ArticleThe Permanente journal2019
Novel Use of Apple Watch 4 to Obtain 3-Lead Electrocardiogram and Detect Cardiac Ischemia.
Article in The Permanente journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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37 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- 2021 ISHNE/ HRS/ EHRA/ APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology/Heart Rhythm Society/European Heart Rhythm Association/Asia Pacific Heart Rhythm Society.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2021Guideline
- Innovative Technologies: Optimizing Nursing Practice.Computers, informatics, nursing : CIN · 2026Article
- Evaluation of ST-segment agreement between Spandan Pro and gold standard electrocardiogram for percutaneous coronary intervention decision-making.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025Article
- Artificial intelligence for electrocardiographic diagnosis of perioperative myocardial ischaemia: a scoping review.British journal of anaesthesia · 2025Article
- Determinants of Continuous Smartwatch Use and Data-Sharing Preferences With Physicians, Public Health Authorities, and Private Companies: Cross-Sectional Survey of Smartwatch Users.Journal of medical Internet research · 2025Article
- Smartwatch ECG and artificial intelligence in detecting acute coronary syndrome compared to traditional 12-lead ECG.International journal of cardiology. Heart & vasculature · 2025Article
- Remote Monitoring of Sympathovagal Imbalance During Sleep and Its Implications in Cardiovascular Risk Assessment: A Systematic Review.Bioengineering (Basel, Switzerland) · 2024Article
- Handheld 6-Lead ECG for Early Detection of Acute Inferior Wall ST-T Segment Elevation Myocardial Infarction: HINT-MI Study Design and Rationale.Medicina (Kaunas, Lithuania) · 2024Observational
- Factors influencing smartwatch use and comfort with health data sharing: a sequential mixed-method study protocol.BMJ open · 2024Article
- Application of Convolutional Neural Network for Decoding of 12-Lead Electrocardiogram from a Frequency-Modulated Audio Stream (Sonified ECG).Sensors (Basel, Switzerland) · 2024Article
- Detection of acute coronary occlusion with a novel mobile electrocardiogram device: a pilot study.European heart journal. Digital health · 2024Article
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- An augmented reality-based method to assess precordial electrocardiogram leads: a feasibility trial.European heart journal. Digital health · 2023Article
- Feasibility of patch-type wireless 12-lead electrocardiogram in laypersons.Scientific reports · 2023Article
- Early Changes in Acute Myocardial Infarction in Pigs: Achieving Early Detection with Wearable Devices.Diagnostics (Basel, Switzerland) · 2023Article
- Management for stroke intelligent early warning empowered by big data.Computers & electrical engineering : an international journal · 2023Article
- Using a Smartwatch to Record Precordial Electrocardiograms: A Validation Study.Sensors (Basel, Switzerland) · 2023Article
- Smart devices to measure and monitor QT intervals.Frontiers in cardiovascular medicine · 2023Review
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1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly recognition and treatment of ST-elevation myocardial infarction (STEMI) results in better outcomes.
objectivesTo describe a novel technique using the Apple Watch 4 (Apple Inc, Cupertino, CA) to obtain a 3-lead electrocardiogram (ECG) and confirm the watch's feasibility to detect cardiac ischemia in selective cases with a particular injury pattern.
methodsTwo male patients in the Emergency Department had STEMI apparent on their ECGs. These findings were compared with those from the Apple Watch 4, whose positioning was adjusted for 3-lead ECG.
resultsThe patients' real-time, watch-based, 3-lead ECG tracings matched the traditional ECGs demonstrating STEMI, confirming the potential ability of this device to uncover myocardial ischemia. In each patient, cardiac catheterization revealed severe, 100% occlusion of the right coronary artery.
conclusionThe Apple Watch 4 could lead to earlier detection of acute coronary artery disease, but sensitivity and specificity remain unknown.
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