ESC working group on e-cardiology position paper: use of commercially available wearable technology for heart rate and activity tracking in primary and secondary cardiovascular prevention—in collaboration with the European Heart Rhythm Association, European Association of Preventive Cardiology, Association of Cardiovascular Nursing and Allied Professionals, Patient Forum, and the Digital Health Committee
Open accessAbstract
Commercially available health technologies such as smartphones and smartwatches, activity trackers and eHealth applications, commonly referred to as wearables, are increasingly available and used both in the leisure and healthcare sector for pulse and fitness/activity tracking. The aim of the Position Paper is to identify specific barriers and knowledge gaps for the use of wearables, in particular for heart rate (HR) and activity tracking, in clinical cardiovascular healthcare to support their implementation into clinical care. The widespread use of HR and fitness tracking technologies provides unparalleled opportunities for capturing physiological information from large populations in the community, which has previously only been available in patient populations in the setting of healthcare provision. The availability of low-cost and high-volume physiological data from the community also provides unique challenges. While the number of patients meeting healthcare providers with data from wearables is rapidly growing, there are at present no clinical guidelines on how and when to use data from wearables in primary and secondary prevention. Technical aspects of HR tracking especially during activity need to be further validated. How to analyse, translate, and interpret large datasets of information into clinically applicable recommendations needs further consideration. While the current users of wearable technologies tend to be young, healthy and in the higher sociodemographic strata, wearables could potentially have a greater utility in the elderly and higher-risk population. Wearables may also provide a benefit through increased health awareness, democratization of health data and patient engagement. Use of continuous monitoring may provide opportunities for detection of risk factors and disease development earlier in the causal pathway, which may provide novel applications in both prevention and clinical research. However, wearables may also have potential adverse consequences due to unintended modification of behaviour, uncertain use and interpretation of large physiological data, a possible increase in social inequality due to differential access and technological literacy, challenges with regulatory bodies and privacy issues. In the present position paper, current applications as well as specific barriers and gaps in knowledge are identified and discussed in order to support the implementation of wearable technologies from gadget-ology into clinical cardiology.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The constant flow of digital health information can motivate some individuals to engage in healthy behaviors, but may also inadvertently contribute to obsessive symptom monitoring, increased anxiety, and greater health care use in others.
“While the constant flow of digital health information can motivate some individuals to engage in healthy behaviors, these data may also inadvertently contribute to obsessive symptom monitoring, increased anxiety, and greater health care use in others.”
From Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation (2024) · cites this paper as [7]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
McDonagh, T. A., Metra, M., Adamo, M., Gardner, R. S., Baumbach, A., Böhm, M., Burri, H., Butler, J., Čelutkienė, J., Chioncel, O. D., et al. (2021) · PubMed · doi:10.1093/eurheartj/ehab670 · Cited by 19,618 · see citing works
Heart Rate Variability: Standards of Measurement, Physiological Interpretation, and Clinical Use
