AliveCor app transforms your iPhone into an ECG: Watch my demo!

Jun 22, 2011 10:15 EDT


Revolutionary new technology—developed by Dr David Albert and pending FDA approval—brings heart monitoring closer to home and onto your iPhone. See how easy it is to use, and watch as I take the device for a test drive.

Disclosure: I have no relationship with AliveCor.

See:

Dr David Albert's demo on YouTube

AliveCor








Your comments
AliveCor app transforms your iPhone into an ECG: Watch my demo!
# 1 of 27
June 22, 2011 11:50 (EDT)
Dennis Brown,MD

A great break through.Can we try it out now.

 

# 2 of 27
June 23, 2011 05:42 (EDT)
Dr Guy Wright-Smith

# 3 of 27
June 23, 2011 06:47 (EDT)
Carlos Ferreira
Where I buy this equipament and how i can  donwload this app
# 4 of 27
June 24, 2011 07:08 (EDT)
Angie K
I so want one!
# 5 of 27
July 1, 2011 05:42 (EDT)
Lukasz Koltowski

Hi Eric,

Could you please put you review video on youTube so that we could share it and prome on national blogs?

regards,

Lukasz

# 6 of 27
July 1, 2011 11:32 (EDT)
Albert Adams

This is an excellent and innovative use of Apple's iPhone technology.
Thank you, to you, as well as Dr. David Albert for bringing this to our attention.
 
As with anything new there is its use and there can be the possibility of its misuse. The question I would like to raise is in what ways might it be able to be abused and misused?
 
For each of those possibilities how can cardiologists thwart any possible rewards from this technologies misuse? The common way is to block the new way from being employed. That is not the healthiest way to proceed. We need to go forward and in doing so raise the bar for healthfulness not try keep it where it currently is. 
 
One misuse I can think of is using it to contradict cardiologist's testimony in a court trial on some legal issue. That can be blocked by merely having a priority of quality of evidence established before the trial begins. i.e. Trained professional specialist testimony ranks above hand held device indicators. 
 
I am certain that there are many more and far better examples than this. 
# 7 of 27
July 1, 2011 11:40 (EDT)
Jim Perry MD

Great for kids and young adults - should work independent of patient size and age. Also obviously no ECG lead stickers so one can exercise vigorously and record a rhythm without losing data when sweaty skin makes the leads fall off. Come to think of it, sweaty, salty fingers might improve contact with the device.

Would love to do a peds EP trial to replace current event monitoring. 

Also good for drug trials if fidelity/filtering is such you could check QT intervals at serum peak times. 

# 8 of 27
July 1, 2011 11:40 (EDT)
Doc Home
You have got to be kidding!   A single channel recording based on the biofeedback from your finger tips?   That's hardly an accurate reflection of a true 3/6/12 ch ECG performed using an ECG device or ambulatory holter device.    Good first start, but still a long ways before an ECG device can be substituted with a novelty item such as this.
# 9 of 27
July 1, 2011 12:15 (EDT)
John

Hopefully, this will work with the iPod Touch - when available, we'll send patients home with it to capture a strip when a patient feeling symptoms. we wouldn't see it as a replacement for a regular ECG; rather, it's a technology to do better screening for symptoms in the patient setting.

Comments attacking this on basis that it's not a viable substitute for an ECG are, I think, missing the point related to value of this device - which you articulated quite succinctly in your web video.  thanks

 John Horton, Richmond VA

# 10 of 27
July 1, 2011 12:47 (EDT)
cls in nv

As a patient, I would love to have something like this. My iPhone is with me at all times, and while I don't see it as a substitute for a clinical ECG, I can see how this would be very useful.  When I experience symptoms, I can record them right then and there. Perfect!

# 11 of 27
July 1, 2011 01:19 (EDT)
Harry
Excellent App & definitely a super hit with the cardiology folks!!!
# 12 of 27
July 1, 2011 05:10 (EDT)
William L. Hart, M.D.

This could prove to be not only a very useful tool, but a tool that could enhance our on-going concerns with the high costs of medial practice.  And, it would be readily available to the patient as soon as there is patient awareness of a dysrhythmia.  Initially, and unfortunately, it could also enhance apprehension!

I am a retired cardiologist (20 years retired) and have "no dog in the fight," though I still serve on a hospital Board of Trustees and am concerned with the costs of medical services.   

# 13 of 27
July 1, 2011 11:14 (EDT)
buzzby7

 

    This is so exciting for the A-Fib patient. A patient is never near a doctor when they have those funny little flutters, thuds, trimmers, scary episodes of a-fib, so this will be a way to get a readout to them when it is happening and will help in each ones case on a greater level.

# 14 of 27
July 2, 2011 06:12 (EDT)
Heather M. Ross, DNP
This app can be a game-changer for effective patient management, along the lines of home blood pressure cuffs or daily weights for heart failure management.  I think this concept is right in line with IOM priorities for health care delivery.  Can't wait to take it for a spin!
# 15 of 27
July 3, 2011 08:34 (EDT)
Tecchie

As a cardiac technologist studying health informatics i'd love to look at this for my dissertation! Any suggestions for an angle to come at it from would be greatly appreciated!

