Cardiologist’s scientific analysis of the Apple Watch
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- เผยแพร่เมื่อ 27 ก.ย. 2024
- Will the Apple Watch save lives? I’m an academic cardiologist & this is an in-depth, unbiased look at the science & implications of the exciting new ECG heart monitor function.
I’m a tech fan, an advocate for people to take an interest in their health, and a practicing heart doctor, so this is big news for me. But amongst all the glowing media coverage, I wanted to explain the considerable implications of something like this.
I analyse the science, the statistics, the medicine and what it may mean for you, if you buy an Apple Watch. Edit: And yes, I know it's not called an iWatch, tbh I shot this in a hurry at work and didn't even realise I had said iWatch until later. I mostly use the term to wind up my Apple fanboi buddy Simon. Judging by some of the comments, it winds up more people than just Simon.
My video on medical over-testing: • If money was no object...
If anything is unclear, please ask me here or on Twitter - I do answer every question.
- Dr Rohin Francis
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More Medlife Crisis:
www.medlifecris...
/ medcrisis
/ medlifecrisis
/ medcrisis
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Venk Murthy’s Apple Watch Tweetorial: / 1042110544457674753
John Mandrola’s Apple Watch article: / im-a-heart-doctor-here...
Julian Halcox’s Alivecor (REHEARSE-AF) study: www.ahajournal...
Joy Victory’s Apple Watch article: www.healthnews...
May 2018 JAMA Cardiology Smart Watch study: jamanetwork.co...
Apple Heart (Stanford) study: med.stanford.e...
Music:
Tango de Manzana by Kevin MacLeod. Creative Commons licence, downloaded from incompetech.co...
Excellent video! To me, medicine is characterized by a few things including 1) the notion of fear and the unknown and 2) excess and these are encapsulated in life-and-death. Those are distinctly different from tech, which for the most part is a nice to have but can live without it. This incompatibility amplifies the potential fear and this in itself create more excess. If Apple does not play its cards right, they could have just opened a giant can of worms. And the FDA won’t always be run by people who will allow this kind of thing.
I've had a long standing interest in medical tech and have even done a tiny bit of consulting for an AI company. The disconnect between them and us is enormous sometimes. As you say medicine and technology come from very different starting points, even if we are respectively interested in the other field. I thought an analogy was Elon Musk's approach to the cave rescue. The Silicon Valley attitude is just to attack any conundrum in any way and deal with any problems as they arise. Like beta testing. They are now bringing that approach to medicine. Should be interesting!
I have found all my favorite channels through the chubby emu
That's great to hear - encourages TH-camrs to help & support each other. I'm naturally competitive so when I saw Chubbyemu's first video explode my immediate thought was "damn a doctor has got there before me!" but of course as soon as I watched I thought this is incredible content and I want to see more. He's been really supportive of my small channel. In fact we were talking yesterday & I said I probably owe him half my followers. Do you mind me asking how you found me though - was it just 'you might like...' or 'related channels' that brought you here? Thank you! Just interested in how the algorithm works. Hope to see you again :)
Just love Chubbyemu's videos!!
@@MedlifeCrisis I found you through Emu's channel as well. I teach physiology at a technical college and was looking at Emu's video of the guy who didn't brush his teeth for 40 days and started searching his page to see if perhaps I could find CJ's lab values and use them in my Diabetes lecture. Your video, among others popped up in his playlists. Thank you both so much for all the great work you guys have done. You're furthering the field of science not only by generating content thats fascinating and innovative for aspiring clinicians, but you're also informing lay people. You're empowering everyone!
It’s been 3 years, I’d love to see an updated take for how much impact he has noticed in his practice and if he’s had an increase in people worried about symptoms?
This is the first Fitbit I have used. It has some new features th-cam.com/users/postUgkxbkrje8Y7BaqRkAjimw-55ajvVo7RbcIp and I like the information that it gives me.I think the phone app could be designed to be a bit more accommodating, as it can be confusing to use. The rubber band is comfortable, and normally I do not like rubber bands for my watches, but this is comfortable.I am looking forward to seeing if this helps me stay accountable in my fitness endeavors!My only gripe is the box was very damaged when it arrived, however, the tracker is performing perfectly!
science + dry British humor= 👍🏾
thoyo I was wondering how I could some it up. You hit the nail on the head.
thoyo why it gotta be a black hand though?
@@therealbobmayo5065 I've got to be honest. I thought the emoji was the swirly piece of shit.
@@stuckurface same lmao
there is no dry humour, there is humor or there isn't
This was a much better explanation than Vox’s as to why an ECG is unnecessary for most people who aren’t at risk of heart issues. Keep up the great work!
I want this guy for my doctor.
No you don't.
He's a cardiologist.... If he's your doctor, it means you have a problem!
at least you would die laughing
Amira Lozse hahahahaha
@@amiralozse1781 Thats not the worst way to die.
