{ "id": "AIBD-0287", "title": "Smartwatch ECG app confirms atrial fibrillation in a 43-year-old chief officer mid-Indian Ocean; Italy's CIRM telemedicine doctor has the ship diverted to port", "summary": "On 29 Sep 2023 a merchant ship with no ECG used a smartwatch ECG app under CIRM guidance; it confirmed AF within seconds, the ship diverted, hospital ECG confirmed AF and the seafarer was repatriated.", "date_observed": "2023-09-29", "date_basis": "unassessed", "date_precision": "unassessed", "benefit_status": null, "source_collection": null, "source_entry": null, "account": "Ruocco, Amenta, Angeloni, Frisicale, Vaia and Sagaro reported a case in International Maritime Health (2025;76(2):93–96). The early publication date is 5 March 2025 as printed on the journal page. They are at the University of Camerino's Telemedicine and Telepharmacy Center, the Centro Internazionale Radio Medico (CIRM) research department and Italy's Ministry of Health. A 43-year-old chief officer from the United Kingdom fell ill on a merchant ship in the middle of the Indian Ocean. He had chest pain, malaise and palpitations. CIRM, the Italian Telemedical Maritime Assistance Service, received the request on 29 September 2023. Blood pressure was 115/80 then 110/70 mmHg with tachycardia and an irregular heartbeat. The ship had no electrocardiograph and was too far from land for prompt rescue. The captain and the CIRM duty doctor used a smartwatch's electrocardiogram (ECG) application. Within seconds it confirmed the diagnostic hypothesis of atrial fibrillation (AF). The doctor reviewed the recording and recommended diversion to the nearest port. Metoprolol 100 mg and aspirin 300 mg daily were given on board. The hospital later confirmed AF. The seafarer, with no prior history, was repatriated safely without complications and diagnosed with new-onset AF. The report does not name the watch's brand or whose watch it was.", "category": "benefit created", "unexpected": false, "purpose": "Smartwatch ECG apps are built to record a single-lead ECG and classify it for atrial fibrillation. This use, relayed to a telemedicine doctor, was that purpose in an unusual setting.", "system": "Smartwatch ECG application with atrial fibrillation classification (brand and model not stated)", "model_version": null, "developer": "Not stated (the report does not name the device's maker)", "deployer": "Centro Internazionale Radio Medico (CIRM), the Italian Telemedical Maritime Assistance Service, with the ship's captain", "location": "Indian Ocean (merchant ship), with the CIRM center in Rome, Italy", "domain": "Healthcare (maritime telemedicine; cardiology)", "segment": "Consumer wearables", "benefit_type": "Improved Physical Health", "taxonomy_note": null, "registry_ids": {}, "ratings": [ { "group": "personal", "depth": 2, "reason": "The seafarer received a diagnosis, rate control and aspirin at sea, diversion to port and hospital confirmation. He was repatriated without complications. Material: the authors say the service “has the potential to save lives”, but no life-threatening complication is documented." }, { "group": "organizational", "depth": 1, "reason": "CIRM's duty doctor could make a rhythm diagnosis and a diversion decision on an ECG trace rather than on symptoms alone. The report gives no measure beyond the single decision." } ], "ai_role": { "status": "assessed", "statement": "The ECG app's automatic reading confirmed the suspected AF “within seconds”. The CIRM doctor then reviewed the trace himself and identified irregularities consistent with AF. So the classification and the human reading agreed. The diversion, drugs and hospital confirmation were human decisions. The brand is unknown, so the algorithm cannot be identified." }, "evidence": [ { "kind": "case report", "citation": "Ruocco C, Amenta F, Angeloni U, Frisicale EM, Vaia F, Sagaro GG (2025). A smartwatch electrocardiogram for atrial fibrillation detection: a case report. International Maritime Health 76(2):93-96. doi:10.5603/imh.99319 (open access, CC BY-NC-ND).", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "Within seconds, the application confirmed the diagnostic hypothesis, allowing the doctor on duty to identify the specific issue affecting the crew member’s heart" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, diversion.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/download/99319/83501", "date": "2025-03-05", "written_by": "deployer", "quote": "Upon the doctor’s recommendation, the captain diverted the ship to the nearest port where the crew member could receive medical treatment" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, date of the request.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "CIRM received a request for medical assistance on September 29th, 2023, on World Heart Day." } ], "replication": { "produced_by": [ "A ship without an electrocardiograph but with a smartwatch carrying an ECG app on board", "A telemedical maritime assistance service (CIRM) reachable from the ship and willing to act on a smartwatch trace", "A captain able to run the app on the patient and to divert the vessel" ], "must_hold": [ "The app's AF classification and the remote doctor's reading of the trace agree, as they did here and as the hospital ECG later confirmed", "A port is within reach for diversion and the patient remains stable on the drugs available on board" ], "echoes": [] }, "paired_incident": null, "headline": "Smartwatch ECG app confirms AF at sea; CIRM diverts the ship", "metric": null, "comparator": { "against": "no electrocardiograph on board the ship", "before": null, "after": "Within seconds, the application confirmed the diagnostic hypothesis", "basis": "assumed", "quote": "Unfortunately, the ship did not have an electrocardiograph, which would have been instrumental in confirming the diagnosis and guiding the appropriate