The first digital health technology qualified under the MDDT program, providing a non-invasive way to check estimates of atrial fibrillation (AFib) burden within clinical studies.
The Afib History feature checks pulse rate data collected by the Apple Watch's photoplethysmography (PPG) sensor to spot irregular heart rhythms linked to AFib. It then gives users a retrospective estimate of their AFib burden, indicating how much time they have spent in AFib during previous periods of wearing the Apple Watch.

Image Credit–Apple
How it works? The Apple Watch's PPG sensor uses green LEDs and light-sensitive photodiodes to track changes in the amount of blood flowing through your wrist at any moment. When your heart beats, it sends a pressure wave through your blood vessels, causing a quick bump in blood volume as it passes by the sensor.
By monitoring the change in blood flow, the sensor catches individual pulses as they hit the periphery, allowing it to measure beat-to-beat intervals. The AFib History feature then looks at these intervals to figure out how much time you have spent in AFib during the past week of wearing your Apple Watch.
If you have been diagnosed with AFib, own an Apple Watch, and want to use this feature, just follow these steps:
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