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What ‘Game of Thrones’ Does to Your Heart Rate

blogs.wsj.com

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Re: What ‘Game of Thrones’ Does to Your Heart Rate

#2
Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article.

This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data.

For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off, what type of foods cause heart rate spikes? Does it relate to macronutrients (carbohydrates, protein, fats)? Ion balance (e.g., sodium, potassium, calcium, and their effects on the cardiac action potential)? Something else? Is this behavior universal across people? Are there clusters of people, e.g., do people with prediabetes respond to a different set of foods? Most importantly, what does this mean for health? Am I more likely to get diabetes? To have a heart attack? To die?

And that's not even mentioning more acute conditions like cardiac arrhythmias:

  http://qz.com/472522/how-the-apple-watch-may-have-saved-this-mans-life/
We've seen the same thing--a person who discovered they have atrial flutter through their Android watch.

Finally, if you have an Apple Watch and want to play around with this data, we just started a public beta of Cardiogram on the App Store:

  http://cardiogr.am
If anybody has questions about Apple Watch + healthcare, or anything else, happy to chat on this thread.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#3
post #2

Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article. This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data. For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off,…

Do you do any accounting or normalizing for clearly erroneous heart rate readings from the watch?

Just anecdotally, the heart rate monitor seems to be wildly inaccurate at times. Over the course of a workout at the gym, my heart rate jumped to 170bpm while benching (probably close to correct), and dropped to 45bpm while deadlifting (definitely incorrect). My resting heart rate is ~55bpm.

After a few days of seeing my heart rate have a delta of ~100bpm in the matter of seconds, I've given up on the heart rate monitor being good for much.

Maybe I'm an outlier and it's accurate for other people, but for me, it was very disappointing.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#4
post #2

Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article. This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data. For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off,…

Any thoughts on privacy concerns with collecting this data? Do you think it should have the same requirements as regular patient medical data (eg HIPAA), or should it be treated differently?

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#5
Just realized this trend of examining people watching TV (then creating blogs and articles about it) is the ultimate point of the narcissistic tendency of our society (right next to the selfie). Now, the show isn't the show itself, but our reaction to it. I've got an idea, why don't you monitor my heart rate while i'm reading this article about monitoring people's heart rate ? Then you could post something about it.

I feel like everything we do is now a desperate attempt at gaining people's attention, from behind our computer (i'm thinking especially about videos of people screaming while viewing an episode of GOT). Maybe that's because the "real life" occasions of binding with others are fading one after another. Makes me wonder if having no workplace for your employees is such a good idea after all.

Also makes me wonder how long it will take until the next generation will simply unplug.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#6
post #3
post #2

Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article. This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data. For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off,…

Do you do any accounting or normalizing for clearly erroneous heart rate readings from the watch? Just anecdotally, the heart rate monitor seems to be wildly inaccurate at times. Over the course of a workout at the gym, my heart rate jumped to 170bpm while benching (probably close to correct), and dropped to 45bpm while deadlifting (definitely incorrect). My resting heart rate is ~55bpm. After a few days of seeing my…

We'd love to do a validation study to get a definitive answer to this question.

Anecdotally, the Apple Watch is within about 5bpm of my AliveCor (an FDA-approved medical device), even while running. And it's been similarly accurate on most (but not all) patients in arrhythmias.

That said, we know accuracy will vary across skin tone, body mass index, pulse pressure, sweat, and we need to understand that more precisely before the AW can start to have real medical applications.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#7
post #3
post #2

Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article. This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data. For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off,…

Do you do any accounting or normalizing for clearly erroneous heart rate readings from the watch? Just anecdotally, the heart rate monitor seems to be wildly inaccurate at times. Over the course of a workout at the gym, my heart rate jumped to 170bpm while benching (probably close to correct), and dropped to 45bpm while deadlifting (definitely incorrect). My resting heart rate is ~55bpm. After a few days of seeing my…

I haven't worked with the Apple Watch, but for the Microsoft Band, the SDK will return a confidence level for the heart rate. I think both devices usually display the number regardless of confidence level to the user, sometimes with a signification that it is still acquiring your heart rate.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#8
post #5

Just realized this trend of examining people watching TV (then creating blogs and articles about it) is the ultimate point of the narcissistic tendency of our society (right next to the selfie). Now, the show isn't the show itself, but our reaction to it. I've got an idea, why don't you monitor my heart rate while i'm reading this article about monitoring people's heart rate ? Then you could post something about it.…

[deleted]

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#9
post #4
post #2

Hey HN! I'm not the OP, but I am the burrito-eating, Game of Thrones watching researcher mentioned in the article. This story focuses on a fun application of the Apple Watch's heart rate sensor, but there's a lot we can learn about the human body through this type of data. For example, on the super burrito causing my heart rate to spike to 123bpm, there's very sparse medical literature on what this means. First off,…

Any thoughts on privacy concerns with collecting this data? Do you think it should have the same requirements as regular patient medical data (eg HIPAA), or should it be treated differently?

I think the intent of HIPAA is good, but in practice, it's a big barrier to a lot of medical advancements. It's less the letter of the law itself, to be honest, and more the penumbra of fear that develops around any complex law. We saw the same thing on healthcare.gov.

There was a great article about this a while ago, but I can't seem to find it now.

Overall, I'm pretty happy with the approach the FDA and other regulatory bodies are taking to digital health -- mostly hands-off, but stepping in to stop pure snake oil apps that really have the potential for harm. That seems like a good balance.

Re: What ‘Game of Thrones’ Does to Your Heart Rate

#10
post #5

Just realized this trend of examining people watching TV (then creating blogs and articles about it) is the ultimate point of the narcissistic tendency of our society (right next to the selfie). Now, the show isn't the show itself, but our reaction to it. I've got an idea, why don't you monitor my heart rate while i'm reading this article about monitoring people's heart rate ? Then you could post something about it.…

Did you read the rest of the article? There's a larger purpose here.
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