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Before You Buy Kardia

Do I need phone service or Wi-Fi to take an EKG recording on my KardiaMobile?

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Once logged in, the Mobile EKG does not require a Wi-Fi or mobile connection to record an EKG and save it to the phone/tablet, however it requires one of these to sync automatically with the AliveCor server, email, or print directly from the Kardia app. If you do not have a Wi-Fi or mobile connection at the time of the EKG recording, you can email or print the data later when you have such a connection and the sync will happen automatically at that time.

What is AliveCor's return policy?

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If you decide KardiaMobile or KardiaBand isn’t for you, AliveCor will issue you a full refund on your purchase if you contact us within 30 days of delivery. To request a refund, contact AliveCor Support at support@alivecor.com or (855) 338-8800. For outside the US, contact international customer support at uksupport@alivecor.com or +44 (0) 333 301 0433. We will issue you an RMA number to include when you ship your device back to us and will process your refund upon receipt of your device.

If your device has stopped working and is still under warranty please contact us for troubleshooting assistance. If we find that your device is in fact defective while within the warranty period we will issue a replacement upon receipt of the faulty device.

Is Kardia available in my country?

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Kardia is currently approved for purchase and use in over 25 countries.

  • Australia
  • Bangladesh
  • Belgium
  • Canada
  • Chile
  • France
  • Germany
  • Hong Kong
  • India
  • Ireland
  • Italy
  • Jamaica
  • Luxembourg
  • Malta
  • New Zealand
  • Norway
  • Pakistan
  • Poland
  • Spain
  • Switzerland
  • The Netherlands
  • Trinidad and Tobago
  • United Kingdom
  • United States

If your country is not listed, KardiaMobile is not currently available for sale, and you will not be able to download the Kardia app. Click here for a list of resellers in approved countries.

Premium Subscription

What’s the difference between Basic and Premium services?

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KardiaMobile does not require any subscription of any kind. EKGs may be printed or emailed an unlimited number of times right after you take the recording. Kardia Premium membership includes advanced services and features detailed in the table below. All new Kardia customers receive a free 30 day trial1 of Premium. Please note: our KardiaBand product for Apple Watch REQUIRES Premium membership.

Feature Basic Premium
Take recordings anytime, anywhere
Instant EKG analysis
Detect normal heart rhythm or AFib
Email and print unlimited EKG recordings
Unlimited cloud storage and history
Customized monthly reports mailed to your home to share with your doctor2
Blood pressure tracking3
Tracking weight and medication
SmartRhythm monitoring and notifications for Apple Watch®
  1. Your 30-day free trial begins from the time you create an account with the Kardia App. After 30 days, you'll have the option to purchase Premium for $9.99/month or $99/year (20% savings) or continue to use Basic.
  2. US only.
  3. Omron monitor pairing available in the US only. Manual blood pressure entry available on Kardia compatible Android mobile devices worldwide. Manual blood pressure entry coming soon for Apple iOS mobile devices outside the US.

If I choose not to subscribe to Premium at the end of my 30-day trial, what does Basic provide?

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The Basic service allows unlimited recordings of ECGs with Instant analysis, the ability to email or print each recording, and the ability to request a paid Clinician Review. Click here to see a comparison of Basic and Premium. If you have questions about purchasing Premium in the US, please contact customer support here. If you have questions about purchasing Premium outside the US, please contact international customer support at uksupport@alivecor.com.

How am I charged for Premium?

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Once you subscribe to Premium, $9.99 USD, or the local price, will be charged to your credit card on a recurring monthly basis. The date of the charge will be on the day you sign up for Premium. For example, if you sign up on March 31, your charge will recur on the last day of every month. You are billed in advance for the subsequent month’s Premium service. If you cancel before the following month is over, we will not be able to refund that month’s Premium charge.

How do I buy/pay for Premium?

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To subscribe to Premium, tap the shield icon in the upper right of your Kardia account home screen. Tap “Get Premium” and follow the instructions to enter your credit card information. If you have questions about purchasing Premium in the US, please contact customer support here. If you have questions about purchasing Premium outside the US, please contact international customer support at uksupport@alivecor.com.