Electrophysiology, T. F. O. T. E. S. O. C. T. N. A. (1996) · Circulation · doi:10.1161/01.cir.93.5.1043 · Cited by 17,159 · see citing works
Heart rate variability: Standards of measurement, physiological interpretation, and clinical use
Malik, M., Bigger, J. T., Camm, A. J., Kleiger, R. E., Malliani, A., Moss, A. J., & Schwartz, P. J. (1996) · European Heart Journal · doi:10.1093/oxfordjournals.eurheartj.a014868 · Cited by 15,289 · see citing works
2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure
Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G. F., Coats, A. J. S., Falk, V., González-Juanatey, J. R., Harjola, V.-P., Jankowska, E. A., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw128 · Cited by 11,429 · see citing works
Self-citationPhotoplethysmography and its application in clinical physiological measurement
Allen, J. (2007) · Physiological Measurement · doi:10.1088/0967-3334/28/3/r01 · Cited by 3,967 · see citing works
Hindricks, G., Potpara, T., Dagres, N., Arbelo, E., Bax, J., Blomström-Lundqvist, C., Boriani, G., Castellá, M., Dan, G., Dilaveris, P. E., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa612 · Cited by 2,605 · see citing works
Self-citationPrevalence of Asymptomatic SARS-CoV-2 Infection
Oran, D. P., & Topol, E. J. (2020) · Annals of Internal Medicine · doi:10.7326/m20-3012 · Cited by 2,280 · see citing works
Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation
Perez, M. V., Mahaffey, K. W., Hedlin, H., Rumsfeld, J. S., Garcia, A., Ferris, T., Balasubramanian, V., Russo, A. M., Rajmane, A., Cheung, L., et al. (2019) · New England Journal of Medicine · doi:10.1056/nejmoa1901183 · Cited by 1,917 · see citing works
Heart rate and cardiovascular mortality: The Framingham study
Kannel, W. B., Kannel, C., Paffenbarger, R. S., & Cupples, L. A. (1987) · American Heart Journal · doi:10.1016/0002-8703(87)90666-1 · Cited by 1,292 · see citing works
Systematic review of the validity and reliability of consumer-wearable activity trackers
Evenson, K. R., Goto, M. M., & Furberg, R. D. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0314-1 · Cited by 1,232 · see citing works
Dorsey, E. R., & Topol, E. J. (2016) · New England Journal of Medicine · doi:10.1056/nejmra1601705 · Cited by 1,211 · see citing works
Friberg, L., Rosenqvist, M., & Lip, G. Y. H. (2012) · European Heart Journal · doi:10.1093/eurheartj/ehr488 · Cited by 1,192 · see citing works
Clinical Features of 85 Fatal Cases of COVID-19 from Wuhan. A Retrospective Observational Study
Du, Y., Tu, L., Zhu, P., Mu, M., Wang, R., Yang, P., Wang, X., Hu, C., Ping, R., Hu, P., et al. (2020) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202003-0543oc · Cited by 950 · see citing works
Understanding tailoring in communicating about health
Hawkins, R. P., Kreuter, M., Resnicow, K., Fishbein, M., & Dijkstra, A. (2008) · Health Education Research · doi:10.1093/her/cyn004 · Cited by 934 · see citing works
Parati, G., Saul, J. P., Di Rienzo, M., & Mancia, G. (1995) · Hypertension · doi:10.1161/01.hyp.25.6.1276 · Cited by 849 · see citing works
Self-citationZhang, Z., Pi, Z., & Liu, B. (2014) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2014.2359372 · Cited by 759 · see citing works
Dyer, A. R., Persky, V., Stamler, J., Paul, O., Shekelle, R. B., Berkson, D. M., Lepper, M. M., Schoenberger, J. A., & Lindberg, H. A. (1980) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113046 · Cited by 553 · see citing works
Henriksen, A., Haugen Mikalsen, M., Woldaregay, A. Z., Muzny, M., Hartvigsen, G., Hopstock, L. A., & Grimsgaard, S. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9157 · Cited by 542 · see citing works
Steinhubl, S. R., Waalen, J., Edwards, A. M., Ariniello, L. M., Mehta, R. R., Ebner, G. S., Carter, C., Baca-Motes, K., Felicione, E., Sarich, T., et al. (2018) · JAMA · doi:10.1001/jama.2018.8102 · Cited by 539 · see citing works
