AliveCor Kardia User manual

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
1!
*
*
*
*
*
*
*
*
AliveCor®*Kardia™*Mobile*
User*Manual*for*
Android*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
*
©*2011-2016*AliveCor,*Inc.*All*rights*reserved.*US*Patent*No:*8,301,232*and*Patents*
Pending.*AliveCor*is*a*trademark*and*trade*name*of*AliveCor,*Inc.*in*the*United*States*and*
other*countries.**
* *
09LB08*Revision*V*|*JUNE*2016* *

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
2!
1.!PRODUCT*DESCRIPTION!..........................................................................................................................!3!
2.!GENERAL*SAFETY*PRECAUTIONS!............................................................................................................!4!
3.!STORAGE,*HANDLING*AND*MAINTENANCE!.........................................................................................!5!
4.!WARNINGS!................................................................................................................................................!5!
5.!SET*UP*KARDIA*MOBILE*AND*TAKE*THE*FIRST*EKG*RECORDING!......................................................!6!
6.!RECORD*EKG*RHYTHMS*USING*KARDIA*MOBILE!................................................................................!7!
7.!ONCE*THE*RECORDING*IS*FINISHED!......................................................................................................!8!
8.!ENTER*AN*EVENT*WITHOUT*AN*EKG!.....................................................................................................!9!
9.!SETTINGS*AND*ADJUSTMENTS!...............................................................................................................!9!
10.!EMAIL,*PRINT,*OR*DELETE*RECORDINGS!.........................................................................................!10!
11.!VIEW*PREVIOUSLY*RECORDED*EKG*RECORDINGS*–*JOURNAL!....................................................!11!
12.!SEARCH*OR*FILTER*RECORDINGS!......................................................................................................!11!
13.!VIEW*AN*EKG*RECORDING*ON*THE*ALIVECOR*SERVER!.................................................................!12!
14.!EKG*ANALYSIS!......................................................................................................................................!12!
15.!DETECTORS*(ATRIAL*FIBRILLATION,*NORMAL,*UNREADABLE)!....................................................!13!
16.!INSIGHTS!...............................................................................................................................................!16!
17.!GOOGLE*FIT*APP*INTEGRATION!........................................................................................................!16!
18.!REFERRAL*CODE!...................................................................................................................................!17!
19.!PERSONAL*REPORT!.............................................................................................................................!17!
20.!ACCESSING*HELP!..................................................................................................................................!17!
21.!EDITING*USER*PROFILE!.......................................................................................................................!18!
22.!ACCESSING*EDUCATION!.....................................................................................................................!18!
23.!PROVIDER*DASHBOARD!.....................................................................................................................!18!
24.!ELECTRONIC*HEALTH*RECORD*(EHR)*INTEGRATION!......................................................................!19!
25.!TROUBLESHOOTING!............................................................................................................................!20!
26.!ALIVECOR*KARDIA*MOBILE*SPECIFICATIONS!..................................................................................!22!
27.!EUROPEAN*AUTHORIZED*REPRESENTATIVE!...................................................................................!23!
28.!ALIVECOR*CONTACT*INFORMATION!................................................................................................!23!
29.!ELECTRICAL*SAFETY!.............................................................................................................................!24!
30.!SYMBOLS*USED*SYSTEM*OR*PACKAGE*LABELING!..........................................................................!28!
*
* *

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
3!
1. PRODUCT*DESCRIPTION*
The*Kardia™*Mobile*by*AliveCor®*(Kardia*Mobile)*is*a*mobile,*clinical-quality*
electrocardiogram*(EKG*or*ECG)*recorder.*The*duration*of*the*recording*is*established*by*
the*Kardia*Phone*App*with*a*default*setting*of*30*seconds*and*a*maximum*time*of*5*
minutes.*The*software*application*can*store*thousands*of*recordings*on*your*smartphone*or*
tablet*and*these*recordings*are*also*accessible*to*authorized*users*on*AliveCor,*Inc.*
(AliveCor)*servers*(www.alivecor.com).**
Patients*with*known*or*suspected*heart*conditions*and*health*conscious*individuals*can*use*
Kardia*Mobile*to*record*an*EKG*daily*or*whenever*they*are*feeling*symptoms,*and*share*
their*recordings*with*their*physician.*Medical*professionals*can*use*Kardia*Mobile*to*quickly*
assess*rate*and*rhythm,*screen*for*arrhythmias,*and*remotely*monitor*and*manage*their*
patients*who*use*Kardia*Mobile.*
The*device*consists*of*three*components:*
1. Kardia*Mobile*attaches*to*your*compatible*smartphone*or*tablet*and*has*electrodes*
to*transmit*EKG*rhythms*to*the*smartphone*or*tablet.**
2. The* Kardia* phone* app* is* used* to* collect,* view,* save,* and* wirelessly* transmit*
recordings*to*the*AliveCor*server.**
*
3. A*user-supplied*compatible*smartphone*or*tablet.**
*
CAUTION:*Kardia*Mobile*has*features*that*are*only*available*to*users*who*are*under*the*
care*of*a*physician.*These*features*are*available*to*prescription*users*only.*
Kardia*Mobile*enables*users*to:*
•Collect*and*store*single-channel*EKG*recordings*using*the*smartphone*or*tablet.*
•Record*voice*memos*that*are*automatically*transcribed*to*notes.*
•Edit*user*information*data*associated*with*the*recording.*
•Wirelessly*transmit*EKG*recordings*to*the*AliveCor*server.*
•Access*EKG*recordings*stored*on*the*AliveCor*server.*
•Print*or*save*the*recording*in*PDF*format.*
•Request*professional*clinical*interpretation*and*analysis*of*your*EKG*recordings.*
•Track*events*that*may*impact*your*heart*health,*such*as*symptoms,*activities,*diet,*
activity,*etc.*
After*a*user*has*created*an*account*on*the*Kardia*phone*app*and*received*an*EKG*analysis,*
Kardia*Mobile*enables*a*user*to:*
•View*EKG*recordings*real-time*and*after*the*recording.*
•View*the*output*of*the*Atrial*Fibrillation,*Normal,*and*Unreadable*Detectors.*
*
1.1. Indications*for*Use*-*US*
Kardia*Mobile*by*AliveCor*is*intended*to*record,*store,*and*transfer*single-channel*
electrocardiogram*(EKG*or*ECG)*rhythms.*Kardia*Mobile*by*AliveCor*also*displays*EKG*
rhythms*and*detects*the*presence*of*atrial*fibrillation*and*normal*sinus*rhythm*(when*
prescribed*or*used*under*the*care*of*a*physician).*Kardia*Mobile*by*AliveCor*is*intended*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
4!