When I upgrade to Premium do I see all my historic recordings?

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Recordings taken using the Basic service will not be available. Historic view of heart health data is viewable for the time period in which a paid Premium subscription is active and for your free trial. If you decide to cancel Premium, your recordings while you were a Premium subscriber will still be available in your Journal.

SmartRhythm Monitoring

What is SmartRhythm monitoring?

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SmartRhythm is a system that takes your heart rate and activity data gathered from the Apple Watch, and evaluates it using a deep neural network to predict your heart rate pattern. If your heart rate differs from the neural network prediction, SmartRhythm will notify you to record an EKG.

Taking frequent EKGs can help you better manage your heart health, and capturing an EKG specifically during times when heart rate does not match activity levels may be useful.

SmartRhythm uses the Apple Watch PPG sensor to evaluate your heart rate approximately every 5 seconds. It’s deep neural network has been trained on the heart rate activity and EKG data from healthy and sick populations.

Receiving a SmartRhythm notification does not necessarily mean that something is wrong. There are many perfectly normal situations that can cause a SmartRhythm notification, including exercise the Apple Watch can’t detect, stress or anxiety, consumption of caffeine or alcohol, and even motion artifact from wearing the watch band too loosely.

Your heart rate itself depends on many factors such as activity, stress, time of day and more. So at times your heart rate pattern should be high (e.g. exercise), sometimes, it should be low (e.g. rest) and sometimes it may signify a heart problem.

Conversely, not getting a SmartRhythm notification does not necessarily mean that everything is normal, since the Apple Watch sensor is only measuring your heart rate and does not capture the full complexity of your heart. SmartRhythm monitoring should be used as an additional means to capture frequent EKGs. When there is a potential heart problem, either because you feel symptoms or identified by Kardia’s EKG analysis algorithms, a record of EKGs serves as actionable documentation for a medical professional to diagnose and come up with a treatment plan.

CAUTION: If you receive a notification to take an EKG because SmartRhythm detected that your heart rate pattern may be different from its predictions, it does not necessarily mean that you have a heart abnormality. Please call your physician before making any medical decision, including altering your use of any drug or treatment.

Is SmartRhythm available if you have an Apple Watch but not a KardiaBand?

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Yes. SmartRhythm can be used with your Apple Watch even if you do not have a KardiaBand.

If SmartRhythm prompts you to take an EKG, you can do so using KardiaMobile and your smartphone.

If you want the added convenience of recording your EKG on your wrist, then you will need the KardiaBand.

Is SmartRhythm monitoring available using your smartphone and KardiaMobile?

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SmartRhythm monitoring requires a compatible Apple Watch to collect data that can then be viewed from in your Watch and iPhone. This is a Premium feature. Learn more about Premium here.

SmartRhythm notifies you to take an EKG and this EKG recording can be taken using either the KardiaBand or KardiaMobile. If you plan to use the KardiaMobile to take an EKG, click “Record EKG” in the Kardia app on your iPhone.

Will SmartRhythm affect Apple Watch battery life? If so, will I need to charge my Apple Watch daily?

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Yes, SmartRhythm causes a higher battery usage and you will need to charge your phone more frequently. This is because SmartRhythm evaluates heart rate data continually and thus requires the Apple Watch’s to be in Workout mode when SmartRhythm is on and this increases battery usage. Our internal testing showed that with SmartRhythm turned on, you should expect about 16 hours or so of battery life from your series 2 or newer watch.

We recommend charging your Watch overnight or for an hour in the evening and morning if you plan to wear your Watch while sleeping.

The first generation Apple Watch is not supported because it has a smaller battery and will only last 5 hours.

What does it mean when my heart rate bars are orange versus green?

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The orange bars indicate that your heart rate (beats per minute) was outside the range which SmartRhythm predicted for your level of activity at that time. Note that the activity level is based on what the Watch’s accelerometer observes and some activity, such as weight lifting does not register well.

What are the 'deep neural networks' used by SmartRhythm?

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Deep neural networks are a type of machine learning that are automatically trained to see patterns in large datasets.