Maybe he could figure out what's going on w my heart... and my fathers
11:13 "If he was in another country, he may be less lucky".
We all know what country you're talking about.
I think there might be dozens of countries he might be refering to, but I think I know which one YOU are thinking. The world is more ample than that, but, you know, in the country you might be refering to, people just don´t realise that!
@@sergiorejtman That's right! It's time someone finally addressed the state of Papua New Guinea's atrocious healthcare system.
@@duxnihilo How bad is it exactly?
Yeah he could be in canada and be waiting for several months to get seen
The only civilised country with no healthcare service for everybody is.... the country where Apple is established...
My Apple Watch kept alerting me multiple times to a low heart rate so I mentioned this to my NP. She did a 12 lead ecg and I was diagnosed with first degree AV block. She said I was the third patient she had whose watch alerted them to a condition that actually turned out to be a medical issue. I was referred to a Cardiologist who did further testing and discovered a leaky Mitral Valve. The bradycardia and the AV and the moderate mitral regurgitation will be monitored yearly and I spent a month on an event monitor because of some symptoms. So far so good. I am a 63 year old female and have a family history of heart disease and strokes. I don’t mind knowing that I have these issues and I don’t obsess on them. I focus on what I can do to stay healthy. The watch is one more tool that I can use to monitor my health and monitor my exercise.
I had to get rid of my Fitbit, it was enabling so much health anxiety it was actually making me ill. I have a family history of heart conditions, but I personally have no symptoms and have had medical tests to check for anything - all healthy. I am an active young person. However, just knowing about my family history was the tiny spark to check my Fitbit obsessively. I would check the data just to “catch anything early”. The anxiety was actually giving me palpitations and so made the anxiety worse. Sometimes too much access to information can be a bad thing, especially if like me you are prone to hypochondria.
I was initially skeptical of your point of view, thinking "So what, if you have to send a few more people to 'get some tests done'?" but then you presented your arguments backed up with reason and facts and I came to agree. I have to say, I am disappointed by American Heart Association's apparent endorsement... Are they guided purely by science or the funds they receive?... Great video. Thanks!
"American Heart Association's apparent endorsement... Are they guided purely by science or the funds they receive?"
The answer isn't obvious to you? If not, you are severely naive to reality.
Do you know what a rhetorical question is?
@@evolicious It was a rhetorical question, dumbass.
Doctor convinces sceptical man with LOGIC and FACTS.
akguni the AHA endorsement- If you cant beat em join em. Apple/AI/other tech companies will most likely be the biggest reason for health care reform and improved efficiency. We’re living in a beautiful time.
Wow, you are like Dr. House and Veritasium all in one. I like this channel.
In the UK, the women at the front desk will turn you away, sometimes. Keep trying, and you will get to a doctor. Don't just walk away and die.
my friend actually tried the EKG on the Apple Watch yesterday and it came back as A-fib. he went to the doctor and will be seeing a cardiologist soon. so - clearly, this app is saving lives. as he wouldn't have ever know about his condition until it was probably too late.
You dont get it do you. His life wasnt saved. He would still be fine without the damn watch. Afib is nothing that kills like it's fucking Ebola. It's a risk factor that's all. Many people have had it for years not knowing about it and nothing happened.
@@maxmeier532So no one has died directly, or indirectly - stroke for example -, as a result of AF?
I agree with you when it comes to the ECG. I have POTS and reflex neurocardiogenic syncope. And the heart rate monitor seems like a good thing in my case. I don’t have a watch like that but i think it could be beneficial to be able to check my heart rate when something feels of. And i could potentially not collapse because of the heart rate monitor. Just a thought.
From one physician to another, excellent job.
I didn't expect a doctor to be this funny
Educational AF
daniel tabarcea I see what you did there
Thanks for the video doctor!
I’m a 43 year old male living in the USA. I’ve had “a fib” all my life since I was 25. I go in and out of it, episodes sometimes don’t happen for weeks, and when I have them, typically last 2 to 12 hours. I take 2 baby aspirin a day and when episodes happen I make sure to rest until I convert back to normal rhythm. I have a heart doctor and a family doctor that are aware, but I’m not on blood thinners, just aspirin maintenance, and my job is physical so I get exercise there.
I have a yearly checkup, and I’m very healthy and the heart is healthy. I completely manage it on my own.
Thank you for saving me $500!
I think you are exactly the person who doesn't need it, or wouldn't rely on it as you are under the care and advice of medical professionals. I think there is a big danger that people assume a monitor replaces medical supervision, a healthy lifestyle and management of symptoms.
Can you please make an update on your opinion after having this feature for a couple of years? I would find it very interesting what you think now?
The stress of worrying about a condition you don't actually have feels harmful to me! I've had similar anxiety before, based on a home observation and Google, and had long-term anxiety over what I thought was a problem. Being able to search for things is amazing, but it's too easy to scare yourself, and if you have history of anxiety, it's only going to make things worse.