for*use*by*healthcare*professionals,*individuals*with*known*or*suspected*heart*
conditions,*and*health-conscious*individuals.*The*device*has*not*been*tested*for*and*it*is*
not*intended*for*pediatric*use.*
*
1.2. Indications*for*Use*-*OUS*
Kardia*Mobile*by*AliveCor*is*intended*to*record,*display,*store,*and*transfer*single-
channel*electrocardiogram*(EKG*or*ECG)*rhythms.*Kardia*Mobile*by*AliveCor*also*
detects*the*presence*of*atrial*fibrillation*and*normal*sinus*rhythm*in*each*recording.*
Kardia*Mobile*by*AliveCor*is*intended*for*use*by*healthcare*professionals,*patients*with*
known*or*suspected*heart*conditions,*and*health*conscious*individuals.*
*
1.3. Contraindications*
There*are*no*known*contraindications*for*Kardia*Mobile,*although*care*should*be*
taken*when*considering*using*the*device*according*to*the*warnings*and*precautions*
below.*
*
2. GENERAL*SAFETY*PRECAUTIONS*
•The*device*should*not*be*used*near*water,*or*in*a*wet*environment.**
*
•Do*not*use*this*device*in*locations*subject*to*high*or*low*temperatures*or*humidity.*
It* should* be* used* within* the* temperature* and* humidity* range* according* to* the*
product*label.**
*
•Do*not*sterilize*this*device*with*an*autoclave*or*glass*sterilizer.**
*
•Audio* and* video* products* and* similar* equipment* may* cause* interference.* Please*
stay*away*from*such*equipment*when*you*are*recording.**
*
•Do* not* take* recordings* in* a* location* where* the* device* will* be* exposed* to* strong*
electromagnetic* forces,* such* as* near* an* arc* welder,* high-power* radio* transmitter,*
etc.**
*
•Signal*quality*may*degrade*by*detecting*signals*from*other*ultrasonic*acoustic*
sources.*Do*not*use*the*device*in*close*vicinity*to*other*equipment*emitting*
ultrasonic*acoustics*such*as*espresso*machines,*some*ventilation*systems*or*another*
Kardia*Mobile.**
*
•The*smartphone*or*tablet*power*adapter*may*degrade*signal*detection.*Do*not*use*
Kardia*Mobile*while*charging*the*smartphone*or*tablet.**
*
•Disperse*any*static*electricity*from*your*body*before*using*the*device.**
•Do*not*take*recordings*in*a*moving*vehicle.**
•Do*not*expose*the*device*to*strong*shocks*or*vibrations.**
•Do*not*disassemble,*repair,*or*modify*the*device.**
•Do*not*insert*battery*with*polarity*reversed.**
•Do*not*use*batteries*of*a*type*other*than*that*specified*for*use*with*the*device.**
•Do*not*take*a*recording*if*the*electrodes*are*dirty.*Clean*them*first.**
•Do*not*use*for*any*purpose*other*than*obtaining*an*electrocardiogram.**
*
•If* the* portion* of* the* body* where* the* electrode* is* applied* has* too* much* body* fat,*
body*hair,*or*very*dry*skin,*a*successful*recording*may*not*be*possible.**
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
5!
•Some* children* and* adults* with* very* sensitive* auditory* ability* may* hear* a* high-
pitched*hum*or*buzz*emitting*from*the*device*when*activated.*This*is*due*to*normal*
device*function.*
*
3. STORAGE,*HANDLING*AND*MAINTENANCE*
Do*not*store*the*device*in:*
•Locations*exposed*to*direct*sunlight*
•Locations*subject*to*high*temperatures*and*high*humidity*
•Wet*or*damp*locations*where*water*may*get*on*the*device*
•Dusty*locations*
*
•Near*fires*or*open*flames*
*
•Locations*exposed*to*strong*vibration*
*
•Locations*exposed*to*strong*electromagnetic*fields*
No*maintenance*of*this*system*is*required,*except:*
•The*battery*should*be*replaced*when*necessary.**
*
•The* electrodes* should* be* cleaned* using* an* alcohol-based* sanitizer* before* each*
use.**
*
•To*prevent*potential*cross-infection*of*diseases*between*users,*clean*the*device*
using*alcohol*prior*to*each*use.**
4. WARNINGS*
•This*device*is*not*designed*or*intended*for*complete*diagnosis*of*cardiac*conditions.*
This*device*should*never*be*used*as*a*basis*for*starting*or*modifying*treatment*
without*independent*confirmation*by*medical*examination.**
•This*device*records*heart*rate*and*heart*rhythm*only.**
*
•This* device* does* not* detect* or* measure* all* heart* rate,* heart* rhythm,* and* heart*
waveform*changes,*especially*those*related*to*ischemic*heart*conditions.**
*
•Do*not*attempt*self-diagnosis*or*self-treatment*based*on*the*recording*results*and*
analysis.*Self-diagnosis*or*self-treatment*may*lead*to*deterioration*of*your*health.**
*
•Users*should*always*consult*their*physician*if*they*notice*changes*in*their*health.**
*
•Do*not*use*in*the*presence*of*flammable*anesthetics,*drugs,*or*pressurized*oxygen*
(such*as*in*a*hyperbaric*chamber,*ultraviolet*sterilizer*or*oxygen*tent).**
*
•Do*not*use*this*device*during*an*MRI*scan.**
•Keep*out*of*reach*of*infants,*small*children,*or*anyone*incapable*of*using*the*device*
properly.**
*
•The*device*has*not*been*tested*for*use*on*infants*weighing*less*than*10kg.*AliveCor*
does*not*recommend*using*on*humans*less*than*10kg.**
*
•It*is*not*recommended*to*place*a*mobile*phone*directly*next*to*a*pacemaker*on*the*
chest.**
•Do*not*use*this*device*with*a*defibrillator.**
*
•AliveCor*does*not*recommend*using*on*individuals*with*a*cardiac*pacemaker,*ICDs,*
or*other*implanted*electronic*devices.**
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
6!
