Smartwatch 9-lead ECG vs 12-lead ECG to detect STEMI in chest pain patients
Official title: Observational and Prospective Diagnostic Validation Study of the SMARTwatch for ST-segment Elevation Myocardial Infarction in Health Area of Cartagena
Run by Hospital General Universitario Santa Lucia · NCT07780942 · Data updated 2026-11-12
We are testing whether a smartwatch ECG can help diagnose STEMI in people with chest pain.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Hospital General Universitario Santa Lucia Academic / other |
| Locations | 1 site (Cartagena, Murcia) |
| Status | Recruiting |
| Started | August 14, 2026 |
| Main results expected | February 2027 |
| Study ends | February 2027 |
| Registry record updated | August 26, 2026 |
| Trial ID | NCT07780942 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with chest pain evaluated for ischemic ACS by an on-call cardiologist, in real-world ED settings.
✕Probably not a fit
Patients with extreme instability or those who decline participation may not benefit from smartwatch ECG data.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study compares a 9-lead ECG recorded by a smartwatch with the standard 12-lead ECG to diagnose STEMI in patients presenting with chest pain. It is conducted in a real ED setting with consecutive patients assessed by on-call cardiology, alongside their usual care. The study focuses on signal quality, diagnostic concordance, and the practicality of integrating wearable ECG data into acute ACS workflows. Enrollment excludes patients with unstable conditions or certain device-related exclusions. The aim is to validate feasibility and diagnostic performance in routine clinical practice.
Why it matters
Potential benefit: If successful, smartwatch ECGs could speed STEMI triage and reduce delays to treatment.
How similar studies have gone: Prior studies like SMARTAMI reported high sensitivity and specificity in controlled settings, but this study explores real-world feasibility and concordance.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients evaluated by the on-call cardiologist for chest pain with an ischemic profile. Exclusion Criteria: * Patients with extreme hemodynamic instability where the additional recording would cause an ethically unacceptable delay in their treatment. * Patients with a prior diagnosis of left bundle branch block or pacemaker-mediated pacing. * Patients who decline participation in the registry.
Where it's running
-
Hospital General Universitario Santa Lucia
Cartagena, Murcia, Spain Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.