{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T08:31:47Z","timestamp":1792398707188,"version":"4.4.0"},"reference-count":54,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T00:00:00Z","timestamp":1727913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Atrial fibrillation (Afib) is a prevalent chronic arrhythmia associated with severe complications, including stroke, heart failure, and increased mortality. This review explores the use of smartwatches for Afib detection, addressing the limitations of current monitoring methods and emphasizing the potential of wearable technology in revolutionizing healthcare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results\/Observation<\/jats:title>\n                    <jats:p>Current Afib detection methods, such as electrocardiography, have limitations in sensitivity and specificity. Smartwatches with advanced sensors offer continuous monitoring, improving the chances of detecting asymptomatic and paroxysmal Afib. The review meticulously examines major clinical trials studying Afib detection using smartwatches, including the landmark Apple Heart Study and ongoing trials such as the Heart Watch, Heartline, and Fitbit Heart Study. Detailed summaries of participant numbers, smartwatch devices used, and key findings are presented. It also comments on the cost\u2010effectiveness and scalability of smartwatch\u2010based screening, highlighting the potential to reduce healthcare costs and improve patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion\/Relevance<\/jats:title>\n                    <jats:p>The integration of wearable technology into healthcare can lead to earlier diagnosis, improved patient engagement, and enhanced cardiac health monitoring. Despite ethical considerations and disparities, the potential benefits outweigh the challenges. This review calls for increased awareness, collaboration with insurance companies, and ongoing research efforts to optimize smartwatch accuracy and encourage widespread adoption of Afib detection. With insights from major trials, this review serves as a comprehensive reference for healthcare professionals and policymakers, guiding future strategies in the early diagnosis and management of atrial fibrillation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.16451","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:33:25Z","timestamp":1728002005000},"page":"2474-2482","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Smart watch applications in atrial fibrillation detection: Current state and future directions"],"prefix":"10.1111","volume":"35","author":[{"given":"Rahul","family":"Vyas","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Louisiana State University Health Sciences Center Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8589-946X","authenticated-orcid":false,"given":"Shubhika","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Louisiana State University Health Sciences Center Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Thakre","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Louisiana State University Health Sciences Center Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahith Reddy","family":"Thotamgari","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Louisiana State University Health Sciences Center, Ochsner\u2010LSU Health Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Raina","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine Stanford Cardiovascular Institute, Stanford University Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3528-327X","authenticated-orcid":false,"given":"Vijaywant","family":"Brar","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Louisiana State University Health Sciences Center, Ochsner\u2010LSU Health Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partho","family":"Sengupta","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Rutgers Robert Wood Johnson Medical School New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratik","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine Louisiana State University Health Sciences Center, Ochsner\u2010LSU Health Shreveport Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,3]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.10.946"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1995.00430050045005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.117.309732"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2014.11.024"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003347"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.11.123"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.16634"},{"key":"e_1_2_10_9_1","unstructured":"Straits Research.Smartwatch market. Accessed January 7 2024.https:\/\/straitsresearch.com\/report\/smartwatch-market"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.119.044126"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15892"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1109\/EMBC.2016.7591456"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.060291"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.03.003"},{"issue":"21","key":"e_1_2_10_15_1","article-title":"2014 AHA\/ACC\/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines and the Heart Rhythm Society","volume":"64","author":"January CT","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.15420\/AER.2016.17.2"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw210"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux177"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta9400"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7154.327"},{"issue":"478","key":"e_1_2_10_21_1","first-page":"373","article-title":"Randomised trial of two approaches to screening for atrial fibrillation in UK general practice","volume":"52","author":"Morgan S","year":"2002","journal-title":"Br J General Pract"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.120.316341"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/6931347"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.925610"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.07.026"},{"issue":"2","key":"e_1_2_10_26_1","first-page":"1425","article-title":"Efficacy and safety of implantable loop recorder: experience of a center","volume":"9","author":"Silveira I","year":"2016","journal-title":"J Atr Fibrillation"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1901183"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2018.10.006"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2018.0136"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacasi.2022.07.006"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.110.958033"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-054550"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2023.01.004"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2021.04.003"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acvd.2020.05.015"},{"key":"e_1_2_10_36_1","doi-asserted-by":"crossref","unstructured":"SvennbergE EngdahlJ Al\u2010KhaliliF FribergL. Mass screening for untreated atrial fibrillation: the STROKESTOP study.Circulation.2015.https:\/\/www.ahajournals.org\/doi\/abs\/10.1161\/circulationaha.114.014343","DOI":"10.1161\/CIRCULATIONAHA.114.014343"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euv083"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2006.07.030"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2013.04.017"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487315611347"},{"issue":"12","key":"e_1_2_10_41_1","article-title":"Accuracy of detecting atrial fibrillation: a systematic review and meta\u2010analysis of Wrist\u2010Worn wearable technology","volume":"13","author":"Belani S","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-023-01898-3"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mvr.2015.04.004"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgene.2015.00112"},{"key":"e_1_2_10_45_1","unstructured":"Apple Support [Internet]. Take an ECG with the ECG app on Apple watch. 2022. Accessed July 13 2023.https:\/\/support.apple.com\/en-us\/HT208955"},{"key":"e_1_2_10_46_1","unstructured":"Apple Support [Internet]. Get the most accurate measurements using your Apple Watch. 2022. Accessed July 13 2023.https:\/\/support.apple.com\/en-gb\/HT207941"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.2196\/28974"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvdhj.2021.07.002"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2022.2419"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2020.615927"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7191.1088"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.2217\/pme-2016-0057"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.4038"},{"key":"e_1_2_10_54_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-019-0330-y"},{"key":"e_1_2_10_55_1","unstructured":"Atrial fibrillation: Screening [Internet].US Preventive Services Taskforce;2022. Accessed August 25 2023.https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/atrial-fibrillation-screening"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.16451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T01:35:49Z","timestamp":1744335349000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.16451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,3]]},"references-count":54,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/jce.16451"],"URL":"https:\/\/doi.org\/10.1111\/jce.16451","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,3]]},"assertion":[{"value":"2024-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}