•Do*not*attempt*EKG*data*acquisition*while*there*is*an*external*microphone*plugged*
into*the*smartphone*or*tablet.**
*
•EKG* reports* viewed* or* printed* at* any* magnification* other* than* 100%* may* appear*
distorted*and*could*lead*to*misdiagnosis.**
*
•The*heart*rate*is*based*on*the*heart*rhythm;*therefore,*the*rate*is*only*valid*if*there*
is*a*valid*rhythm*(QRS*complex*visible).**
•The* Unreadable* Detector* may* incorrectly* identify* ventricular* flutter,* ventricular*
bigeminy,*and*ventricular*trigeminy*as*unreadable.*If*you*have*been*diagnosed*with*
one* or* more* of* these* arrhythmias,* we* recommend* turning* off* the* Unreadable*
Detector*in*your*Settings.*
•AliveCor* cannot* guarantee* that* you* are* not* experiencing* an* arrhythmia* or* other*
health*condition*when*labeling*an*EKG*as*normal.*You*should*notify*your*doctor*of*a*
possible*change*in*your*health.*
*
5. SET*UP*KARDIA*MOBILE*AND*TAKE*THE*FIRST*EKG*RECORDING*
5.1. Decide*which*smartphone*or*tablet*to*use*
Your*Kardia*Mobile*is*compatible*with*all*of*the*smartphones*and*tablets*listed*on*
AliveCor’s*website:*http://www.alivecor.com/compatibility,*including:*
•Samsung*Note*3*and*Note*5*
•Galaxy*S3,*S4,*S5,*S6,*and*S7*
•LG*Nexus*5*
•HTC*One*
•Jitterbug*Touch*2*and*Touch*3*
The*Kardia*phone*app*is*compatible*with*the*Android*Operating*System*versions*
4.0*–*6.0.1.*
You*can*use*Kardia*Mobile*with*Universal*Attachment*Plate*on*all*compatible*
smartphones*or*tablets*as*listed*on*the*Compatibility*Chart.*
5.2. Unpack*Kardia*Mobile*by*AliveCor*
•Remove*Kardia*Mobile*from*the*box.*
*
•Kardia* Mobile* with* Universal* Attachment* Plate* can* be* attached* to* the*
smartphone*or*tablet*directly*or*to*the*case*of*your*choosing*(the*surface*should*
be*smooth*and*flat).*
oAC-001*-*AC-007:*With*the*AliveCor*logo*right*side*up,*the*top*of*the*
smartphone*or*tablet*should*be*on*the*right.*
oAC-009:*With*the*AliveCor*logo*right*side*up,*the*top*of*the*smartphone*or*
tablet*should*be*at*the*top.*
*
Caution:*Kardia*Mobile*must*be*less*than*1*foot*from*the*smartphone*or*tablet*
to*ensure*communication*between*devices.*
5.3. Download*the*Kardia*phone*app*
•Using*your*smartphone*or*tablet,*search*for*“AliveCor”*in*the*Google*Play*Store.**

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
7!
•Download*and*install*the*Kardia*phone*app.**
5.4. Set*up*an*AliveCor*Account*
You*will*use*your*AliveCor*account*to*access,*print,*and*save*your*EKG*recordings*stored*
on* the* Kardia* phone* app* and* the* AliveCor* server.* Follow* the* instructions* presented*
when*you*open*the*Kardia*phone*app*for*the*first*time.*You*can*go*back*later*and*change*
your* information* if* necessary.* Signing* up* for* an* AliveCor* account* also* enables* you* to*
send*an*EKG*for*analysis*(select*countries*only).*EKG*analysis*can*be*used*any*time*you*
want*a*medical*professional*to*interpret*your*EKG*recording*and*is*required*if*you*would*
like*to*view*your*recordings*or*utilize*Kardia’s*Detectors.*
*
6. RECORD*EKG*RHYTHMS*USING*KARDIA*MOBILE*
Before*taking*each*recording:*
•Disconnect*headphones,*charger*cables,*or*any*other*connected*devices.**
•Clean*the*two*electrodes*with*an*alcohol-based*sanitizer.*
•Using*your*smartphone*or*tablet,*launch*the*Kardia*phone*app.*
1. Select*an*EKG*option*–*Standard*EKG,*Resting*Heart*Rate,*and*Guest*EKG.*All*options*
will*record*an*EKG.*“Standard*EKG”*is*recommended*for*taking*an*EKG*at*any*time,*
e.g.*when*you*are*feeling*symptomatic.*“Resting*Heart*Rate*EKG”*is*recommended*
to*establish*your*resting*heart*rate*baseline.*We*recommend*taking*that*EKG*when*
you*first*rise*in*the*morning;*the*time*of*day*when*body*is*most*rested.*“Guest*EKG”*
is* the* recommended* option* when* a* family* member* or* friend* needs* to* record* an*
EKG.*
2. Rest*two*or*more*fingers*(it*does*not*matter*which*fingers)*on*Kardia*Mobile;*your*
right*hand*should*contact*the*electrode*closest*to*the*bottom*of*the*smartphone*or*
tablet,* and* your* left* hand* should* contact* the* electrode* closest* to* the* top* of* the*
smartphone*or*tablet.**This*is*a*Lead*I*EKG.*
3. While* recording* your* EKG,* speak* your* symptoms* (e.g.* “I’m* feeling* palpitations.*
Maybe* due* to* anxiety”)* into* the* smartphone.* Any* voice* memo* recorded* will* be*
transcribed*to*text*and*added*to*the*Notes*section*for*that*EKG*recording.*
You*may*also*choose*from*two*other*placements:*
•For*a*Lead*II*ECG,*the*left*knee*should*contact*the*electrode*closer*to*the*top*of*
the*smartphone*or*tablet*and*the*right*hand*should*contact*the*electrode*closer*
to*the*bottom*of*the*smartphone*or*tablet.*
•For*an*Anterior*Precordial*Lead,*the*device*can*be*placed*on*the*lower*left*side*
of*the*chest,*just*below*the*pectoral*muscle.**The*bottom*of*the*smartphone*or*
tablet*should*be*pointing*towards*the*center*of*the*body.*
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
8!
NOTE:*You*will*not*be*able*to*view*your*recordings*or*utilize*any*of*Kardia’s*Detectors*
until*you*are*under*the*care*of*a*physician.*To*gain*access*to*these*features,*you*must*
create*an*account*on*the*Kardia*phone*app.**Your*first*recording*will*then*be*
automatically*sent*for*a*free*analysis*by*a*cardiologist*(US*customers*only).*Once*you*
have*received*the*EKG*analysis,*you*will*have*access*to*view*that*recording*and*
subsequent*recordings.*
*
Additionally,*you*can*add*notes*or*tags*to*the*recording.*Tags*include*symptoms,*
activities,*diet,*etc.*that*are*relevant*to*heart*health.*
*
•When*your*recording*is*complete,*you*will*arrive*at*the*Data*Entry*screen*where*
you*can*add*notes*or*tags*such*as*symptoms,*activities,*diet,*etc.*
•Alternatively,*you*can*go*to*the*Journal*screen,*and*tap*the*dropdown*arrow*to*
the*right*of*the*EKG*recording,*then*tap*Edit.*This*will*also*take*you*to*the*Data*
Entry*screen*where*you*can*add*or*edit*notes*and*tags.*
*
NOTES:*
•Kardia*Mobile*does*not* require* a*Wi-Fi*or*mobile*connection*to*record* an* EKG*
and*save*it*to*the*smartphone*or*tablet,*however*it*does*require*one*of*these*to:*
sync* automatically* with* the* AliveCor* server,* email,* or* print* directly* from* the*
Kardia*phone*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*ill*happen*automatically*at*that*time.*
•Kardia*Mobile*can*be*used*up*to*a*distance*of*30*cm*(1*ft.)*from*the*smartphone*
or*tablet.*Using*Kardia*Mobile*at*a*distance*greater*than*30*cm*(1*ft.)*may*lead*to*
communication*issues*between*the*devices*and*your*recording*may*not*be*
successful.*
•To*reduce*muscle*noise,*rest*your*arms*on*a*flat*surface*to*increase*stability*
while*you*are*recording.*
•You*must*maintain*contact*with*the*electrodes*for*at*least*10*seconds*for*the*
recording*to*be*saved.*If*you*remove*contact*after*10*seconds*but*before*the*
selected*recording*duration*is*complete,*the*EKG*will*be*saved*and*you*will*be*
able*to*review*it.**
•The*recording*must*be*at*least*30*seconds*long*in*order*for*the*Detectors*to*
work.*
7. ONCE*THE*RECORDING*IS*FINISHED*
•Immediately*after*recording,*you*will*be*shown*an*analysis*of*your*EKG*if*it*is*
available.**
•After*a*recording,*you*are*also*prompted*to*add*tags*such*as*symptoms,*
activities,*diet,*etc.,*to*the*Data*Entry*screen.*You*can*also*enter*personalized*
tags*or*notes,*and*you*may*also*edit*the*transcribed*voice*memo.*After*making*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
9!