Actually the link between the Leech and the medication was brilliant
I need a t-shirt that says "AF is serious af"
Yessssss
@@ThePicesgurl sometimes Permanent AF
The casual humor + edits crack me up so much every time ^^
Its the perfect vehicle for these spicy science bits. You could give great lectures in University. Great work.
Btw do you have any plans on making a video on diet and heart health? I feel like the media and the food industry have really muddied the waters to the point its almost a religious issue. There are people like Dr Kim Allan Williams, Dr. Caldwell Esselstyn who are really convinced their plant based diet-thing reverses atherosclerosis better than any drug etc. and on the other side people straight up deny that saturated fat and meat and stuff have any negative impact at all. I guess the AHA is somewhere in the middle but then again they are sponsored big time by (fast/) food companies and have a really strange divide in the conclusions of their research and the actual diet recommendations they give out.
I would be quite interested in your perspective.
Thanks! That's really nice to hear. Re: your question - short answer, yes I definitely do plan on it. But I have some reservations. 1 - I've seen colleagues get really hounded and trolled by opposing camps when they've voiced a fairly non-controversial position on something (in my opinion) like "keto has some problems" or "some fats ARE bad for you". 2 - it's such a minefield these days, it's very hard for a jobbing doctor like me to know what to believe, so the public must be drowning in misinformation. Many prominent academics, nutrition experts, doctors etc talk such BS it's hard to cut through. So if I do it, I really want to get it right and spend the time. I will - one day! A no-holds-barred take down of the religious (that's what they've become) diet extremists! Thanks again :)
Very nice!
I know what you mean by minefield - even as a med student I have seen the mudslinging that goes on. I knew a MD here in the UKE, Hamburg, Germany (big university hospital) that voiced his problems with the food patients get served. As soon as he was senior physician and became even more active with it, stuff went really crazy. I had never thought bullying like that would even be possible in academia today. Long story short - he quit.
So I totally get why you have reservations.
Still really looking forward to it.
@@Cin9999
Wow, this hospital rather seems to work under a Hypocritic Oath.
δτ
Thats the weird thing otherwise its the most modern advanced clinic in Europe , employs 12.000 people, absolute giant ...but when it comes to thats its weird.
@@Cin9999
Ist dieses Problem Folge eines Profitdrucks?
Ok, how have I not found your videos sooner? Not only are you informative, you're also engaging and hilarious. So glad TH-cam randomly recommended you to me.
"AF is serious af"
😂
“...but it didn’t work and it just makes it sound like I’m trying to show off about my holiday. Which I was, but it’s my channel, so tuff luck.”
Subscribed.
Honestly. Awesome video. You've got a great look, voice, and appearance. You should continue doing this... .People need formally trained and educated people reviewing and analyzing new tech. Keep it up!
I am a 71 year old male. I purchased an Apple Watch about a
year and a half ago. When I was running through the various applications I
tried the ECG function. In less than a minute the watch came back informing me
that I was in Atrial Fibrillation (AFib)...I immediately contacted my doctor for an appointment. She confirmed that I was indeed in AFib and needed to be treated. I am still undergoing treatment. Thank you Apple!
Dr.Rohin, you..are.. the epitome of subtlety in info-humor!!!
Subsequent to this video, it turns out that one of the main benefits of the Apple Watch is detecting V-Tach. - Ventricular Tachycardia, or rapid heart beat. There are quite a few people who were alerted by their Apple Watch that their rhythms were faster than 200 bpm.
In MY case - I was the recipient of one as I had a STEMI in 2016. Having even a single-lead ECG with me at all times has been a RELIEF rather than a worry. Also, it detected a problem for ME, too. In January, my rate accelerated to 170 for no discernible reason. My normal rate ( with meds ) is 55-65.
Turned-out that I had a bad reaction to some cold medications. I don't think that would constitute a false alarm....
Thanks for sharing
Whoa! This TH-cam should be mandatory watching!
Love the videos and no BS, I wish so many more people and videos was fact based and not opinions.
This really needs to get more views
MEDICAL FACT
Agreed
Its just blown up.
It's informative af
@@carloandreaguilar5916 your comment is pretty stupid in itself. not only did he not talk about the technical aspects, he dove into the deeper aspects of misdiagnosis and how the studies by apple and stanford may not be transparent enough to prove that it is useful. whether apple tests once or 5 or 57 times a day, it's a low precision device that can get it wrong. if anything, relying on a tech device to tell you you're healthy seems more ignorant
as for "The Apple Watch has saved many lives", citation needed :)
Here because of Tom Scott. Love your channel--have no idea how I knew about Chubbyemu but not you!
Yesterday at work, i saw an ED admission note saying 'Pt well. IPhone app said in AF. ECG shows sinus rhythm'. Kinda says it all!
