Atrial Fibrillation and Hyperkalemia detection by the Kardia device
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- เผยแพร่เมื่อ 5 ก.ค. 2024
- Kardia on Amazon: amzn.to/2Duw4qd
Full written content and discussion here:
www.carlooller.com/DrERTV/kard...
Do you ever feel like your heart is too slow, racing, or skipping a beat? The awareness of your own heart beat is most times something totally normal, however in some circumstances can be a dangerous or even life threatening arrhythmia.
Hello there, I am Dr. Carlo Oller and I am and medical physician who specializes in emergency medicine and have been in practice for 16 years. In this video we are going to review an FDA approved device you can connect through your smartphone in order to detect at least ONE of the more serious arrhythmias. We are going to check the device against medical grade EKGs obtained in the ER on patients with ongoing heart arrhythmias. So lets see if this device lives up to the hype!
Palpitations is a common complaint for patients coming into the Emergency Department, but the problem is that many times the symptoms have faded by the time the patient presents for evaluation. So even after a thorough evaluation with blood work, EKGs, and cardiac monitoring, patients often leave the ER with no specific diagnosis and no closer to an answer than when they presented to the ER.
Patients will then have to follow up (hopefully within a few days) with the primary doctor to get a holter monitor / or event monitor to be hooked up and then analyze their rhythm over a period of time to hopefully detect the problem if the problem happens while they are wearing the device. Even when the event happens while wearing the device usually you won’t have an answer until the data is downloaded and analyzed by your doctor.
There are plenty of heart rate monitors out there (smartwatches, fitbit, garmin, etc). They are good at detection heart rate (how fast or slow your heart rate is). This information is useful to the evaluating physician but does not provide any information about the actual rhythm of your heart during the episodes. In other words, it might tell us that your heart rate shot up to 130s while you were lying in bed but it will not tell us if you were in sinus tachycardia, supraventricular tachycardia, atrial fibrillation or flutter, ventricular tachycardia, etc. But, hey…little information is still better than NO information right?
Recently I learned that the latest version of the iWatch (from apple) would be able to detect and then alert the user of a potentially serious arrhythmia called Atrial Fibrillation.
Now…lets make a parenthesis and talk about AF / (atrial fibrillation) for a moment. A-fib affects somewhere between 3 to 6 million Americans, most of them over age 65. In some people it’s silent, causing no symptoms.
AF is when the top part of the heart beats in a convulsion-like manner and the rest of the heart has a hard time trying to catch up. It usually results in a heart rate in excess of 150-180 bpm. This arrhythmia is dangerous because it can exhaust the heart to the point of damage or infarct, and because the pump itself becomes inefficient blood pools and then clots inside the chambers of the heart. These clots can then be dislodged into the bloodstream causing arterial emboli and occlusion of vessels, pulmonary embolisms, and even strokes. Whether or not a-fib causes symptoms, it quadruples the risk of having a stroke. Patients with AF will have weakness, lightheadedness, dizziness, and even near syncope (almost passing out spells) because as the pump of your heart becomes inefficient, the ability of the heart to pump blood to the rest of the body is compromised by up to 20%.
So…when I learned that the iWatch was going to be able to detect Afib I was pretty excited about that. I though it would deliver some critical information in some patients who we would otherwise be ‘on the blind’ when evaluating them in the ER. Not all ER doctors were excited, I must say. Some were actually quite upset thinking that many patients would end up in the ER because their watch told them they were in AF and they were not (something we call a false positive). I have a different take on it, yes I might get some people who are there for a false alarm…but what about those that we wouldn’t have known about their AF unless the phone/watch would have detected it? Patients who could have potentially blown off their symptoms or not known because they had no symptoms and then come in much sicker because they developed heart failure (flooding of the lungs) or a blood clot that caused a stroke or other embolism? THOSE…those are the ones where this type of device, if actually delivers on its promises, could help save lives!
So…you heard me right…IF IT DELIVERS ON ITS PROMISES!
According to this article a cardiologist used the AW4 to study his own patients with AF against the iWatch’s ability to detect the actual arrhythmia.
