Key metrics



Number of participants 2,287 subjects
Average age 62 years
Percentage men 62%
Total number of measurements 77,058
Median number of measurements / participant 21
Average number of measurements / participant 34
People with atrial fibrillation (AF) 736 (32.2%)
People with other cardiac arrhythmia’s 692 (30.3%)
Total number of heartbeats registered 5,107,994

Demography



The following section addresses data related to the background of the enrolled participants. Data is coming from the gender, the registered age, the country of origin and the type of smartphone the user is handling.

Avg age man: 62.0
Avg age women: 62.5
Oldest male participant: 120.4
Oldest female participant: 95.3
Total number of participants: 2287
Average age: 62 years
Participants >40 years: 93%
Participants >60 years : 64%
Country with most users: NL
Total countries: 35
Most popular device: Apple
Percentage iOS: 42%


MEDICAL HISTORY

When users have performed their first measurement they are prompted with a screen that allows them to enter a questionnaire. This questionnaire consists of a set of questions that relate to cardiovascular risk factors. The questionnaire is optional and participants can skip these questions if they want. The table below shows a high-level overview of the cardiovascular risk profile of this population.


History of Heart Failure 409
History of Diabetes 204
History of Artery Disease 246
History of AF 1408
History of hypertension 898
History of Stroke 224
Already takes a bloodthinner 1558
Amount of filled in questionnaires 2112
Amount of blank questionnaires 175

Enrollment

The following data provides insight in the enrollment details of the population. This is relevant information to identify peak moments when participants activated their subscription.
Peak activation - day: 2020-04-08
Peak activation - Time (UTC): 11



Peam measurements (UTC): 12-2 PM
Total number of measurements received: 77058
Max number of tot. measurements / day: 472


Most compliant user (%): 5064%
Average number of measurements/user: 34
Average compliance (%): 245%


Diagnostics



This section will cover the findings based on heart rhythm disorders. The table on the left represents the amount of measurements received and the corresponding confirmation of heart rhythms indicated by the FibriCheck Telemonitoring Center. The table on the right represents the findings of symptoms throughout all measurements.



Amount of people with Atrial Fibrillation: 736
Amount of people with other cardiac arrhythmia’s: 692
Average heart rate of non-AF people (bpm): 62
Average heart rate during AF (bpm): 81
Measurements with symptoms (%): 35%
AF-measurements with symptoms: 9004
Most common symptom: palpitations



Heart rhythm Frequency %
sinus 44347 57.6
atrial_fibrillation 18378 23.9
quality_to_low 7273 9.4
extrasystoles_frequent 3480 4.5
extrasystoles_big_episode 1172 1.5
tachycardia 941 1.2
extrasystoles_trig_episode 411 0.5
extrasystoles_bigminy 211 0.3
atrial_flutter 180 0.2
phone_incompatible 152 0.2
bradycardia 149 0.2
extrasystoles_isolated 124 0.2
tachy_episode 120 0.2
extrasystoles_trigeminy 63 0.1
increased_hrv 20 0.0
brady_episode 19 0.0
dubious_rhythm 4 0.0
1 0.0
no_diagnosis 1 0.0






Symptoms Frequency %
no_symptoms 49721 64.5
palpitations 7048 9.1
fatigue 5722 7.4
shortness_of_breath 5004 6.5
NA 4456 5.8
other 2604 3.4
lightheaded 1460 1.9
chest_pains 889 1.2
confused 142 0.2



Symptoms during sinus rhythms
Symptoms Frequency %
no_symptoms 16023 72.2
NA 1307 5.9
fatigue 1276 5.7
palpitations 1217 5.5
shortness_of_breath 1097 4.9
other 608 2.7
lightheaded 344 1.5
chest_pains 284 1.3
confused 43 0.2
Symptoms during non-AF rhythms
Symptoms Frequency %
no_symptoms 35026 62.9
palpitations 5560 10.0
fatigue 4257 7.6
shortness_of_breath 3744 6.7
NA 3261 5.9
other 2008 3.6
lightheaded 1077 1.9
chest_pains 631 1.1
confused 106 0.2
Symptoms during AF rhythms
Symptoms Frequency %
no_symptoms 4819 51.6
palpitations 1381 14.8
fatigue 1045 11.2
shortness_of_breath 945 10.1
NA 439 4.7
other 384 4.1
lightheaded 215 2.3
chest_pains 85 0.9
confused 20 0.2



Signal Quality Analysis



When people are using FibriCheck there is an important element related to the usability of the application. The measurements conducted with the smartphone are sensitive to possible sources of noise. If this occurs the signals cannot be analysed for diagnostic purposes. On average the insufficient quality range on a population is around 10%. The results obtained in this project can be found in the table on the left. The table in the middle represents how easy it was for users to conduct a measurement. The attempts reflect how many times a measurement was restarted by the user before it was succesful. On average a number of 85% is observed. A possible reason for insufficient quality could be related to the contextual information. The table on the right illustrtes the relation between the total amount of insufficient singal quality compared to the context activity the users indicated when the measurement was conducted.

Average % of insufficient quality: 8.41%
Minimum % of insufficient quality: 0%
Maximum % of insufficient quality: 100%
Meas. attempts Percentage (%)
0 0.0
1 84.2
2 5.8
3 1.6
4 0.5
5 0.2
6 0.1
7 0.0
8 0.0
9 0.0
10 0.0
11 0.0
12 0.0
13 0.0
14 0.0
17 0.0
NA 7.5
Activity context Insufficient quality distribution (%)
sitting 69.4
walking 7.5
standing 6.5
NA 6.0
other 5.1
sleeping 3.5
exercising 2.0

Rhythm recordings



These graphs highlight some of the use cases identified in this project. The graphs represent the all the measurement data from a subject and visualised on timeline (days). The y-axis reflects the heart-rate of each measurement and the color reflects the corresponding heart rhythm. Green indicates a regular heart rhythm, yellow indicates unclassified heart rhythms (typically ectopic heart beats), red illustrates possible atrial fibrillation findings and blue indicates measurements of insufficient signal quality.