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N/A N=602 Basic Science

Electrocardiogram Clinical Validation Study

Atrial Fibrillation

Enrolled (actual)
602
Serious AEs
0.0%
Results posted
Jul 2019
Primary outcome: Primary: Number of Participants With Software's Rhythm Classification of SR in Agreement to a Physician's Interpretation of a Gold Standard 12-lead ECG — 238 Participants — p=<0.0001

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
1-Lead ECG (Other); 12-Lead ECG (Device)
Age
Adult, Older Adult · 22+ yrs
Sex
All
Sponsor
Apple Inc.
Primary completion
May 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Software's Rhythm Classification of SR in Agreement to a Physician's Interpretation of a Gold Standard 12-lead ECG
238 <0.0001 sig
PRIMARY
Number of Participants With Software's Rhythm Classification of AF in Agreement to a Physician's Interpretation of a Gold Standard 12-lead ECG
236 <0.0001 sig
SECONDARY
Number of Participants With Software's Ability to Produce a Clinically Equivalent Waveform in Agreement to a Gold Standard Lead 1 Reference
58; 65 <0.0001 sig
SECONDARY
Number of Participants With Software's Ability to Produce a Clinically Equivalent Waveform in Agreement to a Gold Standard Lead 1 Reference
58; 65 <0.0001 sig
SECONDARY
Ease of Use
2; 1; 4; 2; 14; 16

Summary

The purpose of the study is to confirm the software's ability to create a Lead-1 electrocardiogram (ECG) that is clinically equivalent to a reference device. Also, to confirm a rhythm classification algorithm and its ability to detect and classify heart rhythms into two categories (Sinus Rhythm or Atrial Fibrillation) using a single Lead ECG.

Eligibility Criteria

Inclusion Criteria

  • Individuals who are 22 years of age and older
  • Able to read, understand, and provide written informed consent
  • Willing and able to participate in the study procedures as described in the consent
  • Have a wrist circumference that fits within the band
  • Able to communicate effectively with and follow instructions from the study staff
  • For subjects enrolled into the AF population, subjects must have a known diagnosis of AF and be in AF at the time of screening

Exclusion Criteria

  • Physical disability that precludes safe and adequate testing
  • Mental impairment resulting in limited ability to cooperate
  • Subjects with a pacemaker or implantable cardioverter-defibrillator (ICD)
  • Acute myocardial infarction (MI) within 90 days of screening or other cardiovascular disease that, in the opinion of the Investigator, increases the risk to the subject or renders data uninterpretable
  • Acute pulmonary embolism, pulmonary infarction, or deep vein thrombosis within 90 days of screening
  • Stroke or transient ischemic attack within 90 days of screening
  • Subjects taking rhythm control drugs
  • Symptomatic (or active) allergic skin reactions such as eczema, rosacea, impetigo, dermatomyositis or allergic contact dermatitis on both wrists or over electrode attachment sites
  • Known sensitivity to medical adhesives, isopropyl alcohol, watch bands, or electrocardiogram (ECG) electrodes including known allergy or sensitivity to fluoroelastomer bands primarily used in wrist worn fitness devices
  • A history of abnormal life-threatening rhythms as determined by the investigator
  • Significant tremor that prevents subject from being able to hold still
  • Pregnant women: Women who are pregnant at the time of study participation
  • For subjects enrolled into the sinus rhythm population, they must not have any diagnosis of AF
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03492554). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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