What does the Apple Watch Series 4's EKG actually do?
The latest Apple Watch feature could save your life. Here's why.
By Sarah Mitroff, September 13, 2018 12:42 PM PDT
 
The Apple Watch Series 4 promises to look after your health better than its
predecessors by taking extra care of your heart. New features introduced
this week go beyond older Apple Watch ($336 at Amazon Marketplace) models,
which could simply measure intermittent heart rate during workouts and rest.
The newest Apple Watch is the first consumer smartwatch with the ability to
generate an electrocardiogram test (ECG or EKG -- Apple uses ECG), which can
tell you about your heart health.
You know those machines you see in a hospital that display a patient's
heartbeat as a squiggly line? That's a live EKG.
So what exactly can an EKG tell you about your heart? And how can the Apple
Watch mimic something that's traditionally used in hospitals? Let's find
out.
Now playing: Apple Watch Series 4: Bigger screen with EKG sensor
What is an electrocardiogram?
According to the American Heart Association, an EKG is merely "a test that
measures the electrical activity of the heartbeat." An electrical signal
causes first the top and then the bottom heart valves to squeeze in order to
pump blood.
 
That green line at the top is an electrocardiogram.
bymuratdeniz / Getty Images 
With an EKG, doctors can examine the rhythm and speed of how this electrical
signal moves through your heart to detect all sorts of problems, from
harmless irregular rhythms (also called arrhythmias) to cardiac arrest.
EKGs can also tell doctors if parts of your heart are overworked or
enlarged. Those two conditions can mean heart disease or heart valve
problems.
By the way, an EKG is not the same as an echocardiogram. Echocardiograms are
essentially an ultrasound of your heart that can uncover tumors, heart valve
problems, blockages and more.
How does the Apple Watch conduct an EKG?
The Apple Watch Series 4 is the first smartwatch to get FDA clearance for
EKG monitoring. Previously, you could only use the Apple Watch to conduct an
EKG if you purchased the KardiaMobile watch band.
Electrodes on the back of the watch and in the digital crown measure your
heart's electrical pulses. By holding your finger on the crown while the
watch is on your wrist, these sensors work together to perform an EKG.
Apple 
The process works like this: You open the ECG App (available later this
year) and get a prompt to hold your finger to the crown. Once you do, the
watch starts measuring the electrical signal and shows your heart's
real-time waveform -- those classic squiggly lines that visualize a
heartbeat -- in real time. 
The app records the full waveform and saves it so that you can show it to
your doctor if needed.
The ECG App and the watch's S4 processor then parse the data it collected
and gives you a heart rhythm classification -- more about that in a second.
Traditional EKG machines have 12 leads with electrodes that are attached all
over your body to measure the electrical signals. Apple compares what the
Apple Watch Series 4 does to a single-lead EKG, which research shows is just
as effective at measuring the heart's electrical signals as a 12-lead
machine.
The ECG App can tell you if you have a sinus rhythm or atrial fibrillation.
What can the Apple Watch tell me about my heart?
>From what we know from Apple, the ECG App can give you two heart rhythm
classifications; a normal "sinus" rhythm or atrial fibrillation (AFib), a
serious condition that needs your doctor's attention. If the watch gives you
the AFib classification, it will prompt you to go to the doctor.
Once the ECG App is available, we'll be able to explore all of its features.
With watchOS 5, the Apple Watch's built-in heart rate sensor also
automatically keep tabs on your heart rate and alerts you if it detects
signs of AFib. 
This is a big deal because if you go into your doctor for a EKG and your
heart is beating normally at that time, the test won't show anything. But if
you have an irregular heartbeat that shows up intermittently, such as
paroxysmal AFib, your watch might be able to catch it.

What it can't tell you
Despite our advances in medical care, the Apple Watch Series 4 and devices
like it still can't diagnose you with a medical condition. Nor are they at
all a replacement for regular medical tests or health screenings.
The benefit of having an EKG built into the Apple Watch is that it can alert
you to previously unknown issues and urge you to get checked out by a
doctor.
Does everyone need an EKG on their wrist? Of course not. But with more
medical technology at our fingertips, there's a greater chance of catching
medical concerns that may have gone undiscovered or detecting an abnormality
before it becomes a life-threatening condition. 
The Apple Watch Series 4 is the just the beginning -- expect to see more and
more consumer medical devices in the coming years.

Original Article at:
https://www.cnet.com/how-to/apple-watch-ekg-what-is-ekg/#ftag=CAD-09-10aai5b


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