AliveCor Kardia User manual

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User Manual for
Kardia™by AliveCor®
© 2011-2017 AliveCor, Inc. All rights reserved. US Patent No: 8,301,232 and Patents Pending. AliveCor
and Kardia are trademarks and trade names of AliveCor, Inc. in the United States and other countries.
08LB12 Revision 5 | 08June2017

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Contents
1. PRODUCT DESCRIPTION............................................................................................................ 3
2. CAUTIONS ................................................................................................................................. 5
3. SET UP KARDIA MOBILE OR KARDIA BAND SYSTEM AND TAKE THE FIRST EKG RECORDING .. 6
4. RECORD EKG RHYTHMS ............................................................................................................ 8
5. ONCE THE RECORDING IS FINISHED........................................................................................ 10
6. ENTER AN EVENT WITHOUT AN EKG (KARDIA PHONE APP ONLY)......................................... 11
7. SETTINGS AND ADJUSTMENTS (KARDIA PHONE APP ONLY) .................................................. 11
8. EMAIL, PRINT, OR DELETE RECORDINGS ................................................................................ 12
9. JOURNAL (KARDIA PHONE APP ONLY).................................................................................... 13
10. SEARCH OR FILTER RECORDINGS (KARDIA PHONE APP ONLY)............................................... 13
11. VIEW AN EKG RECORDING ON THE ALIVECOR WEBSITE ........................................................ 14
12. CLINICIAN REVIEW (KARDIA PHONE APP ONLY)..................................................................... 14
13. DETECTORS (ATRIAL FIBRILLATION, NORMAL, UNREADABLE)............................................... 15
14. MEDICATIONS (KARDIA PHONE APP –IOS ONLY) .................................................................. 17
15. INSIGHTS (KARDIA PHONE APP ONLY).................................................................................... 17
16. HEALTH APP AND GOOGLE FIT INTEGRATION........................................................................ 18
17. REFERRAL CODE ...................................................................................................................... 18
18. BLOOD PRESSURE ................................................................................................................... 18
19. WEIGHT ................................................................................................................................... 19
20. PERSONAL REPORT ................................................................................................................. 20
21. ACCESSING HELP ..................................................................................................................... 20
22. EDITING USER PROFILE (KARDIA PHONE APP ONLY).............................................................. 20
23. ACCESSING EDUCATION (KARDIA PHONE APP ONLY) ............................................................ 21
24. TROUBLESHOOTING................................................................................................................ 22
25. KARDIA SPECIFICATIONS......................................................................................................... 26
26. EUROPEAN AUTHORIZED REPRESENTATIVE........................................................................... 28
27. ALIVECOR CONTACT INFORMATION....................................................................................... 28
28. ELECTRICAL SAFETY................................................................................................................. 29
29. SYMBOLS USED SYSTEM OR PACKAGE LABELING................................................................... 37

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1. PRODUCT DESCRIPTION
Kardia™by AliveCor® is a family of mobile, clinical-quality electrocardiogram (EKG or ECG)
recorders. Users may record EKGs using Kardia™Mobile with their smartphone or tablet, or the
Kardia™ Band System with their Apple Watch.
The duration of the recording is established by the Kardia phone and Kardia watch apps with a
default setting of 30 seconds. The Kardia phone app may extend recordings to 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 servers
(www.alivecor.com).
Patients with known or suspected heart conditions and health conscious individuals can use Kardia
Mobile or Kardia Band to record an EKG daily or whenever they are feeling symptoms and share
their recordings with their physician. Medical professionals can quickly assess rate and rhythm,
screen for arrhythmias, and remotely monitor and manage patients who use Kardia Mobile or
Kardia Band.
The Kardia Mobile product is used with a user-supplied compatible smartphone or tablet. The
Kardia Mobile product consists of:
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.
The Kardia Band System product is used with user-supplied compatible iOS smartphone or tablet
and a user-supplied compatible Apple Watch. The Kardia Band System consists of:
1. Kardia Band –Apple Watch watchband with electrodes embedded into the watchband that
transmit EKG rhythms to the Apple Watch.
2. Kardia watch app (a companion to the Kardia phone app)- used to collect, view, save, and
wirelessly transmit recordings to the AliveCor server.
3. Kardia phone app
NOTE: The Kardia Mobile and Kardia Band System products have the ability for users to connect to
their physicians (Kardia Pro), by using a connection code. When connected, the users ECG
recordings are available to be viewed by their physicians.
The Kardia Mobile and Kardia Band System products enable users to:
Collect and store single-channel EKG recordings.
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.