One example you may have used is a Google image search which allows you to search for “pictures of labrador puppies” and get the correct results even though humans didn’t manually choose each of those pictures. Instead an automatically trained deep neural network is able to give you the correct results.

In the case of SmartRhythm, the deep neural network is trained to identify heart rate/activity patterns. You can read more about SmartRhthym deep neural networks here.

What does the band behind my heart rate bars indicate?

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The band depicts the heart rate range that SmartRhythm predicts your heart rate should fall within based on the activity level from the Watch’s accelerometer and the past heart rate data provided by the Watch’s PPG sensor. If the Watch’s accelerometer detects an increase in your activity, the SmartRhythm will expect your heart rate to increase and prediction bands would reflect that expected increase.

What is the difference between 'A possible change in heart rate / activity pattern was detected.' and 'Heart rate appears inconsistent with the activity level from your watch'?

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The SmartRhythm algorithms look for 2 different things in your heart rate data, each of which triggers one of the two notification types:

  1. “A possible change in heart rate / activity pattern was detected” occurs when the Watch provided heart rate changed quickly without a change in activity level. For example: Your Apple Watch’s PPG noted a sudden heart rate change from 60BPM to 120BPM but your Apple Watch’s accelerometer did not detect any activity.
  2. “Heart rate appears inconsistent with the activity level from your watch” occurs when your heart rate is outside of the predicted heart rate band calculated from your activity and heart rate history. For example: Your heart rate is sustained at 140BPM with low or no activity detected by your Watch.

KardiaBand

How do I record an EKG with KardiaBand?

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Once you are logged in, app installed and watch setup, press the “Record EKG” button on Apple Watch.

With your right hand, grasp your left hand. Rest your right thumb on the outer electrode on the Kardia Band. Push your right thumb with enough force to ensure that the inner electrode is in contact with the skin of your left wrist for the entire duration of the recording. Remain still while recording – your watch, forearm, and hands should not move while recording.

The recording will take 30 seconds, at which point your EKG will be processed, and you can let go of the electrode.

How do I create a clean EKG signal?

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If you are having trouble recording a clean and consistent signal, be sure to follow the information in the FAQ “How do I record an EKG with KardiaBand” and then try the following:

  • Sit in a relaxed position and keep your forearms at rest
  • Be sure no headphones or hearing aids are paired to your watch
  • Moisten finger tip used for recording, and wrist area under sensor with water, lotion, or an antibacterial wipe
  • Wrist hair may affect the performance of the device. We recommend removing excess hair from your wrist.
  • Make sure your sensor is properly seated in the band, and in contact with the skin of your wrist and the pad of your finger.

If you are still having trouble, please contact support in the form below.

Once a recording is taken with the KardiaBand, how long will it take to it appear in my history on my smartphone?

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An attempt is made to transfer the recording immediately, but there are many factors that can delay this transfer. For example, bad wireless connection between the phone and watch, or if airplane mode is turned on. If the connection between your phone and watch is good, the recording should occur automatically.

My recordings have not synced to my history. If I turn off my Apple Watch, will I lose those recordings?

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No, recordings are stored on the Apple Watch’s storage even if you turn off your watch. You may lose unsynced recordings if you logout of the Kardia App, so we recommend that you verify that the recordings were successfully transferred before logging out.

Kardia App for Apple Watch

How do I install Kardia on Apple Watch?

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Open the Apple “Watch” App on your iPhone. If the Kardia App has not been installed on your watch already, it will be listed under the heading “Available Apps”. Press the “Install” button next to Kardia.

If Kardia App has already been installed on your watch but it is not shown on your watch, Kardia App will be listed under the heading “Installed on Apple Watch.” Select Kardia and turn on the toggle for “Show App on Apple Watch”.

It will take a few moments for the Kardia App to install on your watch.

Why does my Apple Watch screen go blank while recording my EKG?

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By default, Apple Watch’s wake screen setting is set to remain on for 15 seconds. Recording your EKG will take 30 seconds, which is longer than the default wake screen settings. To adjust this so your watch screen does not go to sleep while recording, on your phone, open the Apple “Watch” app on your iPhone. Select “General” and scroll down and press on the option “Wake Screen”. In the section “On tap”, select the option “Wake for 70 seconds”.