Mike Olivier
I'm curious to know what you did next. And also why they were admitted. If they were in sinus presumably the next step would be to determine their stroke risk and need for anticoagulation. In your setting is that done via an inpatient admission?
@@ansnfbsknanssshshbsnsndnd5438 yes, it does. AF can be "paroxysmal", meaning episodic. Having an episode of AF can be a non-event, or it may trigger a medical work up and possible treatment.
Excellent points made! I've been involved with ECG/medical/nursing for the last 36 years! When I heard there was going to be an ECG monitoring capability on the Apple Watch, I thought the axact concerns as you stated. The general public is not well educated on the risks/benefits of any medical technologies, along with the risks for type I nor type II errors (as you allude to)! I will have my nursing students (and anyone else interested) watch this video as a matter of reference and education. Thanks for posting this!
Excellent information, liked your sense of humor. I have been told by ER Dr’s and my Cardiologist the same thing your saying. I supportively have a strong heart, owe thousands in testing now because I have palpitations and every once in a while my heart can’t figure out what to do so I go from a resting 60 to 160-170 bpm within a minute and sometimes it lasts for a few minutes. I go to the ER, get checked out and months later it happens again. So, unless I’m in pain or unconscious, I do my best to wait it out since I am also told that 160 bpm is where I should be working out, so even though it is discerning and uncomfortable..... DONT FREAK OUT. Ok! I was going to get an Apple Watch 4 because of this but I guess I’ll get one because it’s cool and it has other fitness apps.
Thank you. Thank you so much. This helps me a lot with my anxiety. Been to multiple doctors and they all assured me that I am healthy.
Bought an apple watch to obsess about my heart. Good thing I watched this.
Now I’ll just use it for basic data gathering and as a watch. Not as a “medical equipment”.
I'm very glad you're okay. However, why didn't you trust your multiple doctors and had to be one on the internet to reassure you?
More of: the doctors assured that I am ok.
He explains why I shouldn’t self diagnose and trust the doctors. Which is more assurance.
But trust me when I get my next panic attack I’ll doubt this again and go for yet another checkup lol.
@@juansymontano Ahah, I understand completely. I'm just like that.
I'm the same. My watch shows really high and really low heart beats and have such a bad anxiety over that
Thanks for this video. The anxiety and the fixation of constantly monitoring my heart on the watch was driving me nuts.
This is a really great video. Clear, understandable, to the point. No Bias. Thank you so much for it.
Very witty channel. Good material here, mate! Keep on Keepin On! We need more professionals of every field on TH-cam!
Just want to share an experience. Shortly after getting my watch i did the ECG and was given a normal rating. A few days ago I felt what I now know as chest palpitations. I did the check and the watch said i had a potential AFib. Not just once either, it was several times in a row, after only getting negative readings. Went to the hospital, and I was diagnosed with AF and told to stay away from energy drinks for the rest of my life...
I can provide you with my medical records and some screen shots from the watch if you would like to see them. And I would certainly value your second opinion...
Hope you are doing ok Nick. Get better! Don't drink too much energy drinks they are bad
I love this video...thank you for explaining this in such easy to understand terminology! I wish you were my doctor...your humor, even while explaining such important information, is much needed!
My opinion as an apple watch user .. It is not meant or expected to replace official diagnosis, but rather serve as an early warning to let your doctor (the expert) decide what to do and what (official) tests to run.
Well, yes it is. But that's the problem and what the whole video is about, essentially. He doesn't say it is always a bad thing.. but that it can be!
This is great well-produced content, and I'm surprised you only have 5200 subscribers! I suspect you're going to be much bigger in the future. I think the next time want to go through my usual diatribe and explanation to a patient how unnecessary testing can cause them harm, I'll just share this with them instead.
I have had Afib/SVT 3 times - at 24,29, and 34 years old. I have been electro cardioverted for all 3 events. I have learned a lot over the past 10 years and the ECG function serves me well - despite being a youngish guy.
I know people from ages 13 to 29 who have the ECG feature and have 0 (zero) logged ECG’s in their health app. They could care less about it.
I think this feature is important to apples future since people between 35-45 years old are 1)still very interested in tech and 2)getting older. This is step 1 of what is to come in the world of medicine in regards to obtaining useful data. Any cardiac patient would know that not using a multi lead ecg machine will not generate hyper accurate data. But as you learn yourself - you may be able to notice patterns. For example, a change in position caused a short run of a-fib. It’s about knowing the data and not always acting on it.
In your example - if a patient comes in one A-fib reading and you instruct them to relax and that it’s nothing... yet they still become hyper anxious? Thats the doctors responsibility. I often have to extract as much data as I can from my Cardiologists in order for me to feel comfortable. I doctors need to show more data or follow up with data to make their patients take something serious or to allow their patients to relax. Everything is data driven today - and i feel we need more data in this regards.
