Arrhythmias Beyond Atrial Fibrillation Detection Using Smartwatches: A Systematic Review

Pay, Levent; Yumurtaş, Ahmet Çağdaş; Satti, Danish Iltaf; Hui, Jeremy Man Ho; Chan, Jeffrey Shi Kai; Mahalwar, Gauranga; Lee, Yan Hiu Athena; Tezen, Ozan; Birdal, Oğuzhan; İnan, Duygu; Özkan, Eyup; Tse, Gary; Çinier, Göksel

doi:10.14744/anatoljcardiol.2023.2799

Cited by 14 publications

(12 citation statements)

References 36 publications

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“…Initial studies focused on detection of atrial fibrillation in asymptomatic patients; however, case reports, case series and a handful of cohort studies have shown other arrhythmias are being picked up as well 2–5. A recent systematic review of detection of cardiac arrhythmias other than atrial fibrillation found that a multitude of arrhythmias were commonly detected, including VT 7. Having smartwatch self-recordings of ECGs and evaluation by clinicians have facilitated the detection and subsequent management of patients.…”

Section: Discussionmentioning

confidence: 99%

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Smartwatch detection of new-onset monomorphic ventricular tachycardia in pregnancy

Mei,

Xu,

Nguyen

2024

BMJ Case Rep

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Smartwatches provide health tracking in various ways and there has been a recent rise in reporting cardiac arrhythmias. While original studies focused on atrial fibrillation, fewer reports have been made on other arrhythmias especially in pregnancy. We report a pregnant patient who presented at 34 weeks’ gestation with palpitations. An ECG recorded through her Apple Watch showed ventricular tachycardia. Hospital ECG confirmed monomorphic ventricular tachycardia likely caused by increased sympathetic tone from the gravid state. She was admitted to the cardiac intensive care unit for close monitoring with intravenous anti-arrhythmic agents; however, the rhythm persisted. She underwent a caesarean delivery and the arrhythmia resolved post partum. She later underwent a catheter ablation, after which she discontinued all anti-arrhythmic medications with no recurrence. This case highlights the importance of requesting relevant digital health information, if available, from patients in our modern era. Controlled clinical studies are needed to validate such practices.

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Section: Discussionmentioning

confidence: 99%

“…Having smartwatch self-recordings of ECGs and evaluation by clinicians have facilitated the detection and subsequent management of patients. Given they can also serve as event monitors, they have been even suggested as a non-invasive alternative to implantable loop recorder 7…”

Section: Discussionmentioning

confidence: 99%

Smartwatch detection of new-onset monomorphic ventricular tachycardia in pregnancy

Mei,

Xu,

Nguyen

2024

BMJ Case Rep

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“… 15–17 In patients with diabetes, for instance, digital biomarkers can monitor blood glucose levels and detect hypoglycemia or hyperglycemia early on, enabling prompt intervention such as medication adjustments or dietary changes to prevent serious complications. 18 , 19 Digital biomarkers, however, are also employed in the realm of secondary prevention, 20–22 which involves the early detection of diseases. 7 In this case, digital biomarkers that track physical activity, sleep patterns, and heart rate can detect early indicators of mental health conditions like depression, leading to early intervention and prevention of the condition from worsening.…”

Section: Introductionmentioning

confidence: 99%

The Bitemporal Lens Model—toward a holistic approach to chronic disease prevention with digital biomarkers

Barata,

Shim,

et al. 2024

JAMIA Open

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Objectives We introduce the Bitemporal Lens Model, a comprehensive methodology for chronic disease prevention using digital biomarkers. Materials and Methods The Bitemporal Lens Model integrates the change-point model, focusing on critical disease-specific parameters, and the recurrent-pattern model, emphasizing lifestyle and behavioral patterns, for early risk identification. Results By incorporating both the change-point and recurrent-pattern models, the Bitemporal Lens Model offers a comprehensive approach to preventive healthcare, enabling a more nuanced understanding of individual health trajectories, demonstrated through its application in cardiovascular disease prevention. Discussion We explore the benefits of the Bitemporal Lens Model, highlighting its capacity for personalized risk assessment through the integration of two distinct lenses. We also acknowledge challenges associated with handling intricate data across dual temporal dimensions, maintaining data integrity, and addressing ethical concerns pertaining to privacy and data protection. Conclusion The Bitemporal Lens Model presents a novel approach to enhancing preventive healthcare effectiveness.

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“…However, the athlete's follow‐up should always include stress tests and ECG monitoring during leisure‐time low‐intensity activities, to ensure control of potential exercise‐induced malignant arrhythmias 6 . A role for recent technologies advances allowed for heart rhythm monitoring using Smartwatches should be today considered, 50 to educate patients for self‐monitoring during exercise, and to potentially assess day by day a reasonably accepted exercise level. In this scenario, avoidance of emotional stress, dehydration, electrolyte disturbances, or hyperthermia are recommended 6 …”

Section: Introductionmentioning

confidence: 99%

“…Smartwatches should be today considered,50 to educate patients for self-monitoring during exercise, and to potentially assess day by day a reasonably accepted exercise level. In this scenario, avoidance of emotional stress, dehydration, electrolyte disturbances, or hyperthermia are recommended 6.…”

mentioning

confidence: 99%

Athletes and suspected catecholaminergic polymorphic ventricular tachycardia: Awareness and current knowledge

Mascia,

Brugada,

Arbelo

et al. 2023

Cardiovasc electrophysiol

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IntroductionCatecholaminergic polymorphic ventricular tachycardia (CPVT) is a cardiac inherited arrhythmogenic disease potentially leading to sudden cardiac death that is determined by electrical instability exacerbated by acute adrenergic tone.Methods and ResultsDespite its life‐threatening nature, CPVT remains potentially unnoticed since diagnosis may be difficult especially in apparently healthy athletes. This review summarizes current knowledge and shortcomings of CPVT, focusing on genetics, arrhythmic mechanisms, sport preparticipation screening, and current recommendations.ConclusionsThe paper captures the importance of CPVT athletes regarding the necessity of risk stratification, as well as the importance of maintaining a healthy lifestyle.

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Arrhythmias Beyond Atrial Fibrillation Detection Using Smartwatches: A Systematic Review

Cited by 14 publications

References 36 publications

Smartwatch detection of new-onset monomorphic ventricular tachycardia in pregnancy

Smartwatch detection of new-onset monomorphic ventricular tachycardia in pregnancy

The Bitemporal Lens Model—toward a holistic approach to chronic disease prevention with digital biomarkers

Athletes and suspected catecholaminergic polymorphic ventricular tachycardia: Awareness and current knowledge

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