[Consumer wearables, cardiology and clinical practice]

Consumer wearables enable continuous cardiac monitoring through photoplethysmography and electrocardiography. Twenty per cent of Danes now share wearable data with physicians. Evidence shows high accuracy for atrial fibrillation (AF) detection, but anticoagulation for device-detected AF remains controversial. Ethical challenges include data quality, interoperability, health equity, fairness and privacy. While patients increasingly use wearables, clinical integration requires standardisation, clinician education, and evidence-based guidelines to balance opportunities with limitations, as argued in this review.