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I'm from Cleveland Ohio, and I WILL say Cleveland clinic is the BEST hospital EVER!!!! That's where you should be doc
I have AFib and didn't even know it until a few years ago. After our second daughter was born, my heart kept feeling like it was racing so I mentioned it to my doctor and had a Holter monitor for 24 hours. He just said it was anxiety from having a new baby. I still see the same doctor. I went in for a pre surgical exam and the PA said something about having AFib. I was completely shocked. I don't know why my doctor didn't say anything before. This is a very interesting video. Thank you for explaining it, in normal people terms.
Some doctors don't give a damn
@@IbrahimIceCold most doctors don't give a damn and can't give a damn even if they wanted to. the amount of people seen by just 1 doctor, there's not enough time for a doctor to show that they really truly cares about your well being. Which goes against what "HEALTH CARE" is suppose to mean. If a doctor doesn't really know you personally, then I wouldn't put 100% trust in making decisions about my health.
It’s cool how tech is getting better at diagnosing issues we have 👏👏
Here you are again 😂
Thank you so much for the valuable information. I'm sure your patients hold you in high regard.
I was feeling heart palpitations, so I ordered this device on Amazon for same day delivery. I was not short of breath, nor was I having chest pain, which would be an immediate trip to the ER. The device showed pre-atrial contractions, as I spent the extra $9.99 to have the professional consult in-app purchase. After a small amount of research I determined caffeine can cause these irregular beats. I dramatically reduced my coffee intake and have not experienced these palpitations again. This device definitely raised my awareness of a necessary lifestyle change. Highly recommend.
Good video with great info. Easy to follow and understand. Thank you for your time and effort.
WOW he is great, loved listening to him!
Wow this is amazing what some technology is or is trying to be able to do. Thank you for sharing. Love being able to learn about so many different things about medical treatments and instruments. You are a great teacher!!!
EXCELLENT VIDEO INSIGHT...Thank you.
Thanks doc for your excellent advice 👍🏾
Thanks. Appreciate the details and link.
are you compensated in any manner whatsoever by or associated with Alivecor?
Great and informative! Just what I was looking for to watch since buying my Kardia Mobile ECG device.
And a GREAT little device! I bought mine a few days ago, in consideration of my Triple Angio, Quad Heart Bypass operations. And, although it might be if no value for the subarachnoid aneurism I had two months ago, I just feel better that I’m way more equipped for problems down the road than I would be otherwise. And while I’ve still got my Saint John’s Ambulance Emergency First Aid ticket, there’s no better way to up the ante by keeping some ‘essentials’ in terms of high tech gear on hand. So I’m always looking for ways to be better prepared, so to that extent, I’m looking into buying a proper 12-lead machine (around $800+) for my home use, as well as a portable oximeter, and a Philips portable home defibrillator.
Since I spend a lot out in the deep back country, I find things like a sat phone, portable BP meter that integrates the Kardia device, a blood sugar device, and the Kardia device itself, to enable me considerably more freedom, and fewer strings for enjoying the great outdoors for as long as I’m able.
Since I’m about to turn 65 next January, and most of my friends are over 50, I like to think of it as extra insurance for all of us, should we need it. Considering that we’re often out somewhere past the ‘Golden Hour’ in terms of response time for ambulance service, I figured that this might buy us some all important time to get to the Emergency room.
Wow Dr. you explained it so well 🙏🙏🙏🙏🙏
I'm 38 and have AFib. It sucks and I hate it. Started two months ago despite excellent fitness and diet. I was looking into Kardia Mobile. AFib is pretty sneaky, so having a device like this would be helpful in sharing with my Cardiologist.
Bro I'm 31 and just got afib for the 1st time ended up in the e.r. because heart was racing and I was hyperventilating. Nuts stuff. I had one vaccine and was healthy before this episode. I was just curious if you were vaccinated? Just trying to learn and feel out what went wrong. My card.dr. says just bad luck is why!!