Without changing the default wake screen settings, you are able to record your EKG by keeping your thumb pressed on the Kardia Band sensor until you feel the haptic feedback informing you that the EKG recording is complete. Tap your watch face and you will see your result.

Instant EKG Analysis

What are the AF, Normal and Interference Detectors?

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AliveCor has developed three FDA-cleared detectors or algorithms. These detectors are only appropriate for use on Lead I.

The Normal detector will notify you when no abnormalities are detected by displaying the message “Normal. No abnormalities were detected in your EKG.” This means that your heart rate was between 50-100 beats per minute, there were no or very few abnormal beats, and the shape, timing and duration of each beat is considered normal. Remember that there is a wide range of “normal” variability among different individuals, so the Normal detector has been designed to be conservative. Also, if you have been diagnosed by a physician with a condition that affects the shape of your EKG, are experiencing an arrhythmia or took a poor quality recording, it is unlikely that you will be notified that your EKG is normal.

The Interference detector will notify you when the recording is unreadable by displaying a message that says “Unreadable. There was too much interference in this recording. Try to relax and hold still, rest your arms or move to a quiet location.” Once you’ve made these changes you can go ahead and take another recording. Other best practices to get a high quality recording include:

  • Ensure your smartphone or tablet is not plugged in, charging or syncing during recording.
  • Keep your Kardia electrodes clean using an alcohol-based sanitizer.
  • Apply a water-based lotion to your hands prior to taking an EKG recording if your hands are very dry.
  • Enable the “enhanced filter” on your smart phone or tablet.

The AF detector will notify you to the presence of atrial fibrillation with 97% sensitivity and 98% specificity. If AF is detected, you will see the message “Possible AF Detected.” This result is not a diagnosis, only a possible finding. We recommend sending it AliveCor’s EKG analysis service for review, or sharing it with your doctor or medical professional.

Note that the EKG recording must be 30 seconds in length for the detectors to function.

What does it mean if my EKG is Unclassified?

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You may receive a message that says “we could not classify this EKG.” This means that the detectors could not classify your EKG recording as Normal, Unreadable or AF. There could be many reasons why you received this message. You have the option to send your EKG for analysis directly from Kardia, or share it with your doctor or medical professional. If you prefer not to receive this message, you can disable the “Unclassified Message” in the Kardia settings.

I keep getting a “noisy” or “unreadable” recording. What does that mean and how can I prevent it?

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There are a few reasons why you may be getting noisy or unreadable recordings. Since KardiaMobile communicates with your smart phone via high frequency ultrasound, it is important that you keep the device within a few inches of the microphone and eliminate any sources of electric interference. Here are some of the common things to look for:

  1. Confirm your smart phone or tablet is not plugged in or charging while recording an EKG
  2. Move away from sources of electrical interference such as large computer monitors or television screens
  3. Be sure you don’t have headphones plugged in to your smart phone
  4. If you wear hearing aids, be sure to turn them off
  5. If your fingers are dry, try moistening them a bit to improve conductivity with the electrodes

Paid Clinician Review

What is the Clinician Review?

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You may send an EKG recording out for review by a board certified cardiologist or trained cardiac technician for an out-of-pocket fee. A comprehensive review and recommendation by a board certified cardiologist is $19 with a response within 24 hours, and a quick interpretation by a trained cardiac technician is $9 with a response within 1 hour.

How can I purchase clinician reviews?

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As a Basic or Premium member, you may send an EKG recording out for review by a board certified cardiologist or trained cardiac technician for an out-of-pocket fee. A comprehensive review and recommendation by a board certified cardiologist is $19 with a response within 24 hours, and a quick interpretation by a trained cardiac technician is $9 with a response within 1 hour. Clinician reviews are also available by a cardiac electrophysiologist in the UK and cardiologists in Australia.

Omron Blood Pressure Monitor Integration

Which Omron Blood Pressure monitors are compatible with Kardia?

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To connect Kardia with your Omron Blood Pressure monitor, you must be a Kardia user based in the United States. Connectivity is available for Apple iOS users only.

