in October 2022, 192 patients were invited, with 163 (85%) activating their accounts. A majority, specifically 158 (97%), recorded at least one ECG following enrollment, and more than half (89 patients, 55%) recorded at least one ECG per month. Over an average follow-up duration of eight months, the study collected an average of 6,920 PPG data points and 8.5 ECGs per patient each month. An example clinical case highlighted is a 25-year-old female whose infrequent palpitations were investigated, revealing supraventricular tachyarrhythmia via consolidated PPG-HR data and symptomatic ECGs.<br /><br />The conclusion emphasizes the successful integration of smartwatch-acquired ECG and PPG-HR data into clinical workflows. This innovation shows the potential of smart wearables to facilitate remote cardiac monitoring and enable personalized, data-driven clinical decision-making. The study suggests that such systems can manage large volumes of ECG data effectively, offering significant benefits for patient care pathways.

Keywords

digital platform

Apple Watch

ECG monitoring

Dr. Suneet Mittal

photoplethysmography

remote cardiac monitoring

smartwatch app

supraventricular tachyarrhythmia

smart wearables

personalized healthcare