@@globalprofits101omg I'm 32 and got the two shots and the booster. I now have chronic heart failure and my doc just told me I have a fib and they want to shock my heart to correct it. I regret getting the vaccine so much. I got Pfizer
I suffer from SVT and I have an Apple Watch 4, I had an attack and took over 60 measurements with the watch, I sent it all to my specialist cardiologist and he said it didn’t really show anything unusual, it was like a reading if you were exercising. But he said it’s not unusual for readings not showing anything strange either unfortunately. Not sure about the Alivecor as I haven’t tried it, may give it a go though to see how it compares. Apple have made it a right pain to send multiple readings to your doctor on an iPhone or iPad.
great stuff... thanks
Thank you for taking the time to do this video , unfortunately I’m in continuous AF w/ irregular HR , (greater then 115) looking for a monitor that would be more appropriate for me .
Any suggestions ?
Thanks so much
Thanks Doc
Could you do a video on healing PVCs? PLEASE? I heard you mention that they can go away. Thanks
My mum has A-Fib but I daren't get her one as she'd watch it 24/7 and every blip would send her BP up with worry and I'd be at A&E everyday
WOw you rather be at her funeral?
Severe dehydration can cause very high heart rate. I had it went to the Dr. She sent me straight to the hospital. They monitored my heart the whole time while I was in there. It was 140 something when I was like that. I might have to buy one
I need this... I wonder if our insurance company can pay for it, I'm definitely telling my heart Dr about this thanks doc👏👏
did they cover?
My heart rate usually was always above 100 on the daily even just laying down and sometimes would be at around 120sum.... but that wasn't even the scary part, randomly but not constantly my heartrate would pick up to 236 and even up to 267 for a couple of minutes while not doing anything at all & the feeling of my heart popping out of my chest feels horrible & it would honestly scare me thinking what if it doesn't stop. The last time my heart jumped up to 237 was in May so I decided to get the Kardia I don't go anywhere without it in fear i might get an episode like that again. Thank God i haven't since then but i did purchase the Kardia because of it.
@Blood angel I actually just got another episode on Christmas Eve & it rose to 254 but was finally able to catch it on my Kardia so I finally had the proof the docs needed to figure out what was happening to me, which is Supraventicular Tachycardia. Doc Called and received my email and littlerly yesterday started me on Verapamil until I officially get seen in his office for an appointment.
@@xxsweetcandyxx5 hopefully you're feeling much better now 🙏
@@adamal9560 thank you 🙏
I’ve had two kardia devices, the single-lead and 6-lead. It is very accurate, but medical professionals have pretty much refused to take the time to even look at my phone while in the exam room. I had that experience with two fmily practitioners and three cardiologists. All refused to provide an email where I could send the PDF for my medical records. Unless you are highly experienced in reading EKGs (I’m a retired ER nurse), it could be a waste of money.
All because they want your money
There are two models. The basic and the 6 sensor one. Which one is recommended for normal individuals?
Can you update with the Kardia with 6Leads
I'm interested in the KardiaMobile 6L ("6 lead " device). Any information on that device?
Its amazing! They added 3 new arrhythmias they are able to detect. I love it! Use it all the time
@@jl8805does it cost money to test? Or does it only cost money to have a dr read an ekg or have the cardiologist look at the test? Can you still do the normal test of two fingers on each pad or do you have to put it on your leg while touching both pads each time?
Dr. Oller, this was very interesting for me to watch. For the past twelve years I have been having palpitations, but just in the past three months or so I have been noticing that it seems as though it is getting worse. It REALLY bothers me and most of the time I feel light headed when it is going on. I have an Apple Watch and when I feel it, I do the EKG and I see that it doesn’t look normal, but since I am not a doctor, I don’t know if it is normal or not. It definitely is not all one steady rhythm. I have recently been wondering if I should go and visit with my cardiologist, since I haven’t seen him for several years. I have been taking 50mg of metoprolol in the morning and another 50mg at night (prescribed for my palpitations) for several years now but I am feeling like it’s getting worse for sure. What would you recommend that I should do?
For sure go see your cardiologist.
What about the fitbit? I use the blaze to track my heart rate. I love your videos :)
I do talk about Fitbit on the video
Dad (78) had that, which lead to a pacemaker. He now also has extra O2 at night as well. Great advice given hear but as always, go see your doctor for any medical diagnosis.