Hi Doc. I really enjoy your content and have learnt a lot. Can I suggest that you produce a similar video on Heart Rate Variability. This is a hot topic for most athletes and the relevant sports watch produces and apps.
I think this largely falls into his tennis-club analogy.. i.e. not really a medical/hospital issue; most athletes should just crack on and go for it according to whatever goals they have and training regime them and their coach buy into. The main issue from what I've seen is, do you take some time to stay in recovery zone if you detect heart strain, which is the new orthodox stance or is that precisely the time when pushing further might give you highest chance of adaptation to a new level, some epigenetic effect, make you start producing a new protein... I'd like to see his take but don't wait for it! other research is out there
I’m 49 and just been diagnosed with AF. I bought the watch only for the Ecg function. I’m being treated but had a few events since a cardioversion but find it useful if only to ‘see’ what my hearts doing. Unless like me you need that extra detail at home, imho buy a Fitbit 👍
I loved this video!! You are a 'no bullshit' and funny Cardiologist, thank you for this video!! I am awaiting a Fitbit Versa watch, and plan to use it to monitor all that it can do. But what I will not do, is panic when my heart profile might look a bit odd, because the chances are that I am very normal, my heart has always been like this, and the fact is that we all feel the odd 'funny heartbeat now and then, there's nothing wrong with me, etc, etc. It is clear that we are in the early stages of 'large data gathering', and unless you really feel unwell, don't waste your doctors' time...I look forward to watching to more videos from you...thanks :)
Excellent video. I am 55 and havehave had 4 heart attacks. 3 stemi & 1 non-stemi. I have a pacemaker/defib fitted. My Apple Watch woke me one night and told me my pulse was all over the place. I contacted the pacing lab the following day and they confirmed the problem. I was brought in for obs and had my meds adjusted.
My Apple Watch alerted me of atrial fibrillation and it was 100% right. I was hospitalized and then recovered to normal life. In my own experience I have to say it worked and I thank Apple for developing this technology. I am 52 years old and never had heart issues of any kind.
I have the Apple Watch because of basically every other feature. I’m just 34 but have significant med issues. My cardiologist likes that it gives him HR data (dysautonomia keeps me brady) and since I pass out often the fall detection is nice.
I’ve had plenty of 12 lead EKGs, been in tele, etc that shows occasional A-fib but it’s no big deal. If I feel the weird fluttery feeling I might try to capture it.
My docs pretty early on told me they were more concerned with symptoms than numbers. I only monitor BP and such when I feel weird. Education is super important.
Lindsay Sheffield im thinking of getting one for my dysautonomia too. Do you think it’s really really worth it?
At 44 i sued to think like this and then i had a stroke. I've since been found to have had several strokes that were mis-diagnosed. I also have POTS, vasovagal syndrome, ehlers danloss syndrome, fibromyalgia, and several other related illneses. I need to keep eye on my heart rate as it often goes above 160 and stays there and then a valsalvo maneuvre i've been taught is required to bring it down. My life isn't fun but i'm still alive. I use an android watch as apple is a rip off. But it's important to me to do whatever i can to stay as healthy as possible. For people with pre-exisitng conditions that need monitoring i think there is room for this technology.
Thats the best explanation I have heard until now why overtracking may not be a good idea for everyone.
I thought the Apple Watch was FDA “cleared”not fda approved
Correct, I originally went into this but cut it as the video was getting too long.
@@MedlifeCrisis No worries. Fantastic job on the review and analysis. firstly, thank you for trying to dumb this down for mere mortals like me to understand. to me your basic examples sound incredibly complex, such as the bit about the normal guy being turned into a patient. But that's probably rather common for you, even without the watch. health care is so incredibly complex, hat's off to you and other health care providers for doing what you do. just have a few thoughts perhaps you can talk about in a new video. imagine you were one of the consultants brought early on by apple and they tell you "hey we're thinking about building this". what would the discussion be like. then fast forward 2 years after launch. Apple now has all this data available. what new tools or processes can you dream of that would help you or your patients. anything goes: telemedicine, AI, etc. thanks again!!!
@@MedlifeCrisis You shouldnt have called it "approved" then cause it is factually wrong and implicates something that is not the case. Apple is using it for their marketing even though it means- nothing.
I had an ablation procedure for my AF in 2008 for one side of my heart, then one in 2009 for the other. The Dr. is correct AF is nothing to mess around with. When you had it like I had it at aged 62 you can feel the skipping, the pauses, and the racing. It is extremely unsettling and downright scary. So, am I going to get the new Series 4, damn right I am.
I wore an Abulatory ECG machine for 3 weeks. It has 4 sensors. I was diagnosed with SVT serious enough to require Ablation surgery reference.
