Promises and perils of consumer mobile technologies in cardiovascular care: JACC Scientific Statement

Niraj Varma, Janet K. Han, Rod Passman, Lindsey Anne Rosman, Hamid Ghanbari, Peter Noseworthy, Jennifer N. Avari Silva, Abhishek Deshmukh, Prashanthan Sanders, Gerhard Hindricks, Gregory Lip, Arun R. Sridhar

Research output: Contribution to journalReview articlepeer-review


Direct-to-consumer (D2C) wearables are becoming increasingly popular in cardiovascular health management because of their affordability and capability to capture diverse health data. Wearables may enable continuous health care provider-patient partnerships and reduce the volume of episodic clinic-based care (thereby reducing health care costs). However, challenges arise from the unregulated use of these devices, including questionable data reliability, potential misinterpretation of information, unintended psychological impacts, and an influx of clinically nonactionable data that may overburden the health care system. Further, these technologies could exacerbate, rather than mitigate, health disparities. Experience with wearables in atrial fibrillation underscores these challenges. The prevalent use of D2C wearables necessitates a collaborative approach among stakeholders to ensure effective integration into cardiovascular care. Wearables are heralding innovative disease screening, diagnosis, and management paradigms, expanding therapeutic avenues, and anchoring personalized medicine.

Original languageEnglish
Pages (from-to)611-631
Number of pages21
JournalJournal of the American College of Cardiology
Issue number5
Publication statusPublished or Issued - 6 Feb 2024
Externally publishedYes


  • atrial fibrillation
  • comorbidities
  • consumer wearables
  • digital medicine
  • mHealth
  • remote monitoring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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