This was a very informative video. Thank you.😊😊😊😊
Are all scans measured the same as far as the display is concerned and what you can download and email? My spouse has atrial flutter. Kardia said it will not detect that. I believe that means the app will not tell me the display is atrial flutter. If atrial flutter can be measured and recorded I can leave it to my doctor or myself for diagnoses.
I bought it based upon this video because more than myself need to be monitored.😊
I’m 36, have had AF three times now, and have been taking beta blockers for 8 years. My DR is thinking about cardio ablation or a watchman device. He recommended an Apple Watch with ekg. I was looking for a cheaper alternative, and the smaller device may be it. Thanks.
How did that work out for you?
So I just was in Er I’m 28 you mentioned 6 years ago was that when u too first had afib?
Hey Dr Nick!
What about the 6 lead?
Great video. I was looking for. A proper review of Kardia. Thanks.
Could you please do a review of watches which have blood pressure senses. Are they legit? . I’m not talking about omRon , and other wrist cuff machines, but Fitbit like blood pressure watches
I don't know of any watches that do BP monitoring.
I am 29 with A-fib it is the most terrifying diagnosis I've ever received it causes so much anxiety for me everyday. The last time I got converted the Dr told me about that app kardia it's so nice to be able to have it and give that sort of peace of mind
what symthoms did you have and can you self diagnoze yourself
I was 26 when doctor diagnosed me with AF (Atrial Fibrillation).
@@may-rg7yk Yes, when you have AF you can self diagnose by pressing 3 of your fingers on your wrist, if the rhythm doesn’t feels like ticktock on your clock then it’s mean your heart rhythm is irregular. And you can feel that your heart doesn’t feels good. It feels uncomfortable. I was diagnosed with AF when I was 26.
28 just was in er 2 weeks ago afib
We young ones should do a study or colab
@@may-rg7yk when I had it my heart was racing. I was having a rest, no activity what so ever, and my heart rate shot to 158 bpm. It almost felt like N elephant was sitting on my chest but the feeling of the racing heart caused me to hyperventilate
Does the KardiaMobile device also detect Left Bundle Branch Block?
The emay device does
While listening to my lungs my doctor had me take 6 deep breaths. Then she listened to my heart and said it was tachy. But I said it is just beating fast because of having to take deep breaths. My EKG was 15 seconds laying down and was normal. I doubt the laying down and 15 seconds could tell them anything. What does it mean to have a "tachy" heart after breathing hard. I have asthma.
Thanks for the good advice!
where die we buy the band /app?
Does the older version of this product offer any benefit to someone with A-flutter? How about with the new 6L device?
@@fcex558 These are obviously monitoring devices. You clearly were not able to comprehend the question.
I like that the Apple Watch monitors 24 x 7 if you wear it all the time. The other device only measures if you take it out, place your fingers on it to do a single recording. Also the Kardia device requires a monthly subscription after the free trial. I think it's good to have the Apple Watch for constant monitoring and have another device to get additional reading if you feel something is wrong or if the Apple Watch sends you alert and you want a second reading from another device.
Apple watch does not monitor ecg 24/7, it only tracks pulse Continuously. In order for an ecg, you need to press your finger on the Crown and hold still for 30 seconds. It does not do ecg autonatically.
Also, there is no "trial". There is the basic service, then there's KardiaCare that offers more.
@Sasha Oylear would you recommend the kardia? I have an Apple Watch with ecg but I was looking at the kardiamobile 6l. I have pvc
Doctor,I love the video,I'm buying kardia mobile for my wife,She has heart problems,Diabettis,Her mom passed away 3 weeks ago from a stroke & now her grand ma is going through the same only with Gramm its C.H.F. ,MY wife also has C.H.F. & is just 40 & on Lasix. I feel to prevent & record the info is critical
My doctor told me that i should think about buying this, because i have been having these symptoms alot this year but the ecg cant see anything because its gone when i get to the doctor.
So I bought one today hoping it will see something that the doctors can use.