 

 

 

 

 

 

 

# 16 of 27
July 3, 2011 09:38 (EDT)
Eric Topol
Great to get your comments and feedback. I neglected to mention that you can get multiple leads by applying the sensors directly to the chest (at different positions). Also, the case is detachable and the sensors appear to work up to about 10 feet away from the phone which is convenient, especially for getting chest leads. Agree that use for AFib is especially attractive.
# 17 of 27
July 3, 2011 11:25 (EDT)
TR
This is an amazing tool!! I am in the medical field and more importantly a cardiac patient! This is a wonderful breakthrough! After years of haltors an event recorders and long term event recorders, this app is priceless! The goal of most monitors and the reasons wearing one is to try to' CATCH' an event!!  I am not saying it will replace a 12 lead , but to be able to catch an arrhythmia and also record when your symptomatic is GOLD!!!  Really looking forward to this app as I am sure my cardiologist/Electrophysiologist is!  One question, is this as effective for patients with pacemakers?
# 18 of 27
July 3, 2011 04:07 (EDT)
abdul rasheed khan
 is it applicable for nokia 800
# 19 of 27
July 13, 2011 01:22 (EDT)
Kip
I wonder if an AI or Expert system exists for the PC or Macintosh that is able to interpret ECG data, without needing to involve a cardiologist or M.D.   That way they don't have to keep reviewing big increase in data that this new device will no doubt produce, or does the iphone app red flag certain data and send it to the M.D.
# 20 of 27
July 24, 2011 09:37 (EDT)
Melissa

Hey Eric,

Enjoyed this demo!!! Look forward to future apps that will likely spin off in the future. Also.....that athletic heart rate is duly noted!!!

Melissa

# 21 of 27
July 27, 2011 12:43 (EDT)
Kenneth A. Gorski

As a techno-geek, I find this one of the more interesting things to come along in awhile.

# 22 of 27
August 5, 2011 12:50 (EDT)
Eric Topol

Great question, Anne

I spoke to Dr. Albert on this topic and he told me that they have an algorithm to do automated arrhtyhmia diagnosis in the works....so that would be the AI you are probing and a welcome way to deal with this (if accurate!)

 

# 23 of 27
September 18, 2011 10:55 (EDT)
Jean-Pierre Usdin

I only see right now your blog about this application of heart rate in I phone.

What are the news 3 months after this recording?

Was it approoved by FDA? 

What wouldbe the price?

And I did not understand very well how the data will be transmitted to the cardiologist (or GP)

thank you doctor Topol for your always accurante updates.

it is always a pleasure to listen to you during these 5 minutes' full of interest .

doctor Usdin from Paris France. 

Sept 18th 2011 

 

 

# 24 of 27
September 21, 2011 11:30 (EDT)
glapala

Great new tool, definitely helpful and yes a sign of progress. Simple to use and definitely can have far reaching public use possibly even replacing big machines used in public defibrillators....in the future who knows may even serve as such with enough battery life!!!

 

# 25 of 27
October 8, 2011 09:57 (EDT)
Jan Manolas, MD, FACC

I have enjoyed this demo ! All we can do using pocket-sized devices -and esp. just only via IPHONE!!- will be the next revolution if cardiological diagnostics.. I heard about PHONOCARDIOGRAM recordings using iPhone technology.

A real even more amazing and extremely useful development could be by ..getting information about left ventricular (LV) filling pressures at rest and above with short, low level isometric handgrip exercise! for detecting early stage myocardial dysfunction states, and esp. silent ISCHEMIA.! As we all know, ischemia is not always detectable by ECG, esp. Rest-ECG, but induces in >90% of cases dramatic elevation of LV end-diastolic pressure. By filtering out the lower frequencies, we can easily get placing the sensor over LV beat a noninvasive “pulse-pressure” recording (“pressocardiogram”) which has been extensively proved by cath studies to reflect accurately LV pressure curve in time, slope and relative amplitude. It has also proved that handgrip exercise induces ischemia and “ischemic” diastolic LV pressure changes, which are characteristic for ischemia and rarely occur in non-ischemic conditions! Multiple published data showed that this “ischemic diastolic response” can be exactly defined and is helpful in identifying silent CAD patients ..

Thus, we could further develop an ischemia detecting iPhone-based diagnosis as well as deterioration in heart failure pts. !..We would also get an..POCKET-SIZED IPHONE-based STRESS TEST, since handgrip stress can be done by a small dynamometer...

# 26 of 27
December 28, 2011 01:59 (EST)
Abdul Rehman

Is the device (that has to be applied to the iphone) available in the market now? how can one get it?

 

# 27 of 27
August 7, 2012 12:37 (EDT)
Ricky

Great invention. I could see everyday ordinary people using this device. Also this app and device would be a good addition to any Family for Health monitoring and emailing the info to a local Doctor to examine before the patent even goes to the Doctor's office to streamline medical care. I could see this device coupled with the patents own family doctor to help identify health problems before the health issue becomes severe. 

 

I think this device could save lives in the future. I would like to buy one of the devices. Will the device be distributed throghout the U.S.A. ? if so I think the device will be well recieved by the public. 


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