your*choices,*tap*“Save”*to*continue.*
•You*will*be*asked*if*this*recording*was*a*Guest*recording*or*yours.*You*can*edit*
the*Guest*name*by*tapping*on*“Guest”*for*the*EKG*recording*on*the*Journal*
screen*at*any*time.*
•You*can*review*the*EKG*in*the*Journal*screen,*or*go*to*Insights*and*view*the*
trending*of*your*EKGs,*heart*rate,*symptoms,*activities,*etc.*You*can*also*tap*the*
EKG*on*the*Journal*screen*for*a*larger*view*of*the*EKG*on*the*EKG*Review*screen.*
EKGs*can*be*starred,*emailed,*shared,*or*sent*for*analysis*in*the*Journal*screen,*
or*on*the*EKG*Review*screen.**
*
8. ENTER*AN*EVENT*WITHOUT*AN*EKG*
You*can*enter* a*tag*or*note*without* an* EKG*at*anytime.*This* may*help*you*track*your*
symptoms,*activities,*diet,*etc.,*either*before*or*after*an*EKG:*
•Tap*Journal,*then*tap*the*blue*“Plus”*icon*at*the*top*left.*
•In*the*Data*Entry*screen,*you*can*enter*notes,*or*select*tags*such*as*symptoms,*
activities,*diet,*etc.,*or*create*personalized*tags.**
•In*the*Data*Entry*screen,*you*can*also*select*a*different*date/time*for*the*event*
you*are*logging,*for*example*alcohol*from*the*previous*evening,*or*a*meal*from*a*
couple*days*ago.*
•All*of*your*events*will*appear*in*the*Journal* screen* in* chronological* order,* and*
can*be*edited*anytime*by*selecting*the*dropdown*arrow*to*the*right*of*the*event*
on*the*Journal*screen.*
*
9. SETTINGS*AND*ADJUSTMENTS*
9.1. Recording*Adjustments*
•Sweep* Speed.* Sweep* speed* of* the* EKG* in* the* PDF* report* can* be* set* to*
12.5mm/s,* 25mm/s,* or* 50mm/s.* This* option* is* only* available* to* health*
professionals.**
*
•Gain.*Gain*of*the*EKG*in*the*PDF*report*can*be*set*to*5mm/mV,*10mm/mV*or*
20mm/mV.*This*option*is*only*available*to*health*professionals.**
•Enhanced*Filter.*The*Enhanced*Filter*suppresses*noise*in*the*EKG.*The*filter*can*
be*toggled*on*a*particular*EKG*from*the*EKG*Review*screen.*To*enable*or*
disable*the*Enhanced*Filter,*tap*“MORE”*at*the*bottom*of*the*EKG*Review*
screen,*and*then*tap*on*the*'Enhanced*Filter'*switch*to*toggle*the*filter*ON*or*
OFF.**
•Invert* the* EKG* Recording.* In* the* event* that* Kardia* Mobile* was* oriented*
improperly* when* the* EKG* was* recorded,* it* may* appear* inverted.* The*
orientation*can*be*toggled*on*a*particular*EKG*from*the*EKG*Review*screen.*Tap*
“MORE”*at*the*bottom*of*the*EKG*Review*screen,*and*then*tap*on*the*'Invert'*
switch*to*toggle*it*ON*or*OFF.**

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
10!
9.2. Adjustable*Settings*
To*access*Settings,*tap*the*“More”*icon,*which*is*the*vertical*3*dots*at*the*top*right*
of*the*app’s*navigation,*then*tap*“Settings”.*
•Recording*Duration.*Recording*Duration*is*the*maximum*length*of*time*the*
Kardia*phone*app*will*record*a*single*EKG*recording.*For*example,*if*the*
recording*duration*is*set*to*30*seconds,*the*Kardia*phone*app*will*automatically*
stop*recording*after*30*seconds*of*data*has*been*collected.*The*recording*
duration*can*also*be*set*to*Continuous,*where*the*system*will*record*as*long*as*
the*user*maintains*contact*with*the*electrodes*(up*to*5*minutes).**
*
•AC*Mains*Filter.*The*AC*Mains*Filter*removes*any*mains*interference*from*the*
EKG;*usually*you*should*leave*this*set*to*Auto,*where*the*app*will*select*the*
appropriate*frequency*of*the*alternating*current*(AC)*used*in*your*country*or*
region.*For*the*United*States,*Canada*and*Mexico,*this*is*60*Hz;*in*most*other*
countries,*it*is*50*Hz.*If*required,*you*can*override*the*auto-selected*value*and*
set*this*to*50*Hz*or*60*Hz.**
•Units.*Select*this*option*to*set*the*units*for*weight*and*height*to*Metric*(cm,*kg)*
or*Imperial*(lb.,*in).**
*
•PDF*Reports.*Sets*various*options*for*the*PDF*report*that*you*can*View,*Print,*
Email,*and*share.*These*settings*affect*the*PDF*report*only.*They*do*not*affect*
the*EKG*display*on*the*device*or*the*analysis*reports*that*are*provided*by*our*
analysis*partners.*
*
10. EMAIL,*PRINT,*OR*DELETE*RECORDINGS*
NOTE:*If* you* are* not* enrolled* in* Kardia’s* EKG* Analysis* service,* you* will* not* be* able*to*
view* the* recording* (US* only).* AliveCor* will* unlock* this* feature* if* you* are* under* the*
guidance*of*a*physician.**
*
You*may*email/print*recordings*from*either*the*Kardia*phone*app*or*your*account*on*
the*server*(www.alivecor.com).*
*
To*email*a*recording*from*the*Kardia*phone*app,*you*must*have*an*email*account*set*up*
on* your* mobile* device.* If* you* need* assistance* setting* up* an* email* account* or*
troubleshooting*your*email*account,*contact*your*mobile*device*provider*for*assistance.*
1. Tap*the*“Share”*icon*next*to*the*EKG*you*would*like*to*email/print*on*the*Journal*
screen.* Alternatively,* you* can* tap* the* EKG* in* the* Journal* screen,* then* select*
“Share”*on*the*EKG*Review*screen.**
2. Tap*Email.*The*PDF*version*of*the*EKG*recording*will*be*attached*to*a*new*email*
in*whatever*email*account*you*have*set*up*on*your*mobile*device.***
*
Note:*Support*for*printing*depends*on*the*built-in*printing*options*installed*on*your*
smartphone*or*tablet.*Depending*on*your*printer*and*Android*smartphone*or*tablet,*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
11!
