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Wearable ECG

Does your watch's irregular-heartbeat alert actually catch atrial fibrillation, and does catching it earlier actually help? Here's what the accuracy and screening research shows.

Consumer wearables now offer two related but distinct features: a single-lead ECG you can trigger yourself, and a background PPG-based algorithm that watches for an irregular pulse and alerts you when it finds one. Both are marketed around atrial fibrillation (AFib), the most common heart-rhythm disorder and a real stroke risk factor. The two questions worth separating are whether these features actually detect AFib accurately, and whether catching it this way actually changes outcomes. The evidence answers them very differently.

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