Ten Omron Blood Pressure monitors have been tested for compatibility with Kardia:

  • BP 786/786N
  • BP 761/761N
  • BP 653
  • BP 654
  • BP 786CANN/786 CAN
  • BP 761CANN/761N CAN

How do I connect my Omron Blood Pressure monitor to Kardia?

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  1. Download the most recent version of Kardia from the app store
  2. Launch Kardia on your iPhone
  3. Select the Blood Pressure card from the home screen and tap Record Now
  4. Tap on Pair Your Omron Monitor
  5. Press and hold the Transfer or Clock button on your Omron monitor until you see a flashing “P” or “O”, depending on which Omron device you use
  6. On your Kardia app, tap on Pair Now
  7. If your Omron monitor supports multiple users, select which user to connect

Note that only one monitor may be paired to Kardia at a time.

What if my Blood Pressure recordings don’t transfer to Kardia?

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If you are having trouble transferring recordings from your Omron Blood Pressure monitor to Kardia, try re-pairing your device.

  1. Launch Kardia on your iPhone
  2. Swipe left and tap on the Blood Pressure card
  3. Select Pair a Different BP Monitor
  4. Follow the prompts to pair your monitor
  5. After your monitor has been paired, tap on Transfer Recordings

If you are still having difficulty pairing your Omron device or transferring your blood pressure recordings, you may want to try disconnecting the Omron device altogether then reconnect it following these steps:

  1. From your iPhone or iPad, tap on Settings
  2. From the Settings menu, tap on the Bluetooth option
  3. Tap on the selection for your Omron device
  4. Tap on Forget This Device

After you’ve taken these steps, repeat the steps to pair your Omron device to Kardia addressed in the “How do I connect my Omron Blood Pressure monitor to Kardia” section.

Can I connect my Omron Blood Pressure monitor to Kardia on my Android smart phone?

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Connectivity between Omron Blood Pressure monitors and Kardia is currently available for iPhone/iOS users only. We intend to expand the scope of our offerings with Omron to include Android devices as we work to bring the integrated app to Google Play. Our goal is to work quickly to make the product as accessible as possible so even more people can begin to better understand their own heart health.

Privacy & Security

Do any third party vendors have access to user information?

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External contractors and companies that provide necessary services may have access to some of your information. The vendor which handles payment processing, is a good example of this. Such vendors are required by law to protect the information we share with them. They do not have access to any of your Kardia recordings or health history.

What information do you collect?

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When you create a new account, AliveCor collects the following required information: name, email, date of birth, sex, smoking status, height, weight. We use this information to ensure that only you have access to this account. Other information we collect when you create a new account are: activity level, medications and medical conditions. This information is good to have as a baseline to understand your current condition. This information is not required to access your account. If you are a Premium subscriber, we may collect other information you may input into Kardia, such as EKG recordings, blood pressure, resting heart rate and activity levels. If you are a connected patient to your physician, all of this information will be seen in your doctor’s Kardia Pro account for identification and to help your doctor manage your treatment.

Is AliveCor HIPAA (Health Insurance Portability and Accountability Act) compliant? What does that mean?

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Yes, AliveCor is HIPAA compliant. We take the privacy and security of your medical information seriously. This means we follow HIPAA and HITECH regulations as set forth by U.S. Health and Human Services that require Administrative, Physical, and Technical controls to be in place. We comply with HIPAA requirements to use industry best standards to protect and secure your Protected Health Information collected through our Kardia app.

What type of security do you use?

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Our adherence to HIPAA means that all data on our servers is encrypted when it is at rest or in transit. AliveCor uses industry best practices such as AES 256-bit server side encryption for customer EKG recordings, and transport layer security (TLS 1.2) to establish a secure link with cloud servers and to encrypt data in transit.

Does AliveCor collect info of users who may be children?

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Kardia is not FDA indicated for pediatric use. We do not knowingly collect personal info from children under 13. If we find out that a child under 13 has given us personal info, we will take steps to delete that info. If you believe that a child under the age of 13 has given us personal information, please contact us at privacy@alivecor.com.

For more information on any of the above, or if you have further questions, please refer to our Privacy Policy.

