The Apple Watch can detect atrial fibrillation: so what now?

被引:23
作者
Marcus, Gregory M. [1 ]
机构
[1] Univ Calif San Francisco, Div Cardiol, San Francisco, CA 94115 USA
关键词
RISK;
D O I
10.1038/s41569-019-0330-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The Apple Heart Study demonstrates that the Apple Watch can detect atrial fibrillation inferred from the smartwatch heart-rate sensor with a high positive predictive value. However, we must now contend with many clinically relevant unknowns that were not addressed by the study, such as the ramifications of a false-positive result.
引用
收藏
页码:135 / 136
页数:2
相关论文
共 9 条
[1]  
Benjamin EJ, 2017, CIRCULATION, V135, pE146, DOI [10.1161/CIR.0000000000000485, 10.1161/CIR.0000000000000558, 10.1161/CIR.0000000000000530]
[2]   Screening for Atrial Fibrillation With Electrocardiography US Preventive Services Task Force Recommendation Statement [J].
Curry, Susan J. ;
Krist, Alex H. ;
Owens, Douglas K. ;
Barry, Michael J. ;
Caughey, Aaron B. ;
Davidson, Karina W. ;
Doubeni, Chyke A. ;
Epling, John W., Jr. ;
Kemper, Alex R. ;
Kubik, Martha ;
Landefeld, C. Seth ;
Mangione, Carol M. ;
Silverstein, Michael ;
Simon, Melissa A. ;
Tseng, Chien-Wen ;
Wong, John B. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (05) :478-484
[3]   Cardiologist-level arrhythmia detection and classification in ambulatory electrocardiograms using a deep neural network [J].
Hannun, Awni Y. ;
Rajpurkar, Pranav ;
Haghpanahi, Masoumeh ;
Tison, Geoffrey H. ;
Bourn, Codie ;
Turakhia, Mintu P. ;
Ng, Andrew Y. .
NATURE MEDICINE, 2019, 25 (01) :65-+
[4]  
January CT, 2019, CIRCULATION, V140, pE125, DOI [10.1161/CIR.0000000000000665, 10.1016/j.jacc.2019.01.011]
[5]   The QT interval and risk of incident atrial fibrillation [J].
Mandyam, Mala C. ;
Soliman, Elsayed Z. ;
Alonso, Alvaro ;
Dewland, Thomas A. ;
Heckbert, Susan R. ;
Vittinghoff, Eric ;
Cummings, Steven R. ;
Ellinor, Patrick T. ;
Chaitman, Bernard R. ;
Stocke, Karen ;
Applegate, William B. ;
Arking, Dan E. ;
Butler, Javed ;
Loehr, Laura R. ;
Magnani, Jared W. ;
Murphy, Rachel A. ;
Satterfield, Suzanne ;
Newman, Anne B. ;
Marcus, Gregory M. .
HEART RHYTHM, 2013, 10 (10) :1562-1568
[6]   Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation [J].
Perez, Marco V. ;
Mahaffey, Kenneth W. ;
Hedlin, Haley ;
Rumsfeld, John S. ;
Garcia, Ariadna ;
Ferris, Todd ;
Balasubramanian, Vidhya ;
Russo, Andrea M. ;
Rajmane, Amol ;
Cheung, Lauren ;
Hung, Grace ;
Lee, Justin ;
Kowey, Peter ;
Talati, Nisha ;
Nag, Divya ;
Gummidipundi, Santosh E. ;
Beatty, Alexis ;
Hills, Mellanie True ;
Desai, Sumbul ;
Granger, Christopher B. ;
Desai, Manisha ;
Turakhia, Mintu P. .
NEW ENGLAND JOURNAL OF MEDICINE, 2019, 381 (20) :1909-1917
[7]   Development of a risk score for atrial fibrillation (Framingham Heart Study): a community-based cohort study [J].
Schnabel, Renate B. ;
Sullivan, Lisa M. ;
Levy, Daniel ;
Pencina, Michael ;
Massaro, Joseph M. ;
D'Agostino, Ralph B., Sr. ;
Newton-Cheh, Christopher ;
Yamamoto, Jennifer F. ;
Magnani, Jared W. ;
Tadros, Thomas M. ;
Kannel, William B. ;
Wang, Thomas J. ;
Ellinor, Patrick T. ;
Wolf, Philip A. ;
Vasan, Ramachandran S. ;
Benjamin, Emelia J. .
LANCET, 2009, 373 (9665) :739-745
[8]   Passive Detection of Atrial Fibrillation Using a Commercially Available Smartwatch [J].
Tison, Geoffrey H. ;
Sanchez, Jose M. ;
Ballinger, Brandon ;
Singh, Avesh ;
Olgin, Jeffrey E. ;
Pletcher, Mark J. ;
Vittinghoff, Eric ;
Lee, Emily S. ;
Fan, Shannon M. ;
Gladstone, Rachel A. ;
Mikell, Carlos ;
Sohoni, Nimit ;
Hsieh, Johnson ;
Marcus, Gregory M. .
JAMA CARDIOLOGY, 2018, 3 (05) :409-416
[9]   High-performance medicine: the convergence of human and artificial intelligence [J].
Topol, Eric J. .
NATURE MEDICINE, 2019, 25 (01) :44-56