Arrhythmias & electrophysiology

Physician responses to apple watch-detected irregular rhythm alerts

Am Heart JPublished Cross-sectional study

Authors' conclusion

In hypothetical cases of patients presenting without clinical symptoms, physicians opted for further diagnostic testing and often to medical intervention based on Apple Watch irregular rhythm notifications. There was also considerable variation across physician specialties

Study context

Population
Physicians at Yale and UCSF managing hypothetical asymptomatic patients with Apple Watch atrial fibrillation (AF) alerts, Sept–Dec 2021636 emailed
Participants
95 physicians
Exposure
Primary care vs emergency medicine vs cardiology physicians
  • Primary caren = 39
  • Emergency medicinen = 25
  • Cardiologyn = 31
Outcome
Physician responses among prespecified diagnostic testing, referral and treatment options
Methodological detailscase-based survey, 2 academic centres
  • Case-based survey
  • 2 academic centres

Main finding

As reported in the abstract

Management of Apple Watch AF alerts

Referral

P = 0.048

Rhythm monitoring

P < 0.001

BNP

P = 0.003

Antiarrhythmics

P = 0.023

≥1 diagnostic test selected (cases)
191 (99.5%)
Medications selected (cases)
48 (25.0%)

Observational data: associations, not effects.

Further findings

Practices by patient sex, race, clinical complexity and alert frequency

Few physician differences

Original publication

Physician responses to apple watch-detected irregular rhythm alerts. Am Heart J. Published 20 April 2023. doi:10.1016/j.ahj.2023.04.008

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

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