Using smartwatches to detect irregular heartbeats compared to Holter monitors

Smartwatch Paroxysmal Arrhythmia Detection Compared with Holter - a Multicenter Controlled Trial

Chinese University of Hong Kong · NCT06425887

This study is testing if smartwatches can better detect irregular heartbeats than traditional Holter monitors in people who have symptoms like palpitations or dizziness.

Quick facts

Study typeObservational
Enrollment185 (estimated)
Ages18 Years to 80 Years
SexAll
SponsorChinese University of Hong Kong (other)
Locations1 site (Hong Kong)
Trial IDNCT06425887 on ClinicalTrials.gov

What this trial studies

This observational study aims to evaluate the effectiveness of smartwatch technology in detecting paroxysmal arrhythmias compared to traditional Holter monitoring. Participants aged 18 to 80 who are referred for outpatient Holter exams due to symptoms like palpitations, dizziness, or pre-syncope will be recruited. The study seeks to address the limitations of Holter monitoring, which often has a low diagnostic yield due to the sporadic nature of arrhythmias. By utilizing smartwatches, the study hopes to improve the correlation between symptoms and arrhythmia detection.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 to 80 referred for Holter monitoring due to symptoms like palpitations or dizziness.

Not a fit: Patients with a prior ECG diagnosis explaining their symptoms or those whose primary symptom is syncope may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to more accurate and timely detection of arrhythmias, improving patient outcomes.

How similar studies have performed: While traditional Holter monitoring has been widely used, the use of smartwatches for arrhythmia detection is a relatively novel approach with limited prior studies.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. All patients referred for out-patient Holter exam from age 18 - 80 years old
2. The following indications for Holter exam will be allowed for recruitment

   * Palpitation
   * Pre-syncope
   * Dizziness

Exclusion Criteria:

1. Patients with a prior ECG diagnosis to explain the symptom
2. Primary symptom is syncope
3. Patient who has no clear indication for Holter exam
4. Pregnant ladies
5. Patients who failed to make a successful recording despite teaching attempts.
6. Patients who cannot read English or Chinese version of consent.
7. Anticipation of non-compliance with recording protocol.
8. Patients who do not have a compatible smart phone (Android 9.0 or newer, or iOS15 or newer)
9. Patients under custody

Where this trial is running

Hong Kong

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Arrythmia

Last reviewed 2026-05-15 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.