Hillebrand, S., Gast, K. B., de Mutsert, R., Swenne, C. A., Jukema, J. W., Middeldorp, S., Rosendaal, F. R., & Dekkers, O. M. (2013) · EP Europace · doi:10.1093/europace/eus341 · Cited by 515 · see citing works
Mobile Photoplethysmographic Technology to Detect Atrial Fibrillation
Guo, Y., Wang, H., Zhang, H., Liu, T., Liang, Z., Xia, Y., Yan, L., Xing, Y., Shi, H., Li, S., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2019.08.019 · Cited by 489 · see citing works
Smartwatch Algorithm for Automated Detection of Atrial Fibrillation
Bumgarner, J. M., Lambert, C. T., Hussein, A. A., Cantillon, D. J., Baranowski, B., Wolski, K., Lindsay, B. D., Wazni, O. M., & Tarakji, K. G. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.03.003 · Cited by 446 · see citing works
Self-assembled three dimensional network designs for soft electronics
Jang, K.-I., Li, K., Chung, H. U., Xu, S., Jung, H. N., Yang, Y., Kwak, J. W., Jung, H. H., Song, J., Yang, C., et al. (2017) · Nature Communications · doi:10.1038/ncomms15894 · Cited by 445 · see citing works
Dinh-Le, C., Chuang, R., Chokshi, S. K., & Mann, D. (2019) · JMIR mhealth and uhealth · doi:10.2196/12861 · Cited by 416 · see citing works
Sajadieh, A. (2004) · European Heart Journal · doi:10.1016/j.ehj.2003.12.003 · Cited by 393 · see citing works
Accuracy of wrist-worn heart rate monitors
Wang, R., Blackburn, G., Desai, M., Phelan, D., Gillinov, L., Houghtaling, P., & Gillinov, M. (2017) · JAMA Cardiology · doi:10.1001/jamacardio.2016.3340 · Cited by 386 · see citing works
Availability and quality of mobile health app privacy policies
Sunyaev, A., Dehling, T., Taylor, P. L., & Mandl, K. D. (2015) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-002605 · Cited by 360 · see citing works
Accuracy of Heart Rate Watches: Implications for Weight Management
Wallen, M. P., Gomersall, S. R., Keating, S. E., Wisløff, U., & Coombes, J. S. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154420 · Cited by 336 · see citing works
Heart rate variability as predictive factor for sudden cardiac death
Sessa, F., Valenzano, A. A., Messina, G., Cibelli, G., Monda, V., Marsala, G., Ruberto, M. F., Biondi, A., Cascio, O., Bertozzi, G., et al. (2018) · Aging · doi:10.18632/aging.101386 · Cited by 320 · see citing works
Jensen, M. T., Suadicani, P., Hein, H. O., & Gyntelberg, F. (2013) · Heart · doi:10.1136/heartjnl-2012-303375 · Cited by 297 · see citing works
Self-citationWearable Sensing and Telehealth Technology with Potential Applications in the Coronavirus Pandemic
Ding, X., Clifton, D., Ji, N., Lovell, N. H., Bonato, P., Chen, W., Yu, X., Xue, Z., Xiang, T., Long, X., et al. (2021) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2020.2992838 · Cited by 281 · see citing works
Stahl, S. E., An, H.-S., Dinkel, D. M., Noble, J. M., & Lee, J.-M. (2016) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2015-000106 · Cited by 276 · see citing works
Luks, A. M., & Swenson, E. R. (2020) · Annals of the American Thoracic Society · doi:10.1513/annalsats.202005-418fr · Cited by 263 · see citing works
Wearable technology for cardiology: An update and framework for the future
Pevnick, J. M., Birkeland, K. T., Zimmer, R. J., Elad, Y., & Kedan, I. (2017) · Trends in Cardiovascular Medicine · doi:10.1016/j.tcm.2017.08.003 · Cited by 157 · see citing works
Aronsson, M., Svennberg, E., Rosenqvist, M., Engdahl, J., Al-Khalili, F., Friberg, L., Frykman-Kull, V., & Levin, L.-Å. (2015) · Europace · doi:10.1093/europace/euv083 · Cited by 154 · see citing works
Midlife Cardiorespiratory Fitness and the Long-Term Risk of Mortality
Clausen, J. S. R., Marott, J. L., Holtermann, A., Gyntelberg, F., & Jensen, M. T. (2018) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.06.045 · Cited by 152 · see citing works
Self-citationResting heart rate is a predictor of mortality in COPD