you*may*need*to*install*a*printer*app*from*the*Google*Play*Store.*
*
To*print*a*recording*from*the*server:*
1. Go*to*www.alivecor.com.*
2. Click*on*“SIGN*IN”*and*enter*your*email*address*and*password.*
3. Select*the*desired*recording*by*clicking*on*the*appropriate*“View*EKG”*button*on*the*
right.*
4. Click*the*“View*PDF”*link.*
5. Print*from*your*computer*as*you*would*any*PDF.*
*
To*delete*a*recording:*
1. Go*to*the*Journal*screen.*
2. Tap*the*dropdown*icon*to*the*right*of*the*EKG*that*you*want*to*delete.*
3. Tap*“Delete”.*
*
11. VIEW*PREVIOUSLY*RECORDED*EKG*RECORDINGS*–*JOURNAL*
NOTE:*If*you*are*not*enrolled*in*Kardia’s*EKG*Analysis*service,*you*will*not*be*able*to*
view*the*recording*(US*only).*AliveCor*will*unlock*this*feature*if*you*are*under*the*
guidance*of*a*physician.*
Journal*is*a*premium*feature*where*your*previously*recorded*EKG*recordings*are*
displayed.*To*access*it,*tap*the*“Journal”*icon.*
•Launch*the*Kardia*phone*app.*
•Tap*Journal*in*the*menu*to*see*a*list*of*all*EKG*recordings*on*your*mobile*device*
(excluding*any*previously*deleted).*
•Tap*the*EKG*recording*you*wish*to*view.*
!
NOTE:*You*may*listen*to*the*voice*memo*associated*with*the*EKG*by*tapping*the*Play*
button.*
*
12. SEARCH*OR*FILTER*RECORDINGS*
You*may*search*or*filter*the*events*in*the*Journal*screen*by*using*the*search*icon*on*the*
top*right*of*the*screen.**
To*filter:*
1. Tap*on*the*search*icon*on*the*top*right.*
2. Select*one*of*the*existing*filters.*The*filters*allow*you*to*choose*one*of*the*following:*
Starred,*Atrial*Fibrillation,*Analysis*Reports,*My*EKGs,*and*Guest*EKGs.*
3. Your*Journal*page*will*show*you*EKGs*that*meet*the*filter*criteria*until*you*disable*
the*filter.*
4. You*can*disable*the*filter*by*tapping*on*the*“x”*icon*next*to*the*filter*name*on*the*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
12!
top*right*of*the*Journal*screen.*
*
To*search:*
1. Tap*the*search*icon*on*the*top*right.*
2. Tap*“Custom*Search”*at*the*top*of*the*search*menu.*
3. Type*in*the*term*you*are*searching*for*in*your*events*using*the*keyboard.*For*
example,*you*may*be*looking*for*“Caffeine”*or*“Walked*the*dog”*in*your*tags*and*
notes.*
4. Tap*outside*of*the*keyboard*area*if*you*would*like*to*remove*the*keyboard*for*
better*scrolling*through*your*records.*
5. You*can*disable*the*search*view*by*tapping*“Cancel”*on*the*top*right*of*screen*or*
edit*your*search*term*by*tapping*in*the*search*bar*and*entering*another*term.*
*
13. VIEW*AN*EKG*RECORDING*ON*THE*ALIVECOR*SERVER*
NOTE:*If*you*are*not*enrolled*in*Kardia’s*EKG*Analysis*service,*you*will*not*be*able*to*
view*the*recording*(US*only).*AliveCor*will*unlock*this*feature*if*you*are*under*the*
guidance*of*a*physician.*
*
•On*your*web*browser,*go*to*www.alivecor.com*and*click*“SIGN*IN”.*
•Enter*your*email*address*and*password*you*created*when*you*set*up*your*AliveCor*
account.**Click*“Sign*In”.*
•The*EKG*recordings*you*collected*were*automatically*synced*to*the*AliveCor*server*and*will*
appear*in*list*form.*Each*transmission*is*stored*as*an*Adobe*Acrobat*PDF*file*and*can*also*
be*viewed*in*HTML.*Click*the*“View*EKG”*button.***
•Click*the*back*button*in*your*browser*to*return*to*your*AliveCor*account*homepage.*
*
14. EKG*ANALYSIS*
The*Kardia*phone*app*includes*the*ability*to*request*professional*clinical*interpretation*and*
analysis*of*your*EKG*recordings.*Due*to*telemedicine*restrictions,*your*location*may*restrict*
your*ability*to*use*this*service.*AliveCor*does*not*know*your*location;*it*is*your*responsibility*
to*ensure*this*service*is*legal*according*to*your*local*telemedicine*laws.*This*service*is*not*
intended*to*replace*medical*advice,*please*seek*professional*medical*assistance*if*you*are*
suffering*from*any*medical*problem.*
*
To*request*an*EKG*Analysis*Report:*
*
1. Tap*Journal*and*find*the*EKG*you*would*like*to*send*for*analysis.*Tap*“Share”*to*the*
right*of*the*recording,*then*“EKG*Analysis”.*Alternatively,*you*can*tap*on*the*EKG*in*
the* Journal* screen,* and* then* tap* “Analysis”* at* the* top* right* of* the* EKG* Review*
screen.*
*
2. Select*one*of*the*listed*Analysis*Report*options.**
3. If*you*have*not*already*entered*your*name,*date*of* birth,* and* gender,* you* will* be*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
13!
