Does the watch can detect cardiac arrhythmias?

KOZIEŁ, Paweł, GRODKIEWICZ, Maria, ARTYKIEWICZ, Klaudia, GORCZYCA, Kamila, CZARKOWSKI, Marcin, SŁUPCZYŃSKA, Aleksandra, URBAŚ, Weronika, PODGÓRSKA, Klaudia, PUŁA, Aleksandra & KRZYSIEK, Urszula. Does the watch can detect cardiac arrhythmias? Journal of Education, Health and Sport. 2023;13(2):293-298. eISSN 2391-8306. DOI https://dx.doi.org/10.12775/JEHS.2023.13.02.042 https://apcz.umk.pl/JEHS/article/view/41450 https://zenodo.org/record/7513150 The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343. Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences). Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159. Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu). © The Authors 2023; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 19.12.2022. Revised: 21.12.2022. Accepted: 08.01.2023. Does the watch can detect cardiac arrhythmias? Paweł Kozieł1, Maria Grodkiewicz1, Klaudia Artykiewicz3, Kamila Gorczyca3, Marcin Czarkowski2, Aleksandra Słupczyńska4, Weronika Urbaś2, Klaudia Podgórska3, Aleksandra Puła5, Urszula Krzysiek6 Paweł Kozieł – https://orcid.org/0000-0001-6069-6028, pawelkoziel61@gmail.com Maria Grodkiewicz – https://orcid.org/0000-0002-6243-9102, marysiagrodkiewicz@gmail.com Klaudia Artykiewicz – https://orcid.org/0000-0003-2912-4691, klaudiaartykiewicz@gmail.com Kamila Gorczyca - https://orcid.org/0000-0002-7976-0509, kamila.gorczyca@o2.pl Marcin Czarkowski - https://orcid.org/0000-0001-5663-2574, marcin.czarkowski98@gmail.com Aleksandra Słupczyńska - https://orcid.org/0000-0003-3615-002X, olaslup@gmail.com Weronika Urbaś - https://orcid.org/0000-0002-5260-2172, weronikaurbass@gmail.com Klaudia Podgórska - https://orcid.org/0000-0002-5109-900X, kpodgorska06@gmail.com Aleksandra Puła - https://orcid.org/0000-0001-9001-5051, aleksandrapula@gmail.com Urszula Krzysiek - https://orcid.org/0000-0002-4712-2334, urszula.krzysiek@onet.eu SKN przy Katedrze i Klinice Kardiologii, Uniwersytet Medyczny w Lublinie, Al. Racławickie 1, 20-059 Lublin Medical University of Lublin, Al. Racławickie 1, 20-059 Lublin Samodzielny Publiczny Szpital Kliniczny nr 4 w Lublinie, ul. Doktora Kazimierza Jaczewskiego 8, 20-954 Lublin Samodzielny Publiczny Szpital Kliniczny nr 1 w Lublinie, ul. Stanisława Staszica 16, 20-400 Lublin Wojewódzki Szpital Specjalistyczny im. Kardynała Stefana Wyszyńskiego SPZOZ w Lublinie Szpital SOLEC Spółka z Ograniczoną Odpowiedzialnością, ul. Solec 93, 00-382 Warszawa Corresponding author: Paweł Kozieł, pawelkoziel61@gmail.com Abstract Introduction and purpose: The prevalence of cardiac arrhythmias in the population is not exactly known. Since cardiac arrhythmias are often episodic, they cannot be detected by conventional methods such as electrocardiography (ECG), which takes only a few seconds to record. The purpose of this review is to analyze the latest information regarding the use of smart watches to detect cardiac arrhythmias. Material and methods: This review is based on available data collected in the PubMed database published between 2015 and 2022. The search was performed by browsing keywords such as: "smartwatch", "cardiac arrhythmia", "mHealth", "screening", "wearable devices". Results: The results suggest that the detection of atrial fibrillation (AF) using commercially available smartwatches shows very high diagnostic accuracy. Accuracy in smartwatch arrhythmia detection demonstrated a cumulative sensitivity of 100% (95% CI 1.00-1.00) in 16 studies with 5,050 participants. Sensitivity ranged from 25% (95% CI 0.14-0.36) to 100% (95% CI 1.00-1.00), specificity ranged from 68% (95% CI 0.65 -0.70) to 100% (95% Cl 1.00-1.00). Insufficient quality of the PPG signal resulted in the exclusion of some data in many studies. The analyzes showed no difference in diagnostic accuracy between photoplethysmography (PPG) and single-lead electrocardiography used in these devices. Conclusions: The prevalence of arrhythmias in the form of atrial fibrillation and other forms of arrhythmia in the middle-aged and older population is significant. This review highlights the increasing role of electronic devices in the detection of cardiac arrhythmias. Smartwatches show promising accuracy in detecting arrhythmias, but more research is needed to make this method of arrhythmia recognition a common screening method. Key words: smartwatch, cardiac arrhythmia, mHealth, screening, wearable devices