treatment.", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319" }, "later": null, "value": null, "developer_country": null, "deployer_country": "Italy", "unrated_because": null, "brief_notes": null, "brief": null, "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "source": null, "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the deployer added from the organization's own site or a registry.", "source": "https://it.wikipedia.org/wiki/Centro_Internazionale_Radio_Medico", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" } ], "confidence": "claimed", "shade": "low", "claim_status": "The deployer's account", "claim_basis": "Sources: two case reports from the deployer. The cited evidence includes no independent source and no finding by a regulator or court.", "profile": { "case_id": "AIBD-0287", "catalog_version": "1.0.0", "source_fingerprint": "900ddc2cd62a200c9778a96eca323e5717fe3a31bbd175bcf0734ec3386bcfca", "collection_refs": [ { "collection_id": "aibd", "version": "snapshot-8bf7cfec9cb185aa" }, { "collection_id": "aibd", "version": "2026-10-25" } ], "source_ids": [ "AIBD-0287-source-0001", "AIBD-0287-source-0002", "AIBD-0287-source-0003" ], "families": { "strategic assessments": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "evaluations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "monetary observations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "institutional decisions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] } }, "fields": { "actors[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "developer": "Not stated (the report does not name the device's maker)", "deployer": "Centro Internazionale Radio Medico (CIRM), the Italian Telemedical Maritime Assistance Service, with the ship's captain" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "developer", "deployer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "actors[].ownership_control": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "ai_contribution": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ai_role": { "status": "assessed", "statement": "The ECG app's automatic reading confirmed the suspected AF “within seconds”. The CIRM doctor then reviewed the trace himself and identified irregularities consistent with AF. So the classification and the human reading agreed. The diversion, drugs and hospital confirmation were human decisions. The brand is unknown, so the algorithm cannot be identified." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ai_role" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "ai_relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "category": "benefit created", "ai_role": { "status": "assessed", "statement": "The ECG app's automatic reading confirmed the suspected AF “within seconds”. The CIRM doctor then reviewed the trace himself and identified irregularities consistent with AF. So the classification and the human reading agreed. The diversion, drugs and hospital confirmation were human decisions. The brand is unknown, so the algorithm cannot be identified." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ai_role", "category" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "assessments[].alternatives": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].assessor_date": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].depth": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 2, "reason": "The seafarer received a diagnosis, rate control and aspirin at sea, diversion to port and hospital confirmation. He was repatriated without complications. 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The early publication date is 5 March 2025 as printed on the journal page. They are at the University of Camerino's Telemedicine and Telepharmacy Center, the Centro Internazionale Radio Medico (CIRM) research department and Italy's Ministry of Health. A 43-year-old chief officer from the United Kingdom fell ill on a merchant ship in the middle of the Indian Ocean. He had chest pain, malaise and palpitations. CIRM, the Italian Telemedical Maritime Assistance Service, received the request on 29 September 2023. Blood pressure was 115/80 then 110/70 mmHg with tachycardia and an irregular heartbeat. The ship had no electrocardiograph and was too far from land for prompt rescue. The captain and the CIRM duty doctor used a smartwatch's electrocardiogram (ECG) application. Within seconds it confirmed the diagnostic hypothesis of atrial fibrillation (AF). The doctor reviewed the recording and recommended diversion to the nearest port. Metoprolol 100 mg and aspirin 300 mg daily were given on board. The hospital later confirmed AF. The seafarer, with no prior history, was repatriated safely without complications and diagnosed with new-onset AF. The report does not name the watch's brand or whose watch it was.", "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].distribution": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].duration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].stakeholder_group": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 2, "reason": "The seafarer received a diagnosis, rate control and aspirin at sea, diversion to port and hospital confirmation. He was repatriated without complications. Material: the authors say the service “has the potential to save lives”, but no life-threatening complication is documented." }, { "group": "organizational", "depth": 1, "reason": "CIRM's duty doctor could make a rhythm diagnosis and a diversion decision on an ECG trace rather than on symptoms alone. The report gives no measure beyond the single decision." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].status": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].tradeoffs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].unexpected": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "unexpected": false, "purpose": "Smartwatch ECG apps are built to record a single-lead ECG and classify it for atrial fibrillation. This use, relayed to a telemedicine doctor, was that purpose in an unusual setting." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "unexpected", "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "places[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "location": "Indian Ocean (merchant ship), with the CIRM center in Rome, Italy", "deployer_country": "Italy" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "location", "deployer_country" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "purpose": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "purpose": "Smartwatch ECG apps are built to record a single-lead ECG and classify it for atrial fibrillation. This use, relayed to a telemedicine doctor, was that purpose in an unusual setting." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "record_dates": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "date_observed": "2023-09-29", "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the deployer added from the organization's own site or a registry.", "source": "https://it.wikipedia.org/wiki/Centro_Internazionale_Radio_Medico", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "date_observed", "revisions" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "replication.attempts[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "replication.conditions": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "A ship without an electrocardiograph but with a smartwatch carrying an ECG app on board", "A telemedical maritime assistance service (CIRM) reachable from the ship and willing to act on a smartwatch trace", "A captain able to run the app on the patient and to divert the vessel" ], "must_hold": [ "The app's AF classification and the remote doctor's reading of the trace agree, as they did here and as the hospital ECG later confirmed", "A port is within reach for diversion and the patient remains stable on the drugs available on board" ], "echoes": [] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "revision_history[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the deployer added from the organization's own site or a registry.", "source": "https://it.wikipedia.org/wiki/Centro_Internazionale_Radio_Medico", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "revisions" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sector": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "domain": "Healthcare (maritime telemedicine; cardiology)", "segment": "Consumer wearables" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "domain", "segment" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].access_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].citation_locator": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Ruocco C, Amenta F, Angeloni U, Frisicale EM, Vaia F, Sagaro GG (2025). A smartwatch electrocardiogram for atrial fibrillation detection: a case report. International Maritime Health 76(2):93-96. doi:10.5603/imh.99319 (open access, CC BY-NC-ND).", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "Within seconds, the application confirmed the diagnostic hypothesis, allowing the doctor on duty to identify the specific issue affecting the crew member’s heart" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, diversion.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/download/99319/83501", "date": "2025-03-05", "written_by": "deployer", "quote": "Upon the doctor’s recommendation, the captain diverted the ship to the nearest port where the crew member could receive medical treatment" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, date of the request.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "CIRM received a request for medical assistance on September 29th, 2023, on World Heart Day." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "evidence" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].id": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "AIBD-0287-source-0001", "AIBD-0287-source-0002", "AIBD-0287-source-0003" ], "role": "Existing evidence items, in their original order" }, "provenance": { "kind": "curatorial", "basis": "Stable within the fingerprinted record version; no source content or source review has been added.", "record_fields": [], "source_refs": [] }, "review_state": "record_mapped", "coverage": "complete" }, "sources[].language": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Ruocco C, Amenta F, Angeloni U, Frisicale EM, Vaia F, Sagaro GG (2025). A smartwatch electrocardiogram for atrial fibrillation detection: a case report. International Maritime Health 76(2):93-96. doi:10.5603/imh.99319 (open access, CC BY-NC-ND).", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "Within seconds, the application confirmed the diagnostic hypothesis, allowing the doctor on duty to identify the specific issue affecting the crew member’s heart" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, diversion.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/download/99319/83501", "date": "2025-03-05", "written_by": "deployer", "quote": "Upon the doctor’s recommendation, the captain diverted the ship to the nearest port where the crew member could receive medical treatment" }, { "kind": "case report", "citation": "Ruocco C et al. (2025), Int Marit Health 76(2):93-96, date of the request.", "title": "A smartwatch electrocardiogram for atrial fibrillation detection: a case report", "url": "https://journals.viamedica.pl/international_maritime_health/article/view/99319", "date": "2025-03-05", "written_by": "deployer", "quote": "CIRM received a request for medical assistance on September 29th, 2023, on World Heart Day." