Standard and Precordial Leads Obtained With an Apple Watch

Abstract

Letters17 March 2020Standard and Precordial Leads Obtained With an Apple WatchMiguel Ángel Cobos Gil, MD, PhDMiguel Ángel Cobos Gil, MD, PhDInstituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain (M.Á.C.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-2018 Annals Author Insight Video - Miguel Angel Cobos Gil, MD, PhD In this video, Miguel Angel Cobos Gil, MD, PhD, offers additional insight into the article, "Standard and Precordial Leads Obtained With an Apple Watch." SectionsSupplemental MaterialAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Wearable health devices are becoming increasingly popular. The Apple Watch series 4 and 5 are the first wearable devices that allow consumers to generate electrocardiograms (ECGs) using the ECG app.Obtaining an ECG using an Apple Watch is as easy as opening the ECG app and touching the digital crown with a finger. The watch then records 30 seconds of a "single-channel ECG similar to a lead I ECG" (1). An associated app (ECG app) in the iPhone (Apple) can do a rhythm analysis and classify the recording as sinus rhythm, bradycardia, tachycardia, or atrial fibrillation or as inconclusive.... References1. U.S. Food and Drug Administration. De novo classification request for ECG app. Accessed at www.accessdata.fda.gov/cdrh_docs/reviews/DEN180044.pdf on 25 August 2019. Google Scholar2. Wilson FN, Johnston FD, MacLeod AG, et al. Electrocardiograms that represent the potential variations of a single electrode. Am Heart J. 1934;9:447-58. doi:10.1016/S0002-8703(34)90093-4 CrossrefGoogle Scholar3. Macfarlane PW, Veitch Lawrie TD. Comprehensive Electrocardiology: Theory and Practice in Health and Disease. 1st ed. vol 1. Oxford, United Kingdom: Pergamon Pr; 1989:323. Google Scholar4. De Gasperi RN, McCulloh DH. CR leads in cardiac emergencies: a preliminary study. Chest. 1991;99:904-10. [PMID: 2009793] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain (M.Á.C.)Acknowledgment: The author thanks Paloma del Álamo for providing the Apple Watch; Javier Cobos del Álamo for language corrections; Luisa Lozano Gallego and Ana Martín Gómez for recording the ECGs; and José Luis de Unzueta, José Juan Gómez de Diego, Daniel Morales Salinas, and Angela McInerney for contributing to the video.Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-2018.Reproducible Research Statement: Study protocol: See the Supplement. Statistical code: Not available. Data set: Available from Dr. Miguel Ángel Cobos Gil (e-mail, [email protected]com).This article was published at Annals.org on 26 November 2019. PreviousarticleNextarticle Advertisement Annals Author Insight Video - Miguel Angel Cobos Gil, MD, PhD In this video, Miguel Angel Cobos Gil, MD, PhD, offers additional insight into the article, "Standard and Precordial Leads Obtained With an Apple Watch." FiguresReferencesRelatedDetailsSee AlsoStandard and Precordial Leads Obtained With an Apple Watch Peter W. Macfarlane Standard and Precordial Leads Obtained With an Apple Watch Brian White-Guay Standard and Precordial Leads Obtained With an Apple Watch Miguel Ángel Cobos Gil Metrics Cited byEarly Changes in Acute Myocardial Infarction in Pigs: Achieving Early Detection with Wearable DevicesUsing a Smartwatch to Record Precordial Electrocardiograms: A Validation StudyUsing a smartwatch for the detection of loss of left ventricular capture in patients receiving cardiac resynchronization therapyThe use of smartwatch electrocardiogram beyond arrhythmia detectionMagnetic field interactions of smartwatches and portable electronic devices with CIEDs – Did we open a Pandora's box?Feasibility and diagnostic value of recording smartwatch electrocardiograms in neonates and childrenA New Method to Record an ECG With a Smartwatch in Newborns and Young ChildrenUsing the Apple Watch to Record Multiple-Lead Electrocardiograms in Detecting Myocardial Infarction: Where Are We Now?Feasibility and Reliability of Smartwatch to Obtain Precordial Lead Electrocardiogram RecordingsCurrent and Potential Applications of Wearables in Sports CardiologyToward Smart Monitoring with Phones, Watches, and Wearable SensorsSmart wearable devices in cardiovascular care: where we are and how to move forwardAdaptation of a handheld ECG recorder to obtain chest leadsDiagnostic sensitivity of a smartphone-based electrocardiographic monitoring system in patients with ST elevated myocardial infarction¿Hay algún médico a bordo? Por favor, traiga su electrocardiógrafoTwo Recently Described Methods of Recording Multi-Lead ECGs with an Apple WatchEpsilon wave detected by an Apple Watch Series 5 in a patient with biventricular arrhythmogenic cardiomyopathyDiagnostic Accuracy