Clinical trial Recruiting at 1 site Observational Ages 18 and up

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.

More Chest Pain trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment100 (estimated)
SponsorHospital General Universitario Santa Lucia
Academic / other
Locations1 site (Cartagena, Murcia)
StatusRecruiting
StartedAugust 14, 2026
Main results expectedFebruary 2027
Study endsFebruary 2027
Registry record updatedAugust 26, 2026
Trial IDNCT07780942 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

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.