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "evidence" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].upstream_sources": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "strategic_assessments[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "strategic assessments" }, "summary": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "summary": "On 29 Sep 2023 a merchant ship with no ECG used a smartwatch ECG app under CIRM guidance; it confirmed AF within seconds, the ship diverted, hospital ECG confirmed AF and the seafarer was repatriated.", "account": "Ruocco, Amenta, Angeloni, Frisicale, Vaia and Sagaro reported a case in International Maritime Health (2025;76(2):93–96). The early publication date is 5 March 2025 as printed on the journal page. They are at the University of Camerino's Telemedicine and Telepharmacy Center, the Centro Internazionale Radio Medico (CIRM) research department and Italy's Ministry of Health. A 43-year-old chief officer from the United Kingdom fell ill on a merchant ship in the middle of the Indian Ocean. He had chest pain, malaise and palpitations. CIRM, the Italian Telemedical Maritime Assistance Service, received the request on 29 September 2023. Blood pressure was 115/80 then 110/70 mmHg with tachycardia and an irregular heartbeat. The ship had no electrocardiograph and was too far from land for prompt rescue. The captain and the CIRM duty doctor used a smartwatch's electrocardiogram (ECG) application. Within seconds it confirmed the diagnostic hypothesis of atrial fibrillation (AF). The doctor reviewed the recording and recommended diversion to the nearest port. Metoprolol 100 mg and aspirin 300 mg daily were given on board. The hospital later confirmed AF. The seafarer, with no prior history, was repatriated safely without complications and diagnosed with new-onset AF. The report does not name the watch's brand or whose watch it was." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "summary", "account" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].autonomy_permissions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].component_role": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].deployment_configuration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].inputs_outputs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_name": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].product_name": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "system": "Smartwatch ECG application with atrial fibrillation classification (brand and model not stated)" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "system" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].provider": { "state": "value_present", "value": { "kind": "structured", "data": { "application_developer": "Not stated (the report does not name the device's maker)" } }, "provenance": { "kind": "legacy_record", "basis": "Mapped from the existing case description without a new external source review.", "record_fields": [ "developer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "taxonomy_crosswalks[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "title": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "title": "Smartwatch ECG app confirms atrial fibrillation in a 43-year-old chief officer mid-Indian Ocean; Italy's CIRM telemedicine doctor has the ship diverted to port", "headline": "Smartwatch ECG app confirms AF at sea; CIRM diverts the ship" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "title", "headline" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "version": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "900ddc2cd62a200c9778a96eca323e5717fe3a31bbd175bcf0734ec3386bcfca" ], "role": "SHA-256 of normalized original case data" }, "provenance": { "kind": "curatorial", "basis": "Deterministic content version assigned by the local migration.", "record_fields": [], "source_refs": [] }, "review_state": "record_mapped", "coverage": "complete" }, "workflow": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "Ruocco, Amenta, Angeloni, Frisicale, Vaia and Sagaro reported a case in International Maritime Health (2025;76(2):93–96). The early publication date is 5 March 2025 as printed on the journal page. They are at the University of Camerino's Telemedicine and Telepharmacy Center, the Centro Internazionale Radio Medico (CIRM) research department and Italy's Ministry of Health. A 43-year-old chief officer from the United Kingdom fell ill on a merchant ship in the middle of the Indian Ocean. He had chest pain, malaise and palpitations. CIRM, the Italian Telemedical Maritime Assistance Service, received the request on 29 September 2023. Blood pressure was 115/80 then 110/70 mmHg with tachycardia and an irregular heartbeat. The ship had no electrocardiograph and was too far from land for prompt rescue. The captain and the CIRM duty doctor used a smartwatch's electrocardiogram (ECG) application. Within seconds it confirmed the diagnostic hypothesis of atrial fibrillation (AF). The doctor reviewed the recording and recommended diversion to the nearest port. Metoprolol 100 mg and aspirin 300 mg daily were given on board. The hospital later confirmed AF. The seafarer, with no prior history, was repatriated safely without complications and diagnosed with new-onset AF. The report does not name the watch's brand or whose watch it was.", "replication": { "produced_by": [ "A ship without an electrocardiograph but with a smartwatch carrying an ECG app on board", "A telemedical maritime assistance service (CIRM) reachable from the ship and willing to act on a smartwatch trace", "A captain able to run the app on the patient and to divert the vessel" ], "must_hold": [ "The app's AF classification and the remote doctor's reading of the trace agree, as they did here and as the hospital ECG later confirmed", "A port is within reach for diversion and the patient remains stable on the drugs available on board" ], "echoes": [] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" } }, "summary": { "total": 91, "addressed": 91, "known": 27, "reviewed": 0, "record_mapped": 27, "not_assessed": 64, "complete": false, "by_state": { "value_present": 27, "not_reported": 0, "unresolved": 0, "not_assessed": 64, "not_applicable": 0, "withheld": 0, "source_unavailable": 0 } } } }