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Thanks for this guideline post.. it really helped expedite getting this to work; and fortunately no AFIB on the first ECG test. I like that BP is included without running a separate test; and although I also have (evaluation copy as not approved in the US yet) the Cardio ECG to go with my Bluetooth Cardio BP 'cuff', this probably eliminates the need for the Cardio ECG patches as both are single-lead devices, right? (Cardio's ECG is approved in Canada and Europe I believe; and I met them at IFA in Berlin; they were kind enough to provide a system and I'm trying to compare/contrast that with Apple's Watch 4 capability).
 
It seems a bit absurd that the FDA states this should not be used by those who already have been diagnosed with a-fib. Wouldn't such people want to know if their a-fib is being well controlled by whatever anti-a-fib-whatever their doctor has them on?

Absurd? That's a pretty strong pronouncement without first understanding the FDA's reasoning.

I suspect if a subject has been diagnosed with a-fib by a cardiologist, then that subject should be under the cardiologist's care and using a more robust and approved device to monitor their condition. Again, Apple's watch is not approved by the FDA, but rather received clearance under the FDA's De Novo Program. This Apple Watch function is pretty much still in beta.
 
Absurd? That's a pretty strong pronouncement without first understanding the FDA's reasoning.

I suspect if a subject has been diagnosed with a-fib by a cardiologist, then that subject should be under the cardiologist's care and using a more robust and approved device to monitor their condition. Again, Apple's watch is not approved by the FDA, but rather received clearance under the FDA's De Novo Program. This Apple Watch function is pretty much still in beta.
 
You missed a trick with the title. Should be:

"Hearts-on With the ECG Feature for Apple Watch Series 4"
 
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Again, please try to understand that Alivcor has been doing the same thing for a few years now using the Apple Watch and there own band on the watch? Nothing more robust is needed, that’s the point of a one lead ecg device it will detect with about 98% accuracy! Apple and Harvard still had to show from there study that it does this, to receive this clearance from the FDA!!
[doublepost=1544146337][/doublepost]Are you in the medical field? Some people here are? And this device will suffice for those who are under the care of a cardiologist or EP doc who are trained to read the tracings and have used other methods before this device and know what they are trying to do!
 
I can tell you right now... this is going to create a lot of unnecessary anxiety for countless users who see an occasional heart jump on the display. Admittedly, it might help a few people too.
This is gong to be one of those devices that people either obsess on, (100x worse than your iPhone battery capacity meter) or learn to ignore and not use after a few panicked visits to the Dr, reveal nothing can be done about occasional irregular heartbeats.

It's going to be helpful and harmful. The few it helps will come at the expense of the many who develop anxiety disorders staring at it incessantly.

If you think this is a problem, consider that 23andMe provides participants with MILLIONs of SNPs for them to interpret and fret over (and torture their doctors about).
 
Well, because, at 98 is borderline, and moving around and talking doesn't usually increase the hearth rate. Also, while 98 is still in the limit, we all get old, and arriving at 60 with a 100 or a 75. heart rate can make a difference.

A lot of things influence your HR, including the temperature of the room, what you are doing, etc. so it is ridiculous to say just because his HR was 98 in one video he should see a doctor. This directly contradicts the Mayo Clinic, which states:

“Consult your doctor if your resting heart rate is consistently above 100 beats a minute (tachycardia) or if you're not a trained athlete and your resting heart rate is below 60 beats a minute (bradycardia) — especially if you have other signs or symptoms, such as fainting, dizziness or shortness of breath.”

That doesn’t state see a doctor if you are in the 90s consistently and only 40 years old.

Your resting heart rate is after sitting still for I believe it is 5 minutes. Moving around definitely does cause your heart rate to go up. Try it yourself, sit still for 5 minutes, take your HR. Now get up and walk to the other end of a hallway or something similar to what he may have done. Take you HR. Most people will see an elevated HR compared to their resting HR. The stress of doing the video shoot, talking, not knowing what else was going on etc. all could easily cause his HR to be elevated to 98.
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That is not normal.

Your source for claiming a normal resting heart rate isn’t the 60-100 range that I stated and you quoted is what again?. Here is mine, the Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/heart-rate/faq-20057979
 
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So, updated my series 4 watch. Opened the Health App...and nothing.

Anyone have any idea what’s going on? My health app has no ECG feature. I restarted the phone. I opened health app. I even went to Health Data and Heart in the health app. Nothing.

Not sure what’s happening. Have a 7+ but don’t think that would be the issue.
 
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So, updated my series 4 watch. Opened the Health App...and nothing.

Anyone have any idea what’s going on? My health app has no ECG feature. I restarted the phone. I opened health app. I even went to Health Data and Heart in the health app. Nothing.

Not sure what’s happening. Have a 7+ but don’t think that would be the issue.
Did you open up the ECG app on the Watch? It’s a separate white icon with a red squiggly line. It is not part of the heart rate app.
 
I’m LOVIN’ this feature! The Watch is the poop!
To those who live outside the U.S.: We may have a self-centered, hypocritical, lying, bigoted orange for a president...but, we have the ECG feature on our Watch. So.....there? :rolleyes:
 
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Apple today released the watchOS 5.1.2 update to the public, and the update implements a much-anticipated ECG feature for all Apple Watch Series 4 users in the United States.

Following the launch of the new update, we installed the software and went hands-on with the ECG function to see just how it works.


An ECG, or electrocardiogram, is designed to measure the electrical activity of the heart to detect abnormal rhythms and diagnose serious heart conditions.

