Key metrics



Number of participants 71 subjects
Average age 58 years
Percentage men 61%
Total number of measurements 69,461
Median number of measurements / participant 668
Average number of measurements / participant 992
People with atrial fibrillation (AF) 35 (49.3%)
People with other cardiac arrhythmia’s 60 (84.5%)
Total number of heartbeats registered 4,606,262

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: 62.1
Avg age women: 54.8
Oldest male participant: 84.4
Oldest female participant: 73.9
Total number of participants: 71
Average age: 58 years
Participants >40 years: 86%
Participants >60 years : 60%
Country with most users: BE
Total countries: 16
Most popular device: Apple
Percentage iOS: 46%


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 9
History of Diabetes 5
History of Artery Disease 8
History of AF 27
History of hypertension 25
History of Stroke 4
Already takes a bloodthinner 26
Amount of filled in questionnaires 69
Amount of blank questionnaires 2

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



Peak measurements (UTC): 4-6 PM
Total number of measurements received: 69461
Max number of tot. measurements / day: 155


Most compliant user (%): 9375%
Average number of measurements/user: 992
Average compliance (%): 1654%


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: 35
Amount of people with other cardiac arrhythmia’s: 60
Average heart rate of non-AF people (bpm): NA
Average heart rate during AF (bpm): 90
Measurements with symptoms (%): 44%
AF-measurements with symptoms: 1265
Most common symptom: palpitations



Heart rhythm Frequency %
sinus 46337 66.7
extrasystoles_isolated 10277 14.8
extrasystoles_frequent 5282 7.6
atrial_fibrillation 2181 3.1
quality_to_low 1683 2.4
extrasystoles_big_episode 1204 1.7
847 1.2
extrasystoles_trig_episode 638 0.9
tachycardia 271 0.4
extrasystoles_bigminy 267 0.4
increased_hrv 193 0.3
tachy_episode 108 0.2
extrasystoles_trigeminy 83 0.1
brady_episode 34 0.0
atrial_flutter 28 0.0
bradycardia 14 0.0
dubious_rhythm 7 0.0
phone_incompatible 5 0.0
other 2 0.0






Symptoms Frequency %
no_symptoms 39143 56.4
NA 13919 20.0
palpitations 6288 9.1
other 4757 6.8
fatigue 2181 3.1
shortness_of_breath 1186 1.7
lightheaded 1154 1.7
chest_pains 716 1.0
confused 117 0.2



Symptoms during sinus rhythms
Symptoms Frequency %
no_symptoms 13293 57.4
NA 5278 22.8
other 1490 6.4
palpitations 1476 6.4
fatigue 687 3.0
shortness_of_breath 413 1.8
lightheaded 256 1.1
chest_pains 230 1.0
confused 32 0.1
Symptoms during non-AF rhythms
Symptoms Frequency %
no_symptoms 28255 56.0
NA 9687 19.2
palpitations 5004 9.9
other 3540 7.0
fatigue 1632 3.2
lightheaded 864 1.7
shortness_of_breath 844 1.7
chest_pains 533 1.1
confused 87 0.2
Symptoms during AF rhythms
Symptoms Frequency %
no_symptoms 469 42.5
palpitations 269 24.4
lightheaded 193 17.5
NA 99 9.0
shortness_of_breath 19 1.7
fatigue 18 1.6
chest_pains 17 1.5
confused 13 1.2
other 7 0.6



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: 3.48%
Minimum % of insufficient quality: 0%
Maximum % of insufficient quality: 25.83%
Meas. attempts Percentage (%)
1 81.5
2 5.6
3 1.3
4 0.4
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
15 0.0
16 0.0
17 0.0
18 0.0
19 0.0
20 0.0
21 0.0
23 0.0
24 0.0
26 0.0
37 0.0
NA 10.9
Activity context Insufficient quality distribution (%)
sitting 68.2
NA 15.2
standing 5.0
other 3.4
sleeping 3.3
walking 2.7
exercising 2.2

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.