Key metrics



Number of participants 12,377 subjects
Average age 46 years
Percentage men 52%
Total number of measurements 384,276
Median number of measurements / participant 2
Average number of measurements / participant 35
People with atrial fibrillation (AF) 614 (5%)
People with other cardiac arrhythmia’s 1636 (13.2%)
Total number of heartbeats registered 26,018,421

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: 46.7
Avg age women: 45.1
Oldest male participant: 121.3
Oldest female participant: 96.3
Total number of participants: 12377
Average age: 46 years
Participants >40 years: 66%
Participants >60 years : 16%
Country with most users: GB
Total countries: 79
Most popular device: samsung
Percentage iOS: 28%


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 392
History of Diabetes 515
History of Artery Disease 502
History of AF 1060
History of hypertension 1974
History of Stroke 407
Already takes a bloodthinner 1496
Amount of filled in questionnaires 8275
Amount of blank questionnaires 4102

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: NA
Peak activation - Time (UTC): NA



Peam measurements (UTC): 8-10 PM
Total number of measurements received: 384276
Max number of tot. measurements / day: 1842


Most compliant user (%): 38525%
Average number of measurements/user: 35
Average compliance (%): 58%


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: 614
Amount of people with other cardiac arrhythmia’s: 1636
Average heart rate of non-AF people (bpm): NA
Average heart rate during AF (bpm): 79
Measurements with symptoms (%): 34%
AF-measurements with symptoms: 5716
Most common symptom: palpitations



Heart rhythm Frequency %
sinus 252348 65.7
extrasystoles_isolated 50018 13.0
extrasystoles_frequent 25556 6.7
quality_to_low 21695 5.6
atrial_fibrillation 13232 3.4
increased_hrv 6247 1.6
extrasystoles_big_episode 5413 1.4
tachycardia 3622 0.9
extrasystoles_trig_episode 2766 0.7
extrasystoles_bigminy 1086 0.3
tachy_episode 660 0.2
extrasystoles_trigeminy 383 0.1
brady_episode 340 0.1
bradycardia 295 0.1
atrial_flutter 211 0.1
168 0.0
phone_incompatible 91 0.0
dubious_rhythm 4 0.0
other 1 0.0






Symptoms Frequency %
no_symptoms 253460 66.0
palpitations 40255 10.5
NA 33526 8.7
fatigue 16766 4.4
other 15841 4.1
lightheaded 8889 2.3
shortness_of_breath 8242 2.1
chest_pains 6147 1.6
confused 995 0.3



Symptoms during sinus rhythms
Symptoms Frequency %
no_symptoms 88423 70.0
NA 11205 8.9
palpitations 8713 6.9
other 5145 4.1
fatigue 5014 4.0
shortness_of_breath 2660 2.1
lightheaded 2632 2.1
chest_pains 2227 1.8
confused 298 0.2
Symptoms during non-AF rhythms
Symptoms Frequency %
no_symptoms 180879 64.5
palpitations 32766 11.7
NA 24450 8.7
fatigue 12600 4.5
other 11794 4.2
lightheaded 6679 2.4
shortness_of_breath 5979 2.1
chest_pains 4352 1.6
confused 767 0.3
Symptoms during AF rhythms
Symptoms Frequency %
no_symptoms 3845 57.0
palpitations 1438 21.3
fatigue 500 7.4
NA 371 5.5
shortness_of_breath 248 3.7
lightheaded 182 2.7
other 103 1.5
chest_pains 34 0.5
confused 24 0.4



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: 5.01%
Minimum % of insufficient quality: 0%
Maximum % of insufficient quality: 100%
Meas. attempts Percentage (%)
0 0.1
1 87.8
2 4.7
3 1.0
4 0.3
5 0.1
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
15 0.0
16 0.0
18 0.0
19 0.0
20 0.0
25 0.0
27 0.0
33 0.0
NA 5.7
Activity context Insufficient quality distribution (%)
sleeping 61.0
sitting 28.7
NA 3.6
standing 2.6
walking 1.9
other 1.4
exercising 0.8

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.