Utility of smart watches for identifying arrhythmias in children
Abstract Background Arrhythmia symptoms are frequent complaints in children and often require a pediatric cardiology evaluation. Data regarding the clinical utility of wearable technologies are limited in children. We hypothesize that an Apple Watch can capture arrhythmias in children. Methods We pr...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-12-01
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| Series: | Communications Medicine |
| Online Access: | https://doi.org/10.1038/s43856-023-00392-9 |
| _version_ | 1827581410921152512 |
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| author | Aydin Zahedivash Henry Chubb Heather Giacone Nicole K. Boramanand Anne M. Dubin Anthony Trela Erin Lencioni Kara S. Motonaga William Goodyer Brittany Navarre Vishnu Ravi Paul Schmiedmayer Vasiliki Bikia Oliver Aalami Xuefeng B. Ling Marco Perez Scott R. Ceresnak |
| author_facet | Aydin Zahedivash Henry Chubb Heather Giacone Nicole K. Boramanand Anne M. Dubin Anthony Trela Erin Lencioni Kara S. Motonaga William Goodyer Brittany Navarre Vishnu Ravi Paul Schmiedmayer Vasiliki Bikia Oliver Aalami Xuefeng B. Ling Marco Perez Scott R. Ceresnak |
| author_sort | Aydin Zahedivash |
| collection | DOAJ |
| description | Abstract Background Arrhythmia symptoms are frequent complaints in children and often require a pediatric cardiology evaluation. Data regarding the clinical utility of wearable technologies are limited in children. We hypothesize that an Apple Watch can capture arrhythmias in children. Methods We present an analysis of patients ≤18 years-of-age who had signs of an arrhythmia documented by an Apple Watch. We include patients evaluated at our center over a 4-year-period and highlight those receiving a formal arrhythmia diagnosis. We evaluate the role of the Apple Watch in arrhythmia diagnosis, the results of other ambulatory cardiac monitoring studies, and findings of any EP studies. Results We identify 145 electronic-medical-record identifications of Apple Watch, and find arrhythmias confirmed in 41 patients (28%) [mean age 13.8 ± 3.2 years]. The arrythmias include: 36 SVT (88%), 3 VT (7%), 1 heart block (2.5%) and wide 1 complex tachycardia (2.5%). We show that invasive EP study confirmed diagnosis in 34 of the 36 patients (94%) with SVT (2 non-inducible). We find that the Apple Watch helped prompt a workup resulting in a new arrhythmia diagnosis for 29 patients (71%). We note traditional ambulatory cardiac monitors were worn by 35 patients (85%), which did not detect arrhythmias in 10 patients (29%). In 73 patients who used an Apple Watch for recreational or self-directed heart rate monitoring, 18 (25%) sought care due to device findings without any arrhythmias identified. Conclusion We demonstrate that the Apple Watch can record arrhythmia events in children, including events not identified on traditionally used ambulatory monitors. |
| first_indexed | 2024-03-08T22:35:00Z |
| format | Article |
| id | doaj.art-14b29a280a5e464e99aa68c1f184b39d |
| institution | Directory Open Access Journal |
| issn | 2730-664X |
| language | English |
| last_indexed | 2024-03-08T22:35:00Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Communications Medicine |
| spelling | doaj.art-14b29a280a5e464e99aa68c1f184b39d2023-12-17T12:28:20ZengNature PortfolioCommunications Medicine2730-664X2023-12-01311710.1038/s43856-023-00392-9Utility of smart watches for identifying arrhythmias in childrenAydin Zahedivash0Henry Chubb1Heather Giacone2Nicole K. Boramanand3Anne M. Dubin4Anthony Trela5Erin Lencioni6Kara S. Motonaga7William Goodyer8Brittany Navarre9Vishnu Ravi10Paul Schmiedmayer11Vasiliki Bikia12Oliver Aalami13Xuefeng B. Ling14Marco Perez15Scott R. Ceresnak16Stanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyStanford University, Stanford Byers Center for BiodesignStanford University, Stanford Byers Center for BiodesignStanford University, Stanford Byers Center for BiodesignStanford University, Stanford Byers Center for BiodesignStanford University, Department of SurgeryStanford University, Cardiovascular Medicine – Electrophysiology, Department of MedicineStanford University, Lucile Packard Children’s Hospital, Department of Pediatrics, Pediatric CardiologyAbstract Background Arrhythmia symptoms are frequent complaints in children and often require a pediatric cardiology evaluation. Data regarding the clinical utility of wearable technologies are limited in children. We hypothesize that an Apple Watch can capture arrhythmias in children. Methods We present an analysis of patients ≤18 years-of-age who had signs of an arrhythmia documented by an Apple Watch. We include patients evaluated at our center over a 4-year-period and highlight those receiving a formal arrhythmia diagnosis. We evaluate the role of the Apple Watch in arrhythmia diagnosis, the results of other ambulatory cardiac monitoring studies, and findings of any EP studies. Results We identify 145 electronic-medical-record identifications of Apple Watch, and find arrhythmias confirmed in 41 patients (28%) [mean age 13.8 ± 3.2 years]. The arrythmias include: 36 SVT (88%), 3 VT (7%), 1 heart block (2.5%) and wide 1 complex tachycardia (2.5%). We show that invasive EP study confirmed diagnosis in 34 of the 36 patients (94%) with SVT (2 non-inducible). We find that the Apple Watch helped prompt a workup resulting in a new arrhythmia diagnosis for 29 patients (71%). We note traditional ambulatory cardiac monitors were worn by 35 patients (85%), which did not detect arrhythmias in 10 patients (29%). In 73 patients who used an Apple Watch for recreational or self-directed heart rate monitoring, 18 (25%) sought care due to device findings without any arrhythmias identified. Conclusion We demonstrate that the Apple Watch can record arrhythmia events in children, including events not identified on traditionally used ambulatory monitors.https://doi.org/10.1038/s43856-023-00392-9 |
| spellingShingle | Aydin Zahedivash Henry Chubb Heather Giacone Nicole K. Boramanand Anne M. Dubin Anthony Trela Erin Lencioni Kara S. Motonaga William Goodyer Brittany Navarre Vishnu Ravi Paul Schmiedmayer Vasiliki Bikia Oliver Aalami Xuefeng B. Ling Marco Perez Scott R. Ceresnak Utility of smart watches for identifying arrhythmias in children Communications Medicine |
| title | Utility of smart watches for identifying arrhythmias in children |
| title_full | Utility of smart watches for identifying arrhythmias in children |
| title_fullStr | Utility of smart watches for identifying arrhythmias in children |
| title_full_unstemmed | Utility of smart watches for identifying arrhythmias in children |
| title_short | Utility of smart watches for identifying arrhythmias in children |
| title_sort | utility of smart watches for identifying arrhythmias in children |
| url | https://doi.org/10.1038/s43856-023-00392-9 |
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