A study from Stanford School of Medicine has revealed the potential role of smartwatches in detecting abnormal heart rhythms in children. Traditional cardiac diagnostic methods often struggle both to be suitable for children and to consistently monitor and identify sporadic heart abnormalities. Smartwatches could be a possible solution to these issues.
The research was based on a review of electronic medical records from pediatric cardiology patients at Stanford Medicine Children’s Health. Over a four-year period, the phrase Apple Watch was referenced 145 times in their medical records. Of those mentions, abnormal heart rhythms were confirmed in 41 cases using standard diagnostic methods. Importantly, 29 of these diagnoses were made for the first time, demonstrating the potential of the Apple Watch in detecting heart rhythm irregularities in children.
Senior study author and professor of pediatrics, Dr. Scott Ceresnak, expressed his surprise at the instances where standard monitoring missed heart irregularities detected by the smartwatch. He noted the power of emerging technology like smartwatches to transform patient care.
Based on these findings, the researchers make a compelling case for designing smartwatch algorithms specifically for analyzing children’s heart rhythm data. The team analyzed patients' electronic medical records from 2018 to 2022 for Apple Watch mentions. They confirmed patients who had submitted smartwatch data and had a diagnosis of heart arrhythmia, including high heart rate alerts and patient-led electrocardiograms.
Of the 145 mentions of the smartwatch, 41 confirmed arrhythmia cases were found. Among them, 18 had collected an ECG via their watch, and 23 had received a high heart rate alert. The smartwatch data guided doctors' medical assessments, resulting in 29 new arrhythmia diagnoses and identifying missed arrhythmias in 10 cases.
Patient Connor Heinz was diagnosed with supraventricular tachycardia, a common condition in kids that causes a sequence of rapid heartbeats from the heart's upper chambers. Although not lethal, these irregular heartbeats can lead to discomfort and distress in children. It typically originates from a small, short electrical circuit in the heart, and can be treated with a procedure called a catheter ablation, where the area of heart cells causing the short circuit is eliminated.
In conclusion, by going through the medical records of 73 patients with smartwatches but without heart rhythm abnormalities, it was noted that this technology could help rule out serious conditions. The researchers are now planning an additional study to further evaluate the effectiveness of Apple Watch in detecting heart problems in pediatric patients, with comparison to traditional diagnostic equipment. They aim to verify the reliability and accuracy of smartwatches and consider the development of algorithms specific to pediatric heart rhythm monitoring.