Account Setup

How do I download the Kardia app and create my account?

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Search for Kardia at the App Store or Google Play and download, free. Then, open the app, accept the Terms of Service and Privacy Notice and create your account by entering the email address and password you would like to use.

Kardia is integrated with Apple Health and Google Fit. To learn more about this feature, please refer to the user manual.

How do I take my first EKG?

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As part of your account setup, you’ll be asked to take your first EKG recording. Place two or more fingers (it doesn’t matter which ones) from each hand on the electrodes for 30 seconds. Or, for KardiaBand, place your thumb on the electrode. While recording, try to relax your arms and remain as still as possible. If you wear hearing aids, please be sure to turn them off when taking a recording. When you are instructed to rotate your phone, please be sure that the bottom of your phone is by your right hand and the top of the phone by your left hand.

US Only: A US board certified cardiologist will automatically review your first recording for free and provide a medical interpretation of your EKG within 24 hours. Once you receive your report notification email, you can record unlimited EKGs.

Why does the Kardia app ask me to enable my microphone?

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Kardia works with the microphone on your smartphone or tablet, allowing you to record voice memos with each EKG to help your doctor understand your heart health and how you are feeling. So, when you’re prompted during setup to let Kardia access your microphone, say “yes”.

App Store Google Play Store

How do I download the Kardia app onto my Apple iPad?

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While the Kardia app is compatible with Apple iPads, it is categorized in the App Store as an “iPhone Only” app. Here are the steps for downloading Kardia to your iPad:

  1. Open the App Store on your iPad
  2. Tap in the “Search” field and type “Kardia”
  3. In the upper left corner of the App Store screen, look for the button that says “iPad Only”
  4. Tap the arrow next to “iPad Only” and select the option for “iPhone Only”

You should now see the Kardia app and can download it to your iPad!

Troubleshooting

How do I create a clean consistent signal with my KardiaMobile?

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If you are having trouble recording a clean and consistent signal try the following:

  • Record an EKG while in a seated, relaxed position with your forearms rested on a flat surface
  • Be sure you have enabled the Kardia app on your smartphone to access the microphone
  • Clearly speak symptoms into the microphone; symptoms will be tagged in the report for the doctor
  • Keep a light touch on the electrodes – no need to squeeze or press down too firmly
  • Be sure your smartphone or tablet is unplugged and that no headphones or other accessories are in use
  • Ensure the Kardia device is within 6 inches of your smart phone’s microphone
  • Turn off hearing aids and avoid being near other items that may cause interference, such as computers
  • If your fingers are dry, try moistening them with antibacterial wipes or water

If you are still having trouble, please contact support in the form below.

What happens if my KardiaMobile stops working?

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If your KardiaMobile stopped transmitting a signal, or if your signal strength is consistently poor, it may be time for you to replace the battery. Kardia operates on a standard 3V 2016 coin cell battery that can be found at most grocery or drug stores. Remove and replace the battery by carefully opening the compartment on the back of your Kardia, being sure to place the battery face up (so you can read the writing) and ensuring you remove the protective plastic film that covers the battery. If Kardia is still not working after replacing the battery, be sure you are following our guidelines for taking a clean tracing, and that your smart phone or tablet is on our compatibility list.

How do I remove KardiaMobile from the phone clip?

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If you buy a new smartphone, tablet or device case, Kardia can go with you. To detach Kardia from the phone clip, use your thumbs to slide it toward the open end of the clip. The adhesive is designed for one-time use, but additional phone clips are available for purchase online at the official AliveCor store.

What do I do if I forget my password?

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We all have to remember a lot of passwords. If you forgot your Kardia password, it’s easy to reset it. From the Kardia app, click on the “Forgot Password” link. We’ll send a link and further instructions to the email address that you used to set up and access Kardia. If you don’t have access to that email address to complete the reset process, contact us at support@alivecor.com for assistance.

Still have questions?

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Thank you for contacting AliveCor Customer Support. We will respond to your inquiry as quickly as possible.

US Support

Phone: (855) 338 8800

Email: support@alivecor.com

International Support

Phone: +44 (0) 333 301 0433

Email: uksupport@alivecor.com

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