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Warnings and contraindications to AliveCor mobile ECG use
This device is not designed nor intended for complete diagnosis of cardiac conditions. This device
should never be used as a basis for starting or modifying medication without independent
confirmation by medical examination.
This device records heart rate and heart rhythm only. It does not detect or measure all heart rate,
heart rhythm, and heart waveform changes, especially those related to ischaemic heart conditions.
Do not use the device in the presence of flammable anaesthetics, drugs or pressurized oxygen (such
as in a hyperbaric chamber, ultraviolet sterilizer or oxygen tent).
AliveCor is not recommended for use on humans weighing less than 10kgms, nor for use with
individuals with a cardiac pacemaker, ICDs or other implanted electronic devices.
Do not use this device with a defibrillator.
Using the AliveCor mobile ECG in practice
The device may be used anywhere in practice, being fully self-contained and battery powered. All
that is needed is a suitable smart phone or tablet that has the Kardia app pre-installed.
Clinical studies have demonstrated the AliveCor Mobile ECG's accuracy is comparable to readings
from lead 1 of standard ECG machines
The device is useful in many clinical areas. Below are the kinds of uses GPs/practice nurses are
finding for AliveCor:
Use in pre-screening/registration of new patients to general practice. The device is a simple and quick
diagnostic check of both the patient's pulse rate and rhythm regularity and to establish a baseline. It is
suitable for all grades of healthcare staff to use the device confidently and have automated reporting of
any potential AF.
Take a follow-up recording for patients with AF or palpitations.
Use for patients presenting with palpitation/ heart irregularities - as a quick and simple tool for
assessment of AF. This can be done in 30 seconds while taking other readings such as blood pressure and
temperature.
Offer to patients during well woman/well man NHS health checks.
Use during day to day clinics by any healthcare staff for a patient they believe could benefit e.g. during a
practice COPD review a patient happens to mention that they feel their heart beat is irregular at times.
Requirements to use AliveCor Mobile ECG
The mobile ECG is used in conjunction with a smart phone or tablet to take the ECG readings.
A simple tablet for practice use may be purchased solely to be used with the device instead of a
nurse or doctor using their own mobile phone. A list of fully compatible devices may be found at
https://shop.gb.alivecor.com - click on 'Compatibility' half way down the page.
Dr John Marszal; Dr Ruth Chambers
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21 July 2016