prompted*to*enter*these*details.*Enter*the*required*details*and*tap*'Save'.**
4. You* will* then* be* prompted* to* select* or* enter* your* credit* card* information.* Enter*
your*card*details*and*tap*'Next'.**
5. Confirm*that*the*purchase*order*is*correct*and*tap*'Purchase'*to*place*the*order.**
*
Your*order*is*then*processed*and*you*will*be*sent*an*email*confirmation.*Another*email*
will*be*sent*when*the*report*is*available.**
*
NOTE:* The* ‘Analysis’* option* is* only* visible* if* the* analysis* service* is* available* in* your*
country.**
*
To*view*an*EKG*Analysis*Report:*
1. Tap*“Journal”*
2. Tap*the*desired*report*below*the*EKG*
*
Alternatively* you* can* access* EKG* Analysis* Reports* from* the* EKG* Review* screen* by*
tapping*on*“Analysis”*
*
NOTE:*To*view*PDF*reports*on*your*smartphone*or*tablet*you*must*have*a*PDF*reader,*
such*as*Adobe*Reader,*built-in*or*installed*on*your*Android*smartphone*or*tablet.*
Support*for*printing*depends*on*the*built-in*printing*options*on*your*Android*
smartphone*or*tablet,*or*you*may*need*to*install*a*printer*app*from*the*Google*Play*
Store.**
*
15. DETECTORS*(ATRIAL*FIBRILLATION,*NORMAL,*UNREADABLE)*
NOTE:*If* you* are* not* enrolled* in* Kardia’s* EKG* Analysis* service,* you* will* not* be* able*to*
view* the* recording* (US*only).* AliveCor* will* unlock* this* feature* if* you* are* under* the*
guidance*of*a*physician.*
NOTE:* Your* EKG* must* be* at* least* 30* seconds* long* to* use* the* Atrial* Fibrillation* and*
Normal*Detectors.*If*an*EKG*is*recorded*that*is*less*than*30*seconds,*neither*the*Atrial*
Fibrillation*nor*the*Normal*Detector*will*display*a*result.*
Atrial*Fibrillation*Detector*
The*Atrial*Fibrillation*(AF)*Detector*in*the*Kardia*phone*app*detects*atrial*fibrillation*in*
an*EKG*tracing.*After*you*take*an*EKG,*if*atrial*fibrillation*is*detected,*you*will*be*notified*
within*the*app.*This*finding*is*not*a*diagnosis;*it*is*only*a*potential*finding.*You*should*
contact* your* physician* to* review* any* EKG* recording* in* which* atrial* fibrillation* was*
detected,*or*send*it*to*EKG*Analysis.*If*you*are*experiencing*any*symptoms*or*concerns*
contact*a*medical*professional.*
The* AF* Detector* monitors* for* atrial* fibrillation* (AF)* only.* It* will* not* detect* other*
potentially*life*threatening*arrhythmias,*and*it*is*possible*that*other*cardiac*arrhythmias*
may*be*present.*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
14!
The* AF* Detector* only* monitors* for* AF* while* you* are* taking* a* recording.* It* does* not*
continuously* monitor* your* heart* and* therefore* cannot* alert* you* if* AF* happens* at* any*
other*time.*
*
Normal*Detector*
The*Normal*Detector*in*the*Kardia*phone*app*notifies*you*when*a*recording*is*“normal”.*
This*means*that*the*heart*rate*is*between*50*and*100*beats*per*minute,*there*are*no*or*
very*few*abnormal*beats,*and*the*shape,*timing,*and*duration*of*each*beat*is*considered*
normal.* It* is* important* to* remember* that* there* is* a* wide* range* of* normal* variability*
among*different*individuals.*Changes*in*the*shape*or*timing*of*an*EKG*might*be*normal*
for*a*single*individual,*but*since*Kardia*Mobile*is*used*by*a*large*and*diverse*population,*
the* Normal* Detector* has* been* designed* to* be* conservative* with* what* it* detects* as*
normal.**
If* you* have* been* diagnosed* with* a* condition* that* affects* the* shape* of* your* EKG*(e.g.,*
intraventricular* conduction* delay,* left* or* right* bundle* branch* block,*Wolff-Parkinson-
White* Syndrome,* etc.),* experience* a* large* number* of* premature* ventricular* or* atrial*
contractions* (PVC* and* PAC),* are* experiencing* an* arrhythmia,* or* took* a* poor* quality*
recording,*it*is*unlikely*that*you*will*be*notified*that*your*EKG*is*normal.*
It*is*also*important*to*note* that* the*Normal*Detector*looks*at* the* entire*signal*before*
determining*if*it*can*be*declared*to*be*normal.*If*you*experience*a*small*number*of*PACs*
or* PVCs* in* a* recording* of* otherwise* normal* beats* in* normal* rhythm,* the* Normal*
Detector*will*likely*declare*this*recording*to*be*normal.*
WARNING:*AliveCor*cannot* guarantee* that* you* are* not* experiencing* an*arrhythmia*or*
other*health*condition*when*labeling*an*EKG*as*normal.*You*should*notify*your*doctor*of*
a*possible*change*in*your*health.*
Unreadable*Detector*
The*Unreadable*Detector*in*the*Kardia*phone*app*determines*whether*a*recording*can*
be*accurately*interpreted*or*not.*After*you*take*an*EKG,*if*interference*is*detected,*you*
will* be* notified* within* the* app* that* your* recording* is* “Unreadable”* and* given* some*
suggestions* for* acquiring* the* best* quality* EKG* recording.* You* subsequently* have* the*
option*to*Save*the*recording,*or*Try*Again.*If*the*recording*can*be*analyzed,*the*AF*and*
Normal*Detectors*will*run*on*the*EKG*and*inform*you*as*described*above.*
WARNING:* The* Unreadable* Detector* may* incorrectly* identify* ventricular* flutter,*
ventricular* bigeminy,* and* ventricular* trigeminy* as* unreadable.* If* you* have* been*
diagnosed* with* one* or* more* of* these* arrhythmias,* we* recommend* turning* off* the*
Unreadable*Detector*in*your*Settings.*
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
15!
