{Reference Type}: Journal Article
{Title}: Validity of a smartwatch for detecting atrial fibrillation in patients after heart valve surgery: a prospective observational study.
{Author}: Müller M;Hanssen TA;Johansen D;Jakobsen Ø;Pedersen JE;Aamot Aksetøy IL;Rasmussen TB;Hartvigsen G;Skogen V;Thrane G;
{Journal}: Scand Cardiovasc J
{Volume}: 58
{Issue}: 1
{Year}: 2024 Dec
{Factor}: 1.992
{DOI}: 10.1080/14017431.2024.2353069
{Abstract}: <B>UNASSIGNED: </B>Atrial fibrillation (AF) is a common early arrhythmia after heart valve surgery that limits physical activity. We aimed to evaluate the criterion validity of the Apple Watch Series 5 single-lead electrocardiogram (ECG) for detecting AF in patients after heart valve surgery.<BR><B>UNASSIGNED: </B>We enrolled 105 patients from the University Hospital of North Norway, of whom 93 completed the study. All patients underwent single-lead ECG using the smartwatch three times or more daily on the second to third or third to fourth postoperative day. These results were compared with continuous 2-4 days ECG telemetry monitoring and a 12-lead ECG on the third postoperative day.<BR><B>UNASSIGNED: </B>On comparing the Apple Watch ECGs with the ECG monitoring, the sensitivity and specificity to detect AF were 91% (75, 100) and 96% (91, 99), respectively. The accuracy was 95% (91, 99). On comparing Apple Watch ECG with a 12-lead ECG, the sensitivity was 71% (62, 100) and the specificity was 92% (92, 100).<BR><B>UNASSIGNED: </B>The Apple smartwatch single-lead ECG has high sensitivity and specificity, and might be a useful tool for detecting AF in patients after heart valve surgery.