'Without that health check from NICHS my AF might not have been detected until it was too late and I had suffered a stroke and I am thankful it didn’t get to that stage.'
A man from Belfast has spoken about being diagnosed with a heart condition after feeling "a bit rundown."
Atrial Fibrillation is the most common form of irregular heart rhythm, with the condition leading to an increased risk of stroke. "I had recently been feeling more tired than usual and a bit rundown, so I thought I’d take up the opportunity to have a check. The AF test showed I had an irregular heart rate and the NICHS team advised me to contact my GP as soon as possible.
Mark continued: "Without that health check from NICHS my AF might not have been detected until it was too late and I had suffered a stroke and I am thankful it didn’t get to that stage. Global Atrial Fibrillation Aware Week is currently taking place and Northern Ireland Chest Heart and Stroke is using the week to call on the public to educate themselves about Atrial Fibrillation.
"It is therefore important that the public both understand the symptoms of AF and, if they are diagnosed, they ensure that they are on appropriate treatment.”
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Watch for tachycardia - International Journal of ArrhythmiaBackground Wearable devices capable of measuring health metrics are becoming increasingly prevalent. Most work has investigated the potential for these devices in the context of atrial fibrillation, our case highlights the potential of wearable devices across a wider range of arrhythmia. Case presentation A 51-year-old woman was referred to the cardiology clinic for an assessment of symptoms of intermittent exertional shortness of breath and palpitation. The patient was otherwise fit and well, took limited alcohol and no caffeine, and was a never smoker. There was no family history of heart disease. Physical examination in clinic was unremarkable, and a 12-lead electrocardiogram (ECG), seven-day ambulatory ECG, exercise stress ECG, and trans-thoracic echocardiogram were all normal. During a severe episode the patient recorded an ECG using an Apple Watch (Apple Inc, California, USA). This was forwarded to the patient’s cardiologist, who suspected a broad complex tachycardia and organised an urgent follow-up appointment. A further 72-h Holter ECG monitor showed frequent sustained periods of monomorphic ventricular tachycardia, confirming the watch findings. The patient was started on beta blocker therapy with a rapid improvement in symptoms. Conclusions Current smartwatch technology can reliably identify irregular rhythms and can distinguish atrial fibrillation from sinus rhythm, with emerging evidence supporting detection of other cardiovascular diseases, including medical emergencies. There may also be a role for wearable devices in screening young populations for predictors of sudden cardiac death. At present device outputs require clinician interpretation, but in the future patients may present to primary or secondary care with a firm diagnosis of arrhythmia and may already be making wearable device guided behaviour changes.
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