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Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data

BACKGROUND: Patients with obstructive sleep apnea (OSA) are at a higher risk for atrial fibrillation (AF). Consumer wearable heart rate (HR) sensors may be a means for passive HR monitoring in patients with AF. OBJECTIVE: The aim of this study was to assess the Apple Watch’s agreement with telemetry...

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Autores principales: Huynh, Pauline, Shan, Rongzi, Osuji, Ngozi, Ding, Jie, Isakadze, Nino, Marvel, Francoise A, Sharma, Garima, Martin, Seth S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411424/
https://www.ncbi.nlm.nih.gov/pubmed/33555260
http://dx.doi.org/10.2196/18050
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author Huynh, Pauline
Shan, Rongzi
Osuji, Ngozi
Ding, Jie
Isakadze, Nino
Marvel, Francoise A
Sharma, Garima
Martin, Seth S
author_facet Huynh, Pauline
Shan, Rongzi
Osuji, Ngozi
Ding, Jie
Isakadze, Nino
Marvel, Francoise A
Sharma, Garima
Martin, Seth S
author_sort Huynh, Pauline
collection PubMed
description BACKGROUND: Patients with obstructive sleep apnea (OSA) are at a higher risk for atrial fibrillation (AF). Consumer wearable heart rate (HR) sensors may be a means for passive HR monitoring in patients with AF. OBJECTIVE: The aim of this study was to assess the Apple Watch’s agreement with telemetry in measuring HR in patients with OSA in AF. METHODS: Patients with OSA in AF were prospectively recruited prior to cardioversion/ablation procedures. HR was sampled every 10 seconds for 60 seconds using telemetry and an Apple Watch concomitantly. Agreement of Apple Watch with telemetry, which is the current gold-standard device for measuring HR, was assessed using mixed effects limits agreement and Lin’s concordance correlation coefficient. RESULTS: A total of 20 patients (mean 66 [SD 6.5] years, 85% [n=17] male) participated in this study, yielding 134 HR observations per device. Modified Bland–Altman plot revealed that the variability of the paired difference of the Apple Watch compared with telemetry increased as the magnitude of HR measurements increased. The Apple Watch produced regression-based 95% limits of agreement of 27.8 – 0.3 × average HR – 15.0 to 27.8 – 0.3 × average HR + 15.0 beats per minute (bpm) with a mean bias of 27.8 – 0.33 × average HR bpm. Lin’s concordance correlation coefficient was 0.88 (95% CI 0.85-0.91), suggesting acceptable agreement between the Apple Watch and telemetry. CONCLUSIONS: In patients with OSA in AF, the Apple Watch provided acceptable agreement with HR measurements by telemetry. Further studies with larger sample populations and wider range of HR are needed to confirm these findings.
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spelling pubmed-84114242021-09-02 Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data Huynh, Pauline Shan, Rongzi Osuji, Ngozi Ding, Jie Isakadze, Nino Marvel, Francoise A Sharma, Garima Martin, Seth S JMIR Cardio Original Paper BACKGROUND: Patients with obstructive sleep apnea (OSA) are at a higher risk for atrial fibrillation (AF). Consumer wearable heart rate (HR) sensors may be a means for passive HR monitoring in patients with AF. OBJECTIVE: The aim of this study was to assess the Apple Watch’s agreement with telemetry in measuring HR in patients with OSA in AF. METHODS: Patients with OSA in AF were prospectively recruited prior to cardioversion/ablation procedures. HR was sampled every 10 seconds for 60 seconds using telemetry and an Apple Watch concomitantly. Agreement of Apple Watch with telemetry, which is the current gold-standard device for measuring HR, was assessed using mixed effects limits agreement and Lin’s concordance correlation coefficient. RESULTS: A total of 20 patients (mean 66 [SD 6.5] years, 85% [n=17] male) participated in this study, yielding 134 HR observations per device. Modified Bland–Altman plot revealed that the variability of the paired difference of the Apple Watch compared with telemetry increased as the magnitude of HR measurements increased. The Apple Watch produced regression-based 95% limits of agreement of 27.8 – 0.3 × average HR – 15.0 to 27.8 – 0.3 × average HR + 15.0 beats per minute (bpm) with a mean bias of 27.8 – 0.33 × average HR bpm. Lin’s concordance correlation coefficient was 0.88 (95% CI 0.85-0.91), suggesting acceptable agreement between the Apple Watch and telemetry. CONCLUSIONS: In patients with OSA in AF, the Apple Watch provided acceptable agreement with HR measurements by telemetry. Further studies with larger sample populations and wider range of HR are needed to confirm these findings. JMIR Publications 2021-02-08 /pmc/articles/PMC8411424/ /pubmed/33555260 http://dx.doi.org/10.2196/18050 Text en ©Pauline Huynh, Rongzi Shan, Ngozi Osuji, Jie Ding, Nino Isakadze, Francoise A Marvel, Garima Sharma, Seth S Martin. Originally published in JMIR Cardio (http://cardio.jmir.org), 08.02.2021. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Cardio, is properly cited. The complete bibliographic information, a link to the original publication on http://cardio.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Huynh, Pauline
Shan, Rongzi
Osuji, Ngozi
Ding, Jie
Isakadze, Nino
Marvel, Francoise A
Sharma, Garima
Martin, Seth S
Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title_full Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title_fullStr Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title_full_unstemmed Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title_short Heart Rate Measurements in Patients with Obstructive Sleep Apnea and Atrial Fibrillation: Prospective Pilot Study Assessing Apple Watch’s Agreement With Telemetry Data
title_sort heart rate measurements in patients with obstructive sleep apnea and atrial fibrillation: prospective pilot study assessing apple watch’s agreement with telemetry data
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8411424/
https://www.ncbi.nlm.nih.gov/pubmed/33555260
http://dx.doi.org/10.2196/18050
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