Apple Heart Study shows a lot of promise for digital health, but cardiologists still have questions

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Apple Heart Study shows a lot of promise for digital health, but cardiologists still have questions
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More than 400,000 people participated in the study using an Apple Watch, which makes it one of the largest research efforts ever.

More than 400,000 people signed up for the Apple Heart Study, which makes it one of the largest research efforts ever.Some of those people had a condition called atrial fibrillation. But not everyone in the medical community is convinced that consumer tools should be used on a general population, especially when it's not always clear how to treat them.

The researchers explained that Apple sponsored the study and owns the data, but the study data is stored at Stanford. As is standard with research studies, the protocol and methods were approved by a central institutional review board to ensure that patient privacy was protected. Among those who were identified by the Apple Watch as having an irregular pulse, and who then went on to return an electrocardiogram patch, 84% of their subsequent notifications were confirmed to be atrial fibrillation. That indicates that this kind of passive monitoring can be effective, although further studies are needed.

The researchers noted repeatedly that they did not intend to prove that the Apple Watch could be a screening tool for health conditions in large populations. So there's a concern among heart doctors that while Apple Watch might identify lots of people who truly have atrial fibrillation, the medical community won't know how to treat them. And that's especially true with the young people, or those who have the condition in the earliest stages and don't have many other risk factors.

Wessler said that a follow-up study, were Apple to sponsor further research, would involve finding the right population that's most at risk. But that would deviate from Apple's typical approach, which is to develop tools for a mainstream population. In this case, the Apple Heart Study app was available for anyone to download via the App Store, and use if they were a U.S. resident and over the age of 22.

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