Development of an efficient deep learning model for arrhythmia detection from consumer smartwatches

George DC, Hulubeac MA, Grămadă ŞL (equal contribution), Bálint Z, Dioşan L (Babeş-Bolyai University, Cluj-Napoca, Romania)

Frontiers in Artificial Intelligence 9:188· 2026
PPGIMUDOI

Summary

Compares a feature-based Random Forest with two end-to-end models (CNN-GRU, CNN-BiLSTM) for 3-class rhythm (NSR, AF, PAC/PVC) on 30 s windows of real-life smartwatch data from the Pulsewatch trial. Input is a 2-channel series: wrist PPG at 50 Hz plus a scalar accelerometer magnitude (the release ships ACC as one value per sample). Devices per the paper: Samsung Gear S3 or Galaxy Watch 3 with a chest ECG patch (250 Hz) as reference.

Key facts

Form Factor
wrist
License
Not stated

Reported benchmarks

AFib / arrhythmia

Pulsewatch · AUROC ↑

#1 of 1
0.9703

Same protocol; macro (one-vs-rest) ROC-AUC, Random Forest; not AF-vs-rest binary

AFib / arrhythmia

Pulsewatch · Macro-F1 ↑

#1 of 1
0.842

3-class NSR/AF/PAC-PVC, 30 s, 2-fold subject-independent (72 subj); macro AUROC 0.970, acc 0.912; CNN-BiLSTM macro recall 0.874; only rows on this axis

Updated: Oct 13, 2026