15.1 What*is*Atrial*Fibrillation?*
The*most*common*type*of*non-sinus*tachyarrhythmia*is*atrial*fibrillation.*In*this*
case,*disorganized*electrical*impulses*that*originate*in*the*atria*and*pulmonary*
veins*initiate*the*electrical*activity*in*the*conduction*system*of*the*heart.*This*
causes*what*are*commonly*termed*as*“irregularly*irregular”*heart*beats.*
*
When*a*heart*is*in*atrial*fibrillation,*its*two*upper*chambers,*the*right*and*left*
atria*essentially*quiver,*instead*of*beating*efficiently.*This*does*not*allow*for*
complete*emptying*of*the*atria*and*thus,*blood*may*become*stagnant*and*create*
blood*clots.*This*can*lead*to*major*problems,*namely,*strokes,*transient*ischemic*
attacks*(TIAs),*and*pulmonary*emboli*(PEs);*depending*which*chamber*of*the*
heart*has*the*blood*clot*in*it.*
*
Approximately*15*percent*of*strokes*occur*in*people*with*atrial*fibrillation.*As*age*
increases*in*a*population,*so*too*does*the*incidence*of*atrial*fibrillation,*which*
peaks*at*about*3-5%*in*people*over*the*age*of*65.*
*
The*most*common*presenting*symptoms*of*atrial*fibrillation*are*palpitations,*
dizziness,*fast*pulse*rate,*irregularly*irregular*rhythm,*an*abnormal*heart*sound*
(S1),*chest*pain,*chronic*shortness*of*breath,*abnormal*jugular*venous*pressure,*
fatigue,*and*impaired*exercise*tolerance.*Other*symptoms*related*to*TIAs*and*
strokes*may*be*the*initial*symptoms*of*atrial*fibrillation.*
*
Some*of*the*most*common*causes*of*atrial*fibrillation*are*long-standing*
hypertension,*congestive*heart*disease,*cardiac*valvular*lesions,*myocardial*
infarctions,*history*of*coronary*artery*bypass*grafts,*hyperthyroidism,*alcohol*
abuse,*smoking,*diabetes*mellitus,*and*electrolyte*imbalances.*
*
15.2 AF,*Normal,*and*Unreadable*Recordings*in*EKG*review*screen*and*Journal*
All*tracings*analyzed*as*positive*for*atrial*fibrillation,*normal*or*unreadable*will*
have*a*tag*for*future*review.*The*Kardia*phone*app*may*display*the*“Unclassified”*
message*for*a*tracing*that*is*not*Normal*and*not*AF,*and*interference*was*not*
detected.*An*example*of*an*unclassified*tracing*is*one*where*tachycardia*is*
observed.*These*tags*will*be*visible*in*the*Journal*screen,*Data*Entry*screen,*and*
the*EKG*review*screens.*
*
15.3 Activation*of*the*Detectors*
The*Unreadable*and*Unclassified*Detectors*can*be*turned*on*or*off*in*the*settings*
of*the*Kardia*phone*app.*
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
16!
15.4 Detector*Usage*
Note*that*the*detectors*have*been*trained*and*tested*on*Lead*I*recordings*only.*
Due*to*the*difference*in*the*waveform*from*Lead*II*or*Anterior*Precordial*Lead*
recordings,*reliance*on*the*analysis*messages*(e.g.*“Normal”,*“Unreadable”,*etc.)*
of*these*recordings*is*not*recommended.*
*
16. INSIGHTS*
Insights*is*a*premium*feature*where*your*data*will*be*graphed*over*time.*To*access*it,*
tap*the*“Insights”*icon*in*the*menu*at*top*of*the*screen.*The*following*items*are*graphed*
in*Insights*over*a*7-day*period:*
•Number*of*EKGs*recorded,*including*the*number*of*AF*recordings*and*Normal*
Recordings*
•Heart*rate*(bpm)*in*each*EKG*recording*
•Symptoms,*activities,*diet,*etc**
*
NOTE:*Your*Insights*are*also*available*by*logging*into*your*account*on*
www.alivecor.com.*Insights*data*is*available*in*30-day*increments,*from*when*you*first*
created*your*account.*Note*that*this*feature*is*available*for*individual*users*only,*not*for*
medical*professionals.*
*
17. GOOGLE*FIT*APP*INTEGRATION*
The* Kardia* phone* app* is* integrated* with* the* Google* Fit* app.* Information* about* your*
activities*and*vitals*helps* us* provide* you*with*a*monthly*(premium)* Personal* Report* –*
sharing*more*information,*the*better.*You*have*the*option*of*turning*off*the*integration*
within*the*Google*Fit*app;*however,*doing*so*will*limit*the*information*available*in*your*
Premium*Report.*The*Kardia*phone*app*shares*the*following*pieces*of*information*with*
the*Google*Fit*app:*
•Heart*Rate*
•Height*
•Weight*
The*Kardia*phone*app*collects*the*following*pieces*of*information*from*the*Google*Fit*
app:*
•Active*Energy*
•Blood*Glucose*
•Diastolic*Blood*Pressure*
•Flights*Climbed*
•Heart*Rate*
•Height*
•Oxygen*Saturation*
•Resting*Energy*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
17!
•Sleep*Analysis*
•Steps*
•Systolic*Blood*Pressure*
•Walking*+*Running*Distance*
•Weight*
•Workouts*
*
18. REFERRAL*CODE*
If* you* were* prescribed* Kardia* through* a* cardiac* monitoring* service,* you* should* have*
received*12-character*referral*code.*The*code*may*be*entered*during*account*creation*
or* may* be* entered* by* tapping* the* heart* icon* located* at* the* top* right* of* the* Home*
screen.*Once*a*valid*code*has*entered,*EKGs*taken*by*you*will*be*shared*with*the*cardiac*
monitoring*service.*To*see*if*you*are*sharing*EKGs*with*a*cardiac*monitoring*service,*tap*
the*heart*icon*located*at*the*top*right*of*the*Home*screen.!
*
19. PERSONAL*REPORT*
The*Personal*Report,*a*premium*feature,*is*a*monthly*report*that*displays*any*
associations*between*your*AliveCor*data*and*your*activity*data.**The*Personal*Report*
provides*you*with*analysis,*insights,*and*actionable*advice*to*help*you*care*for*your*
heart.*The*report*quality*improves*as*you*share*more*of*your*activity*data*through*the*
Google*Fit*app.*
*
20. ACCESSING*HELP*
To*access*Help,*tap*the*menu*icon*at*the*top*left*of*the*home*screen*and*select*the**
“Support”*menu*item.**
*
Learn*more*about*using*your*AliveCor*Kardia*Mobile*from*the*following*tutorials*included*in*
the*Kardia*phone*app:*
•Tutorials.*Review*these*tutorials*to*learn*how*to*navigate*all*the*features*of*the*app.*
oQuick*Tutorial*
oRecording*an*EKG**
*
oSending*an*EKG*for*Analysis*
*
oReviewing*an*Analysis*Report*
oAlternate*Recording*Positions*
•Reference.*Learn*about*EKG*analysis;*access*the*user*manual,*feedback,*and*privacy*
and*terms*
oUser*Manual**
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
18!