I then had to move homes, and the jurisdictional cardiologist I then had to see disagreed with the standing opinion. (that was not only from this moniter, but also from exams and test upto 3 years history from doctors abroad where I lived amd they also suggested ablation)
They are now requiring me to do the abulatory monitering again with no medication (as I am currently on a lot to control it) as the new cardiologist said she saw NO SIGN ATALL of SVT..... how can this be?
Sometimes In the mornings when I wake up, I see an alert that says “My heart rate went over 130 bpm during a period of inactivity” but I think I might just be having dreams, and I get excited while I sleep or something
A very interesting analysis which shines a whole new light on something which I initially only thought could be of benefit in terms of AF diagnosis. Thanks :-)
I am interested in the implications of the HR capabilities of the Apple Watch. My father has Afib and has undergone 2 or 3 ablations. I've wondered if he had owned an Apple Watch if maybe he wouldn't have had to find out about this condition at the point that he needed 12 days in the hospital. Maybe it would have tipped him off to irregular activity. Thank you for your perspective on this. Helpful.
You can a buy a 12 leas ekg machine with printing on Amazon for $700 😂
I’m on beta blockers at the moment awaiting my 5 day ECG. I had an ablation 2 years ago for Wolf Parkinson White Syndrome. Now something else/WPS is back. These beta blockers are horrible. Bisoprolol at 5mg I’m taking. My heart is still beating all over the place. Can’t waiting to sort it out. I have the Apple Watch 4 and wish we had this ECG here in the UK just to see what it picked up.
Has anyone ever told you you look like a young Rowan Atkinson?
Could I please get CME's for watching your videos? It would justify the time I'm spending and your videos are better than the typical CME lecture videos. 😊 Keep up the good work.
Even more worrisome I believe is the risk for the opposite of what you're describing, and that is a false sense of security. You see, Tommy is obese, he lives a sedentary life, and he's got undiagnosed type 2 diabetes and hypertension. He often doesn't feel very well after eating, and randomly feels lightheaded. Another person might decide to go see a doctor after that has happened a few times, because he can put two and two together in his head, realize he's in a risk group. But not Tommy, because Tommy spent too many dollars on an Apple watch that told him everything was fine.
almafuertegmailcom I can’t understand why Apple haters hate on the company for trying to save lives.
@@adorabasilwinterpock6035 Sarcasm? I hope so.
@@adorabasilwinterpock6035 you wouldnot overprice thing if your main purpose is to help.. apple is a profit organization
Interesting points here
Absolutely excellent video highlighting the problem of having too much information, with too little context , with no frames of reference, and a lack of a sense of proportion caused by corporate interests
I previously have been diagnosed with A fib 4 years ago, Watch 4 confirms that I “may” have A fib and advises me to follow up with a doctor. I like the the Apple watch health features and everyone who uses those health apps should understand that the apps on a wrist device merely give you indications or advisories that make one aware there may be an issue. It's up to you how to react to the iNformation".
being a person to becoming a patient is a great distinction. Shedding that identity is very difficult for some to do.
It’s just the beginning and I guess the rest of the pack will follow apple’s steps. I think the future is promising. Great video. The last sentence is key, at least we can be confident that this technology is at least useful today for elderly people. I know someone who dropped his Rolex Daytona for an Apple Watch, he’s 80 and still does + or - 10K hikes!
I had an ad for an audiobook. I suggest emailing youtube to notify them of their advertisments where you dont benefit.
Nicely done. Thank you. We need doctors that help reduce the anxiety and bring some common sense to the people become less smarter with each increase of smart devices. Guess, there is a dynamic balance between man and machine and keeping sanity is important in keeping that balance.
I didn't expect a doc talking like you just did. Appreciate your inputs.
“Reduction in death” - the name of my metal band
Liked the video at the "tough luck, this is my channel" part. Subscribed at the Apple queue joke
My EKG looked normal. A cardiologist didn't think I had a PFO. I was asking to be evaluated to see if I had a PFO due to migraines and other symptoms. Further tests revealed I did have a PFO, which was fixed. When doctors ask me about the surgery, mainly if it helped me I tell them oxygen is a wonderful thing.
Hey great video. I think your points are valid and very well thought out and spoken. Personally I have a tiny hole in my heart. I didn’t find out until my 20s when I started to get serious heart palpitations. It’s small but does cause heart skips more often and fibrillation a few times a year. The doctors have never been able to catch the ekg and I’m stubborn and don’t want to have it induced in the clinic. So for me the Apple Watch is a nice non intrusive device that might actually record something useful for the doctors. If I was to wear that chest device I would have to wear it for half a year at least which would suck. So while it’s not the best tech it is non invasive which is what part of the allure is for people like me.
I agree, for someone like you with a) a specific problem you're trying to catch and b) symptoms then it could offer some definite help. Although it should be said that you could already achieve the same result for less money with an older Apple Watch and the Alivecor Kardia Band. But the new watch has lots of other cool features.
apple watch saves man's life
Apple marketing team: allow us to introduce ourselves
Excellent video, as an video developer for medical specialists in Australia I greatly appreciate the effort that has went into this video. Very informative and delivered effectively.