Jensen, M. T., Marott, J. L., Lange, P., Vestbo, J., Schnohr, P., Nielsen, O. W., Jensen, J. S., & Jensen, G. B. (2012) · European Respiratory Journal · doi:10.1183/09031936.00072212 · Cited by 148 · see citing works
Self-citationJensen, M. T., Marott, J. L., Allin, K. H., Nordestgaard, B. G., & Jensen, G. B. (2011) · European Journal of Preventive Cardiology · doi:10.1177/1741826710394274 · Cited by 134 · see citing works
Self-citationPalatini, P., Dorigatti, F., Zaetta, V., Mormino, P., Mazzer, A., Bortolazzi, A., D'Este, D., Pegoraro, F., Milani, L., & Mos, L. (2006) · Journal of Hypertension · doi:10.1097/01.hjh.0000242413.96277.5b · Cited by 131 · see citing works
Management of the hypertensive patient with elevated heart rate
Palatini, P., Rosei, E. A., Casiglia, E., Chalmers, J. P., Ferrari, R., Grassi, G. M., Inoue, T., Jelaković, B., Jensen, M. T., Julius, S., et al. (2016) · Journal of Hypertension · doi:10.1097/hjh.0000000000000865 · Cited by 131 · see citing works
Self-citationAccuracy of smartphone apps for heart rate measurement
Coppetti, T., Brauchlin, A. E., Müggler, S. A., Attinger‐Toller, A., Templin, C., Schoenrath, F., Hellermann, J. P., Lüscher, T. F., Biaggi, P., & Wyss, C. A. (2017) · European Journal of Preventive Cardiology · doi:10.1177/2047487317702044 · Cited by 130 · see citing works
Smart watches for heart rate assessment in atrial arrhythmias
Koshy, A. N., Sajeev, J., Nerlekar, N., Brown, A. J., Rajakariar, K., Zureik, M., Wong, M. C. G., Roberts, L., Street, M., Cooke, J. C., et al. (2018) · International Journal of Cardiology · doi:10.1016/j.ijcard.2018.02.073 · Cited by 127 · see citing works
Hillis, G. S., Woodward, M., Rodgers, A., Chow, C. K., Li, Q., Zoungas, S., Patel, A., Webster, R., Batty, G. D., Ninomiya, T., et al. (2012) · Diabetologia · doi:10.1007/s00125-012-2471-y · Cited by 117 · see citing works
Autonomic Dysfunction Precedes Development of Rheumatoid Arthritis: A Prospective Cohort Study
Koopman, F. A., Tang, M. W., Vermeij, J., de Hair, M. J. H., Choi, I. Y. K., Vervoordeldonk, M. J., Gerlag, D. M., Karemaker, J. M., & Tak, P. P. (2016) · EBioMedicine · doi:10.1016/j.ebiom.2016.02.029 · Cited by 117 · see citing works
Tedesco, S., Sica, M., Ancillao, A., Timmons, S., Barton, J., & O’Flynn, B. (2019) · PLOS ONE · doi:10.1371/journal.pone.0216891 · Cited by 116 · see citing works
Pluymaekers, N. A. H. A., Hermans, A. N. L., van der Velden, R. M. J., Gawalko, M. M., den Uijl, D. W., Buskes, S., Vernooy, K., Crijns, H. J. G. M., Hendriks, J., & Linz, D. (2020) · EP Europace · doi:10.1093/europace/euaa201 · Cited by 112 · see citing works
Pokushalov, E. A., Romanov, A. B., CORBUCCI, G., Николаевич, А. С., Туров, А. Н., Shirokova, N., & Karaskov, A. M. (2010) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2010.01923.x · Cited by 110 · see citing works
Personalization in Real-Time Physical Activity Coaching Using Mobile Applications: A Scoping Review
Monteiro-Guerra, F., Rivera-Romero, O., Fernández-Luque, L., & Caulfield, B. (2019) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2019.2947243 · Cited by 98 · see citing works
Strik, M., Caillol, T., Ramirez, F. D., Abu-Alrub, S., Marchand, H., Welté, N., Ritter, P., Haı̈ssaguerre, M., Ploux, S., & Bordachar, P. (2020) · Circulation · doi:10.1161/circulationaha.120.048253 · Cited by 96 · see citing works
High-Throughput, Contact-Free Detection of Atrial Fibrillation From Video With Deep Learning
Yan, B. P., Lai, W. H. S., Chan, C. K. Y., Au, A. C. K., Freedman, B., Poh, Y. C., & Poh, M.-Z. (2020) · JAMA Cardiology · doi:10.1001/jamacardio.2019.4004 · Cited by 94 · see citing works
Treskes, R. W., van Winden, L. A. M., van Keulen, N., van der Velde, E. T., Beeres, S. L. M. A., Atsma, D. E., & Schalij, M. J. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.2165 · Cited by 92 · see citing works
Self-citationBruining, N., Caiani, E., Chronaki, C., Guzik, P., & van der Velde, E. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487314552604 · Cited by 81 · see citing works
