Arrhythmias & electrophysiology

Diagnostic Accuracy of Apple Watch Electrocardiogram for Atrial Fibrillation: A Systematic Review and Meta-Analysis

JACC AdvPublished systematic review and diagnostic test accuracy meta-analysis

Authors' conclusion

The Apple Watch ECG carries high accuracy in detecting atrial fibrillation, providing a convenient diagnostic option for patients.

Study context

Population
Studies comparing the diagnostic accuracy of Apple Watch to standard 12-lead electrocardiography (ECG) for detecting atrial fibrillation (AF)
Participants
4,241 participants · 11 studies
Comparison
Diagnostic accuracy of Apple Watch to standard 12-lead ECG
Outcome
Pooled sensitivity and specificity of the Apple Watch for detecting AF

Pooled result

As reported in the abstract

GroupSensitivitySpecificity
Apple Watch ECG94.8% (95% CI: 91.7% to 96.8%; I2 = 67%)95% (95% CI: 88.6% to 97.8%; I2 = 88%)

Apple Watch ECG

Sensitivity94.8% (95% CI: 91.7% to 96.8%; I2 = 67%)
Specificity95% (95% CI: 88.6% to 97.8%; I2 = 88%)

Further pooled results

Area under the receiver operating characteristic curve

AUC
0.96 (95% CI: 0.92-0.97)

Participant characteristics

Mean age
62.56 ± 3.92 years
Females
28%

Original publication

Diagnostic Accuracy of Apple Watch Electrocardiogram for Atrial Fibrillation: A Systematic Review and Meta-Analysis. JACC Adv. Published 9 January 2025. doi:10.1016/j.jacadv.2024.101538

Summarised from the published abstract; every number is checked against it

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