Well done! Really appreciate the unbiased facts with the dry wit.
The Latin word "data" might be grammatically plural, but the way it's used nowadays to refer to masses of little bits of information makes it a mass noun, and using it as a grammatical singular in English is perfectly fine.
you wear glasses so imma take your word on that
David Richfield I totally agree. My educational background is mathematics & science (mostly physics) so I get the whole datum/data thing, but in my 35+ year career in IT (business), I rarely heard “data” being used as a plural noun. In fact, 98.6% of the English speaking world (guess which orifice that number was pulled from) uses (or should I say “use”) “data” as a singular noun.
“Data” should be treated as an uncountable noun
It's the way British people regard groups. When they say the BBC does something, they treat it like a plural: "The BBC are happy to announce... " for example. Or "The President's cabinet are advising him..."
"The IBEW Union are sponsoring a dinner..."
Since I found you through Tom Scott's channel I have been steadily munching through the rest of your videos, they really are amazing... Also I have seen ads on every single one. There was one for a new flavour of Coke at the start of this one...
I survived a heart attack, 2 stents, and wear my apple watch just to keep track of my heart rate range. Thank you for this video.
Deus vult!
Your watch or your heart rate has nothing to do with your heart attack. You have cononary heart disease.
heart attacks and coronary disease increase the chance of deadly arrhythmias such as ventricular tachicardia so it actually does make sense
@@maxmeier532 get rekt
Do you have series’s 3 or 4?
Thank you , I was trying to figure out if I need heart monitor on a smart watch.
Not to mention the fact that now Apple can sell your heartbeat data to insurance companies.
Let’s say they do, what’s the concern here?
I once had some heart rate app I was using for breathing meditation. It showed some breathing irregularities which concerned me, though my mother (a retired nurse) said it was most likely an ektopic. Still it made me uncomfortable, especially with all the smoking. I'm working to quit now as I've also felt the early stages of tachycardia. Nothing for my mother to think is a concern, but it still felt too high for me. I feel the smoking was making my hard have to work harder which was probably contributing to my stress some what, via increased adrenaline.
I've hear concern that heart monitors just make people more stressed. But I really appreciate getting to know the basic functions of the heart in more detail. Just knowing the average heart rate is useful, but the rMSSD and LF/HF provides so much more useful information on stress levels, which have improved a lot since giving up alcohol.
It's also what motivated me to give up smoking. Plus meditating on the heart is pretty relaxing. I once managed to get my LF/HF bellow one. Sleeping after was very relaxing and I haven't slept like that in ages. My LF/HF stayed low, even during sleep, which it doesn't always do. I used to use a Polar H7, but then used a Wahoo Tickr when it broke. Haven't used it much in a while, but would be good to get back into it.
Im 37 and already have 2 stents, i bought the watch primarily because of that, but i am also glad this video is out there, hopefully to inform on healthy young people
Was wearing a Fitbit till the band broke. He thought wearing heart monitors like that were a good thing. I am 35 and already have a defibrillator and had open heart surgery.
I went ot the doctor's once, because I had a pain in my kidneys.
When lying in bed at night, if I wanted to pee, the pain seemed to get worse.
I was starting to get quite worried.
Was I becoming diabetic?
Were my kidneys going to fail?
I went to see my doctor and told him about my problem, thinking, hopefully he'd send me to a specialist to get it fixed.
He said, "your kidneys aren't there, they're higher up! It's probably a bit of lumbago."
I slept like a baby that night. 8)
I swear to fucking god I thought "lumbago" was something along the lines of "ligma" or "sugondese". These internet memes have ruined my mind beyond all repair.
Voshchronos lum ba golls
Meh...
other chance was Kidney Stones [from drinking water high in calcium]
Voshchronos sugondese in dumb sweetie
@@yanuchiuchihaanimegamesand3907 so you expect people to take medical advice not from a doctor but from someone with an anime name
I have Afib and take a blood thinner. I am 70 and have had the invasive treatment which lasted a year. When it re occurred my Doc said as I have no symptoms to just do whatever I want and to see him once a year where they do a 12 lead ekg. I do wear a heart rate monitor when working out but I think having constant data whould be one more thing to worry about.
Very on balance review of this intriguing technology. I like how you emphasized the link between the body and mind and the deleterious effects of worrying too much.
I remember when the Apple Watch started becoming more popular I had couple of patients bring me excel spreadsheets of their change of resting heart rate🤦🏻♂️. I love technology kudos to your channel you just earned a sub.
It's better than the samsung gear's heart rate moniter. If my heart rate is over 120 BPM right after waking up and still in bed... Well that's a a concern. So I can only assume it's way off. Also it says I burned 2k calories after 250 steps.
What kind of mutant am I?
Saitama?
