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Bronwyn Harris
Physician Innovator @ CareEvolution, Pediatric Cardiologist @ Stanford, ex-Apple, ex-Carbon Health
Dr. Bronwyn Harris is a dynamic individual with a diverse background encompassing innovation, pediatric cardiology, engineering, and parenthood. She strongly advocates for the regular collection of health data in homes to provide actionable clinical insights seamlessly integrated into people's lives. Dr. Harris believes in streamlining healthcare processes by designing and implementing user-friendly solutions.
Highlights
In this 4th and final cardiac-related wearable features deep-dive, learn about a FDA-regulated tool that offers an innovative way to monitor and manage atrial fibrillation (AFib) in patients already diagnosed with the condition. Discover how this feature leverages advanced photoplethysmography (PPG) to provide weekly reports on AFib burden and enables patients to log lifestyle factors, offering valuable insights into how behaviors like exercise, sleep, and alcohol consumption affect their heart health.
This article delves into the clinical validation of the AFib History feature, and its new Medical Device Development Tools (MDDT) status, in addition to sharing a real-world patient story.
If you haven’t read the overview article on Cardiac-Related Wearable Features, start here: https://lnkd.in/g_DjivtU.
It is great (and far to uncommon) to see wearable research on pediatric patients! Kuddos to the team at Stanford (Aydin Zahedivash Marco Perez Scott Ceresnak and many more) for this analysis looking at smart watch use in identifying arrhythmias in children.
🔍 Study Overview: Retrospective single-center EMR analysis over a 4-year period of 145 pediatric patients who had signs of an arrhythmia documented by an Apple Watch. Evaluated the role of the Apple Watch in arrhythmia diagnosis, the results of other ambulatory cardiac monitoring studies, and findings of any EP studies.
📊 Key Results: Arrhythmias confirmed in 41 patients (28%) - 36 SVT (88%), 3 VT (7%), 1 heart block (2.5%) and wide 1 complex tachycardia (2.5%). Invasive EP study confirmed diagnosis in 34 of the 36 patients (94%) with SVT (2 non-inducible). Traditional ambulatory cardiac monitors were worn by 35 patients (85%), which did not detect arrhythmias in 10 patients (29%). In 73 patients who used an Apple Watch for recreational or self-directed heart rate monitoring, 18 (25%) sought care due to device findings without any arrhythmias identified.
💡 Why It Matters: Off-label use of medical devices is common in pediatrics and formally acknowledged the AAP (leading pediatric society) "The AAP recognizes that the use of off-label devices is not ideal, but often is necessary in children." While typically we think about devices as prescribed or provider-used, wearables are commercially available and therefore can and clearly from this study are being used for children before seeing a provider. Studies like this are important to help the medical community understand how it performs in certain scenarios, allowing providers to make better informed decisions when patients come in with data from these devices. https://lnkd.in/gFaUbky5
#DigitalHealth #HealthTech #pediatriccardiology #pediatrics #kidsarethefuture
https://lnkd.in/gbVziEvk
