Acute cardiac care & resuscitation

Automated cardiac arrest detection and emergency service alerting using device-independent smartwatch technology: proof-of-principle

ResuscitationPublished proof-of-principle

Authors' conclusion

This study demonstrates the feasibility of detecting circulatory arrest using commercially available smartwatch sensors, achieving high sensitivity and specificity. Additionally, we integrated an automated alerting system with emergency networks to notify first responders. While this technology shows promise to improve survival, higher specificity is needed to prevent overburdening EMS. Future research should focus on real-world validation using actual cardiac arrest data.

Study context

Population
Volunteers undergoing temporarily restricted blood flow to the arm using a cuff, patients undergoing cardioplegic cardiac arrest for heart surgery, and domestic swine slaughtered in food industryparticipants analyzed, 31 circulatory arrests
Participants
19 volunteers
Index test or model
Algorithm analyzing smartwatch photoplethysmography signals for detection of circulatory arrest (presence versus absence of spontaneous circulation)
Target condition
circulatory arrest
Methodological detailsdevice-independent technology, Samsung Watch5 and Watch5 Pro
  • Device-independent technology
  • Samsung Watch5 and Watch5 Pro

Performance

As reported in the abstract

Circulatory arrests correctly identified

28 of 31

Sensitivity

90.3%

95% CI 74.2%–98.0%

Hour-level specificity

94.1%

95% CI 71.3%–99.9%

Further findings

Emergency alerting via HartslagNu test environment

Triggering a circulatory arrest consistently resulted in an audiovisual smartwatch alarm and an instantaneous alert to the virtual emergency medical services (EMS) at the HartslagNu test server

Original publication

Automated cardiac arrest detection and emergency service alerting using device-independent smartwatch technology: proof-of-principle. Resuscitation. Published 22 May 2025. doi:10.1016/j.resuscitation.2025.110657

Composed by AI from the published abstract and checked against it. How Briefs are made →

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