Self-citationZhuo, K., Gao, C., Wang, X., Zhang, C., & Wang, Z. (2020) · General Psychiatry · doi:10.1136/gpsych-2020-100260 · Cited by 81 · see citing works
The Accuracy of Heart Rate Monitoring by Some Wrist-Worn Activity Trackers
Cadmus‐Bertram, L., Gangnon, R. E., Wirkus, E. J., Thraen-Borowski, K. M., & Gorzelitz, J. (2017) · Annals of Internal Medicine · doi:10.7326/l16-0353 · Cited by 80 · see citing works
Parati, G., Torlasco, C., Omboni, S., & Pellegrini, D. (2017) · Current Hypertension Reports · doi:10.1007/s11906-017-0743-0 · Cited by 75 · see citing works
Self-citationResting heart rate and relation to disease and longevity: past, present and future
Jensen, M. T. (2019) · Scandinavian Journal of Clinical and Laboratory Investigation · doi:10.1080/00365513.2019.1566567 · Cited by 75 · see citing works
Self-citationRyan, J. C., Edney, S. M., & Maher, C. A. (2019) · BMC Psychology · doi:10.1186/s40359-019-0315-y · Cited by 74 · see citing works
Characteristics and Strength of Evidence of COVID-19 Studies Registered on ClinicalTrials.gov
Pundi, K. N., Perino, A. C., Harrington, R. A., et al. (2020) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2020.2904 · Cited by 69 · see citing works
Unintended Consequences of Wearable Sensor Use in Healthcare
McCaldin, D., Wang, W. K., Schreier, G., Lovell, N. H., Marschollek, M., Redmond, S. J., & Schukat, M. (2016) · Yearbook of Medical Informatics · doi:10.15265/iy-2016-025 · Cited by 66 · see citing works
Sartor, F., Gelissen, J., van Dinther, R., Roovers, D., Papini, G. B., & Coppola, G. (2018) · BMC Sports Science, Medicine and Rehabilitation · doi:10.1186/s13102-018-0098-0 · Cited by 65 · see citing works
Physical activity and cause-specific mortality in men: Further evidence from the Whitehall study
Batty, G. D., Shipley, M. J., Marmot, M. G., & Smith, G. D. (2001) · European Journal of Epidemiology · doi:10.1023/a:1015609909969 · Cited by 63 · see citing works
Werhahn, S. M., Dathe, H., Rottmann, T., Franke, T., Vahdat, D., Hasenfuß, G., & Seidler, T. (2019) · ESC Heart Failure · doi:10.1002/ehf2.12425 · Cited by 59 · see citing works
Hermans, A. N. L., van der Velden, R. M. J., Gawalko, M. M., Verhaert, D. V. M., Desteghe, L., Duncker, D., Manninger, M., Heidbüchel, H., Pisters, R., Hemels, M. E. W., et al. (2020) · Clinical Cardiology · doi:10.1002/clc.23469 · Cited by 57 · see citing works
Self-citationCardiorespiratory fitness and death from cancer: a 42-year follow-up from the Copenhagen Male Study
Jensen, M. T., Holtermann, A., Bay, H., & Gyntelberg, F. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096860 · Cited by 56 · see citing works
Self-citationCronin, E. M., Bogun, F. M., Maury, P., Peichl, P., Chen, M., Namboodiri, N., Aguinaga, L., Leite, L. R., Al‐Khatib, S. M., Anter, E., et al. (2020) · EP Europace · doi:10.1093/europace/euz332 · Cited by 55 · see citing works
Yan, B. P., Chan, C. K., Li, C. K., To, O. T., Lai, W. H., Tse, G., Poh, Y. C., & Poh, M.-Z. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7275 · Cited by 50 · see citing works
Role of wearable rhythm recordings in clinical decision making—The <scp>wEHRAbles</scp> project
Manninger, M., Kosiuk, J., Zweiker, D., Njeim, M., Antolic, B., Kircanski, B., Larsen, J. M., Svennberg, E., Vanduynhoven, P., & Duncker, D. (2020) · Clinical Cardiology · doi:10.1002/clc.23404 · Cited by 50 · see citing works
Self-citationButler, M. J., Crowe, J. A., Hayes‐Gill, B., & Rodmell, P. I. (2016) · Physiological Measurement · doi:10.1088/0967-3334/37/5/n27 · Cited by 45 · see citing works
Varma, N., Marrouche, N. F., Aguinaga, L., Albert, C. M., Arbelo, E., Choi, J., Chung, M. K., Conte, G., Dagher, L., Epstein, L. M., et al. (2020) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2020.06.019 · Cited by 44 · see citing works