21. EDITING*USER*PROFILE*
To*access*Profile,*tap*the*menu*icon*at*the*top*left*of*the*home*screen,*and*select*the*
“Your*Profile”*menu*item.**
*
•[email protected]:*Email*address*of*the*current*AliveCor*account.**
•User*Profile:*Details*of*the*account*holder.**
*
oFor* health* professionals,* enter* your* name* and* organization,* which* will* be*
stored*with*each*EKG*recorded*and*printed*on*the*reports.**
*
oFor* individual* users* enter* your* name* and* other* details* that* will* be* stored*
with*each*new*EKG*recording.*
*
•Credit*Cards:*Add*or*remove*credit*card*details*for*purchasing*EKG*analysis*reports.**
*
•Sign*In/Log*out:*Allows*you*to*Log*in*or*setup*a*new*AliveCor*account,*or*to*log*out*if*
you*are*already*logged*in.**
*
22. ACCESSING*EDUCATION*
To*learn*about*different*arrhythmias,*cardiac*anatomy*and*EKGs:*
*
•Tap*the*menu*icon*at*the*top*left*of*the*home*screen.*
•Tap*“Heart*Education.”**
*
NOTE:*The*information*contained*within*this*section*is*for*educational*purposes*only.*This*
information*has*been*written*and*verified*by*medical*professionals.*
*
Do*not*attempt*to*use*this*information*to*interpret*your*own*EKG.*This*information*is*not*
intended*to*replace*medical*advice.**Please*seek*professional*medical*assistance*if*you*are*
suffering*from*any*medical*problem.*
*
*
23. PROVIDER*DASHBOARD*
The*Provider*Dashboard*allows*medical*professionals*the*ability*to*view*their*patients’*
recordings*automatically*from*their*own*account.*To*create*a*medical*professional*account,*
download*the*Kardia*phone*app*and*follow*the*prompts*to*create*a*new*account.*
*
To*view*a*patient’s*future*recordings,*you*must*send*them*an*invite*via*email.*To*send*an*
email*invite:*
1. Go*to*www.alivecor.com*
2. Click*“SIGN*IN”*and*enter*your*email*address*and*password.*
3. Click*“Invite*a*Patient”.*
4. Type*in*the*patient’s*email*address*(this*must*be*the*email*address*they*use*for*their*
AliveCor*account).*
5. Click*“Send*Email”.*
*

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
19!
24. ELECTRONIC*HEALTH*RECORD*(EHR)*INTEGRATION*
Send*to*EHR:*If*you*are*a*physician*and*your*AliveCor*account*has*been*setup*for*
integration*with*an*Electronic*Health*Record*system*(EHR)*you*can*send*EKG*recordings*
to*your*EHR.*Tap*the*'Send*to*EHR'*icon*to*send*the*EKG.** *

!
AliveCor,*Inc.*For*support,*please*email*[e-mail]*or*visit*www.alivecor.com*
20!
25. TROUBLESHOOTING*
Problem*
Solution*
My*Kardia*Mobile*is*not*
working.*
Change*the*battery*
1.*Expose*the*battery*door*at*the*back*of*Kardia*Mobile.*Remove*the*Kardia*Mobile*from*
the*plate:*
a.*AC-001*-*AC-007:*Place*your*thumbs*on*the*electrodes*and*press*down*firmly.**
Turn*counterclockwise*about*45*degrees*to*"unlock"*Kardia*Mobile.**Once*it's*
"unlocked"*Kardia*Mobile*can*then*be*lifted*out*of*the*plate.*
b.*AC-009:*Use*your*thumbs*to*slide*Kardia*Mobile*toward*the*open*end*of*the*plate.*
2.*Remove*the*battery*door:*
a. AC-001*-*AC-007:*Use*a*1.6mm*Phillips*screwdriver,*press*down*firmly*and*turn*
counterclockwise*to*remove*the*screw*in*the*battery*door.*
b. AC-009:*Insert*a*pen,*pencil*or*other*similarly*shaped*object*into*the*cutout*next*
to*the*battery*door*to*pop*the*battery*door*off.*
3.*Remove*the*used*battery*and*replace*it*with*a*new*3V*coin*cell*battery*matched*to*
your*model.*
4.*Orient*the*battery*with*the*positive*terminal*up,*so*that*you*can*see*the*writing.*
Remove*the*protective*sticker*from*the*battery,*as*applicable.*
*
I*have*a*lot*of*artifact,*
noise*or*interference*in*my*
recording.*
Try*the*following*tips*for*acquiring*the*best*quality*EKG*recording:*
•Ensure*that*the*“Enhanced*Filter”*is*on.**
•Clean*the*electrodes*on*Kardia*Mobile*with*an*alcohol-based*sanitizer.**
•If*hands*are*very*dry,*use*a*water-based*lotion*before*recording.*
•When*recording*from*the*hands,*relax*the*arms*and*hands*to*reduce*muscle*noise.*
Rest*the*forearms*and*hands*on*a*flat*surface*and*let*Kardia*Mobile*rest*on*the*hands.*
Do*not*squeeze*Kardia*Mobile.*
•Ensure*that*your*smartphone*or*tablet*is*not*charging/syncing*and*you*are*not*using*
headphones*with*your*smartphone*or*tablet*during*the*recording.*
•Make*sure*that*both*the*smartphone*or*tablet*and*the*user*remain*still*during*EKG*
recordings.*Movement*during*recordings*will*cause*noise*in*the*tracing.*
•Make*sure*Mains*Filter*is*set*appropriately*for*your*geographical*location.*This*can*be*
adjusted*under*the*Kardia*phone*app*Settings.*
The*EKG*rhythms*appear*
upside*down.*
In*the*future,*ensure*that*the*left*hand*contacts*the*electrode*closer*to*the*top*of*the*
smartphone*or*tablet,*and*the*right*hand*contacts*the*electrode*closer*to*the*bottom*of*
the*smartphone*or*tablet.**To*invert*a*recording*on*your*smartphone*or*tablet,*see*“Invert*
the*EKG*recording”*under*“Recording*Adjustments”.*
I*forgot*my*password*and*
I’m*unable*to*reset*it.*
To*reset*your*password,*go*to*www.alivecor.com*and*click*on*"SIGN*IN"*in*the*upper*right*
corner*and*click*on*the*"Forgot*your*password?"*link*below*the*Password*field.**On*the*
Forgot*Password*screen,*enter*your*email*address*and*click*Submit.***
Follow*the*reset*instructions*in*the*email.*Note*the*reset*link*contained*in*the*email*is*
only*active*for*a*short*while.*
The*EKG*was*lost*when*I*
was*recording*it*
Rotating*your*phone*while*recording*so*that*the*screen*“flips”*from*portrait*to*landscape*
mode*will*automatically*stop*the*recording*and*that*EKG*will*not*be*saved.*Please*do*not*
rotate*your*phone*while*recording*as*this*will*impact*the*quality*of*your*recording.*
I*can’t*see*my*age*in*the*
PDF*report*
If*your*first*and*last*name*are*longer*than*35*characters*combined,*your*age*may*be*
covered*due*to*size*restrictions*in*the*PDF*report.*Please*consider*using*initials*for*your*
first*or*last*name*in*order*to*ensure*you*age*is*visible.*