Most people do in fact burn a majority of their calories just maintaining homeostasis.. so if it's showing total calories for the day that makes sense. The guideline of 2500 calories per day is given very mild activity, if you're doing more serious exercise you can easily go above 3000. Conversely if you live a sedentary life, you're still recommended 1500-2000 calories a day to maintain your body's systems.
Assuming you've given it accurate data about your height and weight, and bearing in mind a roughly 10% range of accuracy on wrist-based heart rate monitors (eg I count 130 beats over a minute after jogging, the watch said 125-135 over that minute), then giving the calorie burn numbers similarly sized grains of salt, it should be reasonably accurate. The maths to work it out with omnipresent heart rate data is not that complicated.
I don't know about Samsung but Fitbits will say total calorie burn over a day but also how many calories a specific period of exercise burned. On a low activity day it says about 2100 total for me, on a medium-to-high activity day it'll be between 2800 and 4000. The per activity breakdown is usually about 300-600 per activity.
Which is still pretty small compared to the homeostasis cost. An extra 40-100% energy expenditure from a medium to big Actual Exercise Session? All that exertion and effort and breathlessness for multiple hours (over 10% of the day) only sometimes just about matches what the body does anyway; to stay warm, keep blood flowing, digest food.
And the body can regulate how much energy it spends on homeostasis to a degree, that's why people with eating disorders so commonly feel freezing and tired all the time. The body noticed not many calories going in, and has turned down the body heat output to try and compensate a little. Conversely people who lift weights and eat properly will feel warmer all the time, the metabolic load increases due to maintaining many more muscle cells, which also generate heat from movement, which has to come from somewhere. It's the same reason that lifting weights without getting your macros means no gains - the body's energy prioritisation system says times are too "cash strapped" to invest in building new muscle "infrastructure".
I dont know about the UK but here in the US but this is the exact reason we stopped screening for aortic aneurysm.
Excellent, learning a ton! Congrats
I just bought the Apple Watch Series 4 yesterday because of the ECG and Heart Rate Monitor.
I was diagnosed with AF about 6 years ago, just around my 40th Birthday.
I had an Ablation done about 5 months later, but was told it could come back. Which it has.
I have AF again, and had a phone meeting with my Cardiologist. He asked if I was aware that my heart was in AF when I had an Echocardiogram done 10 days earlier, which I wasn’t. He recommended getting a Heart Rate Monitor. So I bought the Apple Watch. I went to bed early last night and woke up at 2am feeling weird. I did an ECG & checked my Heart Rate. I was in AF. My heart rate at rest was 160 bpm, then dropped down to 50 bpm, then back up to 160 then down to 50 bpm. It stopped and went back to normal after about 30 mins. So glad I bought this when I did.
Unnecessary medical test another great Apple innovation. And it gives Apple fans another way to spend money without getting much in return. Apple is cutting edge.
unneccessary is a bit of a stretch. a good portion of overall deaths are due to hearth problems. id rather have 100 000 people go to the doctor and 100 actually have a problem that could have killed them, than they die. most people visit their doctor way less than they should anyway there will allso be a relevan chunck of people that will go to the doctor for a false posetive about their heart but while they are there they ask about the wierd mole that was actually cancer or any other dangerus thing they are underestimating.
thec one thing is people going to the doctor to check if everything is okey once a year, or every six months if you can, and a completely different one is to go every time the newly released cash grab invention from Apple thinks you should based on it’s lacking hardware and lackluster software.
@@neitherlink6612 well its not gonna have the buggs that often, most people will probably not get one and some people will get a false alarm and some people will get a warning of a problem that is there.
"every time the newly released cash grab invention from Apple thinks you should based on it’s lacking hardware and lackluster software.." is probably once a liftime for most of the people that get it at all
neitherlink Apple software >>>>>>>>> Android
Well there is a possibility someone is saved by the Apple watch. Better to go to the doctor and find out you don’t have AF than having it.
I have just tried my friend's Apple Watch. I have a very non-serious heart condition, but have to go for a check-up once a year. Also a tech enthusiast. Definitely wouldn't trust just the watch alone but I don't think having this sort of data is a bad thing (just like having all-day HR information).
Can you do a video going over the most beneficial settings on the apple watch 5 for an elderly person (my mom is 91 years old) since you seem to recommend it highly for that age group?
Your video is extremely informative and has high production value. Thank you!
Well, “medium” production value, I’d say... but yes, good video.
Excellent thx you ...you gave me %30 to my well-being psychology ..... I love Borneo too what lovely guy ! Thx
I know I'm a year late, but I thing Google snuck this into my feed because I've been looking into whether an Apple Watch would interfere at all with a pacemaker device. It's a concern because I have a pacemaker and I'm heading back to Apple from a too-long Android hiatus, and I'd like to get an Apple Watch at some point for my workouts.
After watching this video, I press the subscribed button.