Nielsen, J. C., Kautzner, J., Casado-Arroyo, R., Burri, H., Callens, S., Cowie, M., Dickstein, K., Drossart, I., Geneste, G., Erkin, Z., et al. (2020) · EP Europace · doi:10.1093/europace/euaa168 · Cited by 39 · see citing works
Self-citationSmartphone accelerometers for the detection of heart rate
Landreani, F., & Caiani, E. G. (2017) · Expert Review of Medical Devices · doi:10.1080/17434440.2017.1407647 · Cited by 34 · see citing works
Self-citationVarma, N., Marrouche, N. F., Aguinaga, L., Albert, C. M., Arbelo, E., Choi, J., Chung, M. K., Conte, G., Dagher, L., Epstein, L. M., et al. (2020) · Journal of Arrhythmia · doi:10.1002/joa3.12389 · Cited by 32 · see citing works
Höchsmann, C., Knaier, R., Infanger, D., & Schmidt‐Trucksäss, A. (2019) · Physiological Measurement · doi:10.1088/1361-6579/ab635f · Cited by 31 · see citing works
Self-citationMobile health in adults with congenital heart disease: current use and future needs
Schuuring, M. J., Backx, A., Zwart, R., Veelenturf, A., Robbers‐Visser, D., Groenink, M., Abu–Hanna, A., Bruining, N., Schijven, M. P., Mulder, B. J. M., et al. (2016) · Netherlands Heart Journal · doi:10.1007/s12471-016-0901-z · Cited by 30 · see citing works
Self-citationVarma, N., Marrouche, N. F., Aguinaga, L., Albert, C. M., Arbelo, E., Choi, J., Chung, M. K., Conte, G., Dagher, L., Epstein, L. M., et al. (2020) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.120.009007 · Cited by 30 · see citing works
Alosco, M. L., Spitznagel, M. B., Cohen, R. A., Sweet, L. H., Hayes, S. M., Josephson, R., Hughes, J. W., & Gunstad, J. (2015) · Journal of Cardiac Failure · doi:10.1016/j.cardfail.2014.12.010 · Cited by 29 · see citing works
Repeated Heart Rate Measurement and Cardiovascular Outcomes in Left Ventricular Systolic Dysfunction
Hamill, V., Ford, I., Fox, K., et al. (2015) · The American Journal of Medicine · doi:10.1016/j.amjmed.2015.04.042 · Cited by 25 · see citing works
Inoue, T., Iseki, K., Iseki, C., et al. (2011) · Angiology · doi:10.1177/0003319711428071 · Cited by 24 · see citing works
Elevations in time-varying resting heart rate predict subsequent all-cause mortality in older adults
Hartaigh, B. Ó., Allore, H. G., Trentalange, M. J., McAvay, G., Pilz, S., Dodson, J. A., & Gill, T. M. (2014) · European Journal of Preventive Cardiology · doi:10.1177/2047487313519932 · Cited by 24 · see citing works
Screening for Atrial Fibrillation Comes With Many Snags
Mandrola, J. M., Foy, A., & Naccarelli, G. V. (2018) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2018.4038 · Cited by 24 · see citing works
O’Driscoll, R., Turicchi, J., Hopkins, M., Gibbons, C., Larsen, S. C., Palmeira, A. L., Heitmann, B. L., Horgan, G. W., Finlayson, G., & Stubbs, R. J. (2019) · Health and Technology · doi:10.1007/s12553-019-00392-7 · Cited by 24 · see citing works
Kraal, J. J., Sartor, F., Papini, G. B., Stut, W. J. J., Peek, N. B., Kemps, H., & Bonomi, A. (2016) · European Journal of Preventive Cardiology · doi:10.1177/2047487316667786 · Cited by 21 · see citing works
Self-citationDetecting and monitoring arrhythmia recurrence following catheter ablation of atrial fibrillation
Ajijola, O. A., Boyle, N. G., & Shivkumar, K. (2015) · Frontiers in Physiology · doi:10.3389/fphys.2015.00090 · Cited by 20 · see citing works
Herkert, C., Kraal, J. J., van Loon, E. M. A., van Hooff, M., & Kemps, H. M. C. (2019) · JMIR mHealth and uHealth · doi:10.2196/15045 · Cited by 19 · see citing works
Self-citationGraham, I. M., Filippatos, G. S., Atar, D., et al. (2017) · European Heart Journal · doi:10.1093/eurheartj/ehx600 · Cited by 14 · see citing works
Use of a Smartwatch for Assessment of the QT Interval in Outpatients with Coronavirus Disease 2019
Chinitz, J. S., Goyal, R., Morales, D. C., Harding, M., Selim, S., & Epstein, L. M. (2020) · Journal of Innovations in Cardiac Rhythm Management · doi:10.19102/icrm.2020.1100904 · Cited by 11 · see citing works
Office and out of office heart rate measurements: which clinical value?