The Apple Watch Series 4 allows users to take a single-lead electrocardiogram to keep an eye on heart health. This isn't as informative or as sensitive as the multi-lead ECGs you might get in a doctor's office or hospital, which use several points of contact, but it provides valuable information for those who might not even be aware of a heart condition.

The ECG feature in the Apple Watch uses electrodes built into the sapphire crystal of the Apple Watch (where the heart rate sensor is located) and the Digital Crown that work together to detect the electrical impulses from your heartbeat and route the data to the S4 processor in the device, where it is converted into a signal for Apple's algorithms.

ecg1.jpg

You can take an ECG using the built-in ECG app on the Apple Watch, which walks you through the steps. You'll need to place a finger on the Digital Crown of the Apple Watch and wait for approximately 30 seconds while the measurement is taken.

ecg2.jpg

You'll see a countdown on your wrist, which is designed to let you know just how long your finger needs to stay in place before you can move it.

ecg-3.jpg

Following the conclusion of the ECG, Apple will provide a heart rhythm classification that can be shared with your doctor. If your heart is beating in a normal rhythm, Apple will let you know that a standard sinus rhythm has been detected. If your heart is not beating normally, however, the app will let you know that atrial fibrillation has been detected.

If atrial fibrillation is detected, Apple will suggest that you get in touch with your doctor for further testing.

All ECG results captured with the Apple Watch Series 4 are stored in the Health app in a format that's easy to export and share with your doctor.

ecg-4.jpg

Apple has received de novo FDA clearance for the ECG feature in the Apple Watch Series 4, but FDA clearance is not the same as full FDA approval. The FDA does not recommend that the ECG feature be used by those under 22 or those who have already been diagnosed with atrial fibrillation.

The Apple Watch Series 4's ECG function is not designed to replace traditional methods of diagnosis or treatment, and Apple intends for it to be used for informational purposes.

At the current time, Apple Watch Series 4 owners in the United States are the only Apple Watch customers who can take an ECG because the feature needs regulatory approval to be made available in other countries. Apple is working to expand the feature to additional countries.

While the ability to take an ECG is limited to Apple Watch Series 4 users, Apple is implementing a secondary feature designed to send Apple Watch Series 1, 2, 3, and 4 users a notification if an irregular heartbeat is detected via the normal heart rate sensor in the device.

For now, the ECG feature is available in a beta capacity to developers who have the watchOS 5.1.2 update installed. There is no watchOS public beta, so non-developers will need to wait until the official release of watchOS 5.1.2 to install the update.

What do you think of the ECG option in the Apple Watch? Let us know in the comments.

Article Link: Hands-On With the ECG Feature for Apple Watch Series 4
Interesting article in the WaPo this evening about the ECG app: https://www.washingtonpost.com/busi...5c46bc-f978-11e8-8c9a-860ce2a8148f_story.html
 
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I’m LOVIN’ this feature! The Watch is the poop!
To those who live outside the U.S.: We may have a self-centered, hypocritical, lying, bigoted orange for a president...but, we have the ECG feature on our Watch. So.....there? :rolleyes:
For the rest fo US.

Apple had almost always carried out worldwide patent applications and market preparations (music). Not here. Apple seems powerless, that doesn't bother any American, as one can see from such a gloating comment.

update: This is not a "gloating" comment, I misunderstood. Deeply sorry.
 
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Hope this comes to the UK soon, I’ve had heart palpitations and the occasion sharp pain since being a teenager, anything that can give a bit more information is appreciated.

I also really hope this update fixes the bug they introduced in the last update where tapping the surface the watch is charging on in Bedside mode wakes the screen to see the time sometimes doesn’t work.
 
[doublepost=1544153690][/doublepost]
For the rest fo US.

Apple had almost always carried out worldwide patent applications and market preparations (music). Not here. Apple seems powerless, that doesn't bother any American, as one can see from such a gloating comment.
You TOTALLY missed the obvious sarcasm. Oh, well. Be best!
 
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A lot of things influence your HR, including the temperature of the room, what you are doing, etc. so it is ridiculous to say just because his HR was 98 in one video he should see a doctor. This directly contradicts the Mayo Clinic, which states:

“Consult your doctor if your resting heart rate is consistently above 100 beats a minute (tachycardia) or if you're not a trained athlete and your resting heart rate is below 60 beats a minute (bradycardia) — especially if you have other signs or symptoms, such as fainting, dizziness or shortness of breath.”

That doesn’t state see a doctor if you are in the 90s consistently and only 40 years old.

Your resting heart rate is after sitting still for I believe it is 5 minutes. Moving around definitely does cause your heart rate to go up. Try it yourself, sit still for 5 minutes, take your HR. Now get up and walk to the other end of a hallway or something similar to what he may have done. Take you HR. Most people will see an elevated HR compared to their resting HR. The stress of doing the video shoot, talking, not knowing what else was going on etc. all could easily cause his HR to be elevated to 98.
[doublepost=1544149776][/doublepost]

Your source for claiming a normal resting heart rate isn’t the 60-100 range that I stated and you quoted is what again?. Here is mine, the Mayo Clinic: https://www.mayoclinic.org/healthy-lifestyle/fitness/expert-answers/heart-rate/faq-20057979
That’s just a range. A resting heart rate of 100 would be horrible.
 
Healthy people don't do that. They run in the park, eat well and enjoy life without worrying about disease all the time.
And then they get older, some organ goes wrong, and they suddenly appreciate having a relatively cheap device that helps them remain in optimal condition.

When my heart suddenly decided to run at 350 bpm at age 42, would have been nice to have an ECG right then.
When other random "something's wrong" happened, likewise.

Easy to say "just do healthy" until you're not - and not by life choices.
 
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