1. Registering and getting started with your mobile ECG devices
This slide set is provided by the
Eastern Academic Health Science Network
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2. Background
At least 422,600 people are undiagnosed in England with the most common type of irregular heart rhythm, Atrial Fibrillation (AF), which can cause a stroke.
Together with NHS England, the Academic Health Science Network is distributing 6,000 devices including mobile ECG units to help detect people with AF in England.
This slide set is designed for NHS employees using the AliveCor Kardia Mobile device and app as part of the national roll-out.
The AliveCor Kardia Mobile device generates a single lead ECG trace and uses built-in AF detection algorithms.
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3. Learning outcomes
This slide set contains all the weblinks for you to start using your mobile ECG device.
At the end of the slides you will have:
Configured your phone or tablet to your nhs.net mail account
Registered as a user of an AliveCor Kardia Mobile device with the Eastern AHSN
Watched the 1 minute film on how to record an ECG
Taken your first ECG using the device
Read the guidance on using the device.
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4. Do you have a phone or tablet ready?
You need your smartphone or tablet to complete this training
The Kardia Mobile ECG device is compatible with a range of devices. Please see the full list of compatible devices here
There is no limit to the number of NHS employees that can use each device
All users must have an nhs.net address and must be registered to use the device
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5. First: Go to the ECG on-Demand® website
Go to and follow the instructions to configure your device
Follow the links to configure your iPhone
Follow the links to configure your android phone
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6. Next: Complete all steps on ECG on-Demand®
Complete all steps on the website
This involves:
Downloading the Kardia App from the Apple App Store or Google Play Store
Creating a Kardia account using your NHS.net address
Registering the device with your AHSN Network (Eastern AHSN)
Watching the one minute video to ensure high quality ECG recording
Recording your first ECG.
Standard charts examples. Charts will automatically appear in Eastern AHSN colours

7. Understanding the possible outcomes: Normal
No referral required
Update patient notes accordingly
SmartArt will automatically appear in Eastern AHSN colours. To choose a mix of colours or another brand colour:
1.) click on the SmartArt you have put in the slide
2.) then click on ‘Design’ tab at the top.
3.) then click on ‘Change Colour’ from the top.
4.) then choose ‘Colourful’

8. Unclassified / Unreadable
Repeat the ECG once
Ensuring the following:
Limit background noise
Apply gentle finger tip pressure, do not squeeze
If heart rate (HR) is >100 or <50, traces will be unclassified so allow time for HR to stabilise
Use an alcohol spray/wipe on the device and ensure there is sufficient moisture on fingers
If 2nd ECG is unclassified or unreadable refer patient

9. Possible AF
Send the ECG for referral by clicking the EKG icon at the bottom of the trace
Send the ECG using an NHS.net account to a recipient NHS.net account
immediately so not to lose the ECG when the device is next used
Add the ECG to patient record
Patient Identifiable Data should be written in the body of the
DO NOT add any patient identifiable data into the app
DO NOT use the “add note” function in the app

10. Information Governance
Log out at the end of each session to ensure no ECG traces are stored on the device
Read the Eastern AHSN Guidance Document that includes a section on Information Governance
Ensure the Privacy Notice about the AliveCor Kardia mobile devices is available for patients if they request further details

11. Do’s and Don’ts Do’s Don’ts Read the manufacturer’s guidance
Use the basic app in the guest mode
Understand the Information Governance (IG) associated with using the devices
Clean the device between each patient using a sterile wipe
Don’ts
Who not to test…
known AF, pacemaker, pregnancy
Don’t enter any Personal Identifiable Data in the app
Don’t use the premium function of the app as part of this roll-out
Don’t attach the device to your phone or tablet as then others can’t use it

12. Final points for using the devices
Aim to have multiple staff members using each device
Aim to use the devices as much as possible e.g. 7 days per week, after hours clinics
Aim to use the devices with at least 25 people per week
Ensure that mobile ECG device use is embedded in your local clinical pathways

13. Technical support from AliveCor
Please see the user manual and frequently asked questions
For Technical support from AliveCor please or call

14. Thank you
For further details about the Eastern AHSN Atrial Fibrillation Programme please contact Dr Amanda Buttery
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