Palatini, P., Parati, G., & Julius, S. (2008) · Journal of Hypertension · doi:10.1097/hjh.0b013e32830b5f60 · Cited by 5 · see citing works
Self-citationMore clinical warning indicators should be explored for monitoring COVID-19 patients' condition
Yang, C., Yang, J., Yang, J., et al. (2020) · International Journal of Cardiology · doi:10.1016/j.ijcard.2020.04.010 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation
Rosman, L., Lampert, R., Zhuo, S., Li, Q., Varma, N., Burg, M., Gaffey, A. E., Armbruster, T., & Gehi, A. (2024) · Journal of the American Heart Association · doi:10.1161/jaha.123.033750 · Cited by 65 · see citing works
Femiano, R., Werner, C., Wilhelm, M., & Eser, P. (2022) · Gait & Posture · doi:10.1016/j.gaitpost.2021.11.035 · Cited by 31 · see citing works
Validity of heart rate measurements in wrist-based monitors across skin tones during exercise
Hung, S. H., Serwa, K., Rosenthal, G., & Eng, J. J. (2025) · PLOS ONE · doi:10.1371/journal.pone.0318724 · Cited by 21 · see citing works
Managing athletes with palpitations of unknown origin with an external loop recorder: A cohort study
SCIARRA, L., CAVARRETTA, E., SICILIANI, S., SETTE, A., SCARÀ, A., GRIECO, D., DE RUVO, E., PALAMÀ, Z., NESTI, M., ROMANO, S., et al. (2022) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.21.12831-2 · Cited by 15 · see citing works
- Authors
- Jensen, M. T., Treskes, R. W., Caiani, E. G., Casado-Arroyo, R., Cowie, M. R., Dilaveris, P., Duncker, D., Di Rienzo, M., Frederix, I., De Groot, N., Kolh, P. H., Kemps, H., Mamas, M., McGreavy, P., Neubeck, L., Parati, G., Platonov, P. G., Schmidt-Trucksäss, A., Schuuring, M. J., Simova, I., Svennberg, E., Verstrael, A., & Lumens, J.
- Affiliations
- Amager Hospital (DK)
- Leiden University Medical Center (NL)
- National Research Council (IT)
- Department of Cardiology, Erasme Hospital, Université Libre de Bruxelles , Route de Lennik 808, 1070 Brussels,
- Department of Cardiology, Royal Bromptom Hospital , Sydney St, Chelsea, London SW3 6NP,
- Hippocration General Hospital (GR)
- Medizinische Hochschule Hannover (DE)
- Department of Biomedical Technology, IRCCS Fondazione Don Carlo Gnocchi, 20121 Milano, Italy
- University of Antwerp (BE)
- Department of Cardiology, Erasmus University Medical Center , Doctor Molewaterplein 40, 3015 GD Rotterdam,
- Centre Hospitalier Universitaire de Liège (BE)
- Máxima Medisch Centrum (NL)
- University Hospitals of North Midlands NHS Trust (GB)
- European Society of Cardiology (FR)
- Edinburgh Napier University (GB)
- IRCCS Istituto Auxologico Italiano (IT)
- Lund University (SE)
- Department of Sport, Exercise and Health, University of Basel , Birsstrasse 320 B, 4052 Basel,
- Amsterdam University Medical Centers (NL)
- Medical University Pleven (BG)
- Karolinska University Hospital (SE)
- Maastricht University Medical Centre (NL)
- Corresponding author
- Jensen, Magnus T
- ORCID
- Venue
- European Heart Journal - Digital Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-02-08
- Volume
- 2
- Issue
- 1
- Pages
- 49-59
- ISSN
- 2634-3916 (ISSN-L)
- PMC
- PMC9753086
- OpenAlex
- W3127871879
- Cited by
- 93
- References
- 89
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 24 · 2023: 19 · 2022: 14 · 2021: 9
- FWCI
- 18.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- European Heart Journal - Digital Health (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by-nc)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- TU/e Research Portal (publishedVersion, cc-by-nd)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion, other-oa)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- Research Output (Edinburgh Napier University) (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- wearable devices, heart rate monitoring, activity monitoring, primary prevention, secondary prevention, cardiovascular disease prevention, continuous physiological monitoring, patient engagement, health disparities, privacy, regulatory challenges, behavior modification
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
