Smartwatch AF alerts in a 25-year-old lead to cardioversion

A 25-year-old's smartwatch notified him several times of an irregular rhythm consistent with AF; ECG showed AF with rapid ventricular response, treated by TEE-guided cardioversion (Cureus, 2023).

AI system

System

Smartwatch irregular-rhythm notification (brand and model not stated)

Model

Not assessed

Release

Not assessed

Application developer

Not stated (the report does not name the device's maker)

Role

Not assessed

Configuration

Not assessed

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

A wearer with symptomatic AF whose smartwatch issued repeated irregular-rhythm notifications. The wearer acting on the notifications by attending an emergency department. Clinicians confirming the rhythm on a 12-lead ECG and treating it.

Human oversight

Not assessed

Relation to AI

The watch's own notification, repeated several times, is what the report says prompted the visit. Clinicians confirmed AF on a 12-lead ECG and chose cardioversion. The brand is unknown, so the algorithm behind the notification cannot be identified. The authors describe smartwatch rhythm detection generically as deep-neural-network analysis of pulse waves.

AI contribution

The watch's own notification, repeated several times, is what the report says prompted the visit. Clinicians confirmed AF on a 12-lead ECG and chose cardioversion. The brand is unknown, so the algorithm behind the notification cannot be identified. The authors describe smartwatch rhythm detection generically as deep-neural-network analysis of pulse waves.

Benefits

Outcome identifiers

Not assessed

Benefit

atrial fibrillation with rapid ventricular response at 123 bpm

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

atrial fibrillation with rapid ventricular response at 123 bpm

Comparison

Not assessed

Results

atrial fibrillation with rapid ventricular response at 123 bpm

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: Not stated (the report does not name the device's maker).

Jurisdictions

Benefit: Abington, United States (authors' hospital; the report does not name the emergency department).

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

The watch's notification corresponds to a true arrhythmia (the authors cite a positive predictive value of 84% for irregular-pulse notifications in the Apple Heart Study). The wearer treats the notification as a reason to seek care.

Replication attempts

1 follow-up entries. Benefit recurred: 1.

Later findings

The report ends with monthly cardiology follow-up recommended; nothing later was found.

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0285-source-0001–0002

Citations

Numbered references below.

Language

Not assessed

Source relationships

Independent

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People.

Depth

People: 2.

Reasons

People: A 25-year-old received an ECG-confirmed AF diagnosis, cardioversion to sinus rhythm and four weeks of anticoagulation. A material benefit to one person, not described as life-saving.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

Independently studied

Entry details

Kind

Not assessed

Field

Healthcare (cardiology). Consumer wearables.

Purpose

Smartwatch irregular-rhythm notifications are built to prompt the wearer to seek medical review. This benefit was that purpose.

Dates

Date basis unassessed: 2023 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: 2c98991014f1…

References

Other identifiers

Not assessed

Category mappings

Not assessed

Brief

Not assessed

Revisions

3 revisions. Latest: 21 October 2026.

Sources

  1. Case report Independent author

    Bedi A, Al Masri MK, Al Hennawi H, Qadir S, Ottman P (2023). The Integration of Artificial Intelligence Into Patient Care: A Case of Atrial Fibrillation Caught by a Smartwatch. Cureus 15(3):e35941. doi:10.7759/cureus.35941 (PMC10082624).