It started back in 2012
Have u caught anything with it yet? I got it too because of my high heart rate.
Probably a good video. why turn off the captioning. i am a retired physician who is hearing impaired, and do not hear a word that was said.
You can get a Kardia band to put on your Apple Watch.
Not anymore, o looked into that and they seem to have stopped selling it now unfortunately.
Great video. Is the new model truly a 6 lead reading? I am 32 in shape , clean diet and workout 5days a week. Recently had to get cardioversion due to afib and no one seems to have an explanation what caused this. This could be a great peace of mind . Your thoughts, thanks for the video!
AFIB can be brought on by a lack of sleep. It was news to me 3 years ago, but it happened after a shift in work habits. I was told by my Cardiologist that sleep apnea and insomnia can be precursors to AFIB. While I don't have sleep apnea, I was only getting about 4-5 hours of sleep and was going through some stress induced insomnia.
28 afib no explination:) get all test u can to rule out heart problems!
I bought this product, it gives me so many different results in a row, Normal, then possible atrial fibrillation, then normal again. I'm not really sure why...
How is it going?
Dr i need help i have candida and i recently graduated from medical school but I don't go to work because of my candida what I should do can I work I need help please , should i go ??
candida where? in blood? having a yeast should not stop you from doing anything unless it is in your bloodstream
I find my heart stops skips/ fast beats/ misses a beat and doesn't beat for along time. Ekg never picks up anything because it's never doing it at that time. Does it when I'm at work bending over or laying down also in high stress situations. Funny thing is I can do my powerlifting and my heart beats nice and slow and strong and never screws up.
you are probably the perfect patient to get a device such as this. try to catch it when it happens!
Maybe u need to quit that job ..
The elastic band put on the arm when drawing blood CAN cause high potassium. Not always but on certain people. More info and reasearch is needed. Always listen to your doc!! Just an fyi. Also bisoprolol caused potassium to be high in 1%. They cut it in half dosage, potassium returned to normal. Not all are effected.
It’s not that Kardia can’t detect and identify PVCs, it’s that the FDA has cleared the device to id only AF, bradycardia and tachycardia. As you know, even twelve lead ekg machines can misidentify arrhythmias so this software encourages the pt to send/take the ekg tracing to a doctor, who can interpret it. even if the reading is identified as normal, a doc can look at it and quickly dx pvcs or whateverever else might be going on. It’s only going to tell you if you are in AF, Brady or tachy. Otherwise it says “normal”, which in reality means it could be dozens of other arrhythmias or normal, just not AF.
PVCs are pretty obvious on a strip. Yes a 12 lead ecg is gonna give you a ton more information but if you know your heart rhythms you can probably see quite a bit with this thing.
The algorithm detects sinus rythmn. If the algorithm detects a rythmn that is abnormal, it will show as "unclassified" as the software is smart enough to know its an arrhythmia it just doesn't know the name of the arrhythmia. If it reads sinus rythmn, then no abnormalities were detected.
For example, STEMI can not get picked up by the algorithm, but you can just observe The ST elevation on lead II to diagnose it.
Ita all about the P wave.
Dear doctor oller is it available for img to achieve an opportunity to do elective training under your supervision.
Yes. You would have to go through the hospital medical staff office . Are you in MED school?
Sponsored. Message.
A single lead akg is not up to what I am looking for.
Why don't we have a device with several stick on wireless leads that we can place on our chest and relay to our doctors?
I’m thinking IPhone watch?
Whether or not the Doctor is being compensated by Alivecor is irrelevant. I have been reading and watching reviews for both the iWatch 5 and the Kardia product and Kardia has been recommended over the iWatch in several avenues.
Suggest me a perfect book for ECG
My kardia 6l reads normal all the time when im having pvcs smh you can see the drops .. garbage device
Dear doctor Gerhard, ur pills don't work on me! Where can I get a refund???
I am not dr Gerhard. Someone is posting my videos as them to promote this hideous product!
Dr.
Are you on Instagram?
I am not...why?
I just wondered. :)
Watching this will certainly put you heart rate up. Jeeze this guy likes to talk