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Request professional clinical interpretation and analysis of your EKG recordings.
Track events that may impact your heart health, such as symptoms, activities, diet, etc.
After a user has created an account on the Kardia phone app and received an EKG analysis, the
Kardia Mobile and Kardia Band products enable a user to:
View EKG recordings in real-time and after the recording.
View the output of the Atrial Fibrillation, Normal, and Unreadable Detectors.
1.1. Indications for Use –U.S.
Kardia Mobile:
The Kardia Mobile product is intended to record, store and transfer single-channel
electrocardiogram (ECG) rhythms. The Kardia Mobile product also displays ECG rhythms and
detects the presence of atrial fibrillation and normal sinus rhythm (when prescribed or used
under the care of a physician). The Kardia Mobile product is intended for use by
healthcare professionals, patients with known or suspected heart conditions and health
conscious individuals. The product has not been tested and it is not intended for pediatric use.
Kardia Band System:
The Kardia Band System is intended to record, store and transfer single-channel
electrocardiogram (ECG) rhythms. The Kardia Band System also displays ECG rhythms and
detects the presence of atrial fibrillation and normal sinus rhythm (when prescribed or used
under the care of a physician). The Kardia Band System is intended for use by healthcare
professionals, adult patients with known or suspected heart conditions and health conscious
individuals.
1.2. Clinical Testing
Kardia Band System was extensively tested in clinical studies. Overall, 41 volunteers over 18
years of age participated in the Kardia Band System study, where Lead I recordings were
compared between the Kardia Band System and a standard FDA-cleared 12-lead device.
Clinical equivalence of the recordings from the two devices was validated by two Board
Certified Cardiac Electrophysiologists.
1.3. Contraindications
There are no known contraindications for the Kardia Mobile or Kardia Band System products,
although care should be taken when considering using the device according to the warnings
and precautions below.
2. CAUTIONS
General:
DO NOT store in extremely hot, cold, humid, wet, or bright conditions.
DO NOT expose to strong electromagnetic fields.

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DO NOT take recordings in close vicinity to other equipment emitting ultrasonic
acoustics.
DO NOT take a recording while driving or during physical activity.
DO NOT use Kardia Mobile while charging your phone. DO NOT use Kardia Band while
charging your watch.
DO NOT take a recording if the electrodes are dirty. Clean them first.
DO keep components out of reach of children.
DO use this device to record heart rate and heart rhythm only.
DO NOT use the sensor on a portion of the body with too much body fat, body hair or
very dry skin, a successful recording may not be possible.
DO NOT continue use until further instructed by a physician if your skin is irritated or
inflamed around the sensor or band.
AliveCor makes no warranty for any data or information that is collected erroneously
by the device, or misuse or malfunction as a result of abuse, accidents, alteration,
misuse, neglect, or failure to maintain the products as instructed. Interpretations made
by this device are potential findings, not a complete diagnosis of cardiac conditions. All
interpretations should be reviewed by a medical professional for clinical decision-
making.
Kardia Band System
DO NOT use with a cardiac pacemaker, ICDs, or other implanted electronic devices.
DO NOT drop or bump with excessive force.
DO NOT use to diagnose heart related conditions.
DO NOT expose the device to a magnetic resonance (MR) environment.
DO NOT wear during cautery and external defibrillation procedures.
DO NOT use in the presence of flammable anesthetics, drugs or pressurized oxygen.
After ECG analysis, the app may incorrectly identify ventricular flutter, ventricular
bigeminy, and ventricular trigeminy heart conditions as unreadable. Please consult with
your physician.
AliveCor does not guarantee that you are not experiencing an arrhythmia or other
health conditions when labeling an EKG as normal. You should notify your physician for
possible changes in your health.
Kardia Mobile
DO NOT use with a cardiac pacemaker, ICDs, or other implanted electronic devices.
DO NOT drop or bump with excessive force.
DO NOT use to diagnose heart related conditions.
DO NOT use during magnetic resonance imaging (MRI), cautery and external
defibrillation procedures.
After ECG analysis, the app may incorrectly identify ventricular flutter, ventricular
bigeminy, and ventricular trigeminy heart conditions as unreadable. Please consult with
your physician.

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AliveCor does not guarantee that you are not experiencing an arrhythmia or other
health conditions when labeling an EKG as normal. You should notify your physician for
possible changes in your health.
3. SET UP KARDIA MOBILE OR KARDIA BAND SYSTEM AND TAKE THE FIRST EKG RECORDING
3.1. Decide which smartphone, smartwatch, or tablet to use
Your Kardia Mobile or Kardia Band is compatible with all of the smartphones, smartwatches,
and tablets (smart devices) listed on AliveCors website:
https://store.alivecor.com/#compatibility, including:
iPhone 4s, 5/5s, 5c, 6/6 Plus, 6s/6s Plus, 7/7 Plus, and SE
iPad Air and Air 2
iPad Mini, Mini 2, and Mini 3
iPad Pro 9.7-inch
iPod Touch 5G
Apple Watch, Series 1 and Series 2, 38mm and 42mm (Kardia Band System use only)
The Kardia phone app is compatible with iOS versions 5.1 –10.0.2 and WatchOS 3.0.
Samsung Note 3 and Note 5
Samsung Galaxy S3, S4, S5, S6, and S7
Samsung Galaxy J1
LG Nexus 5
HTC One and HTC 10
Jitterbug Touch 2 and Touch 3
The Kardia phone app is compatible with the Android operating system versions 4.0 –6.0.1.
Kardia Mobile for iPhone 5/5s and iPhone 6/6s can also be used on all compatible smartphones
or tablets by removing Kardia Mobile from its case:
1. If Kardia Mobile is currently attached to an iPhone 5/5s/6/6s, remove it and its case
from your iPhone 5/5s/6/6s (press gently on the phone camera through the case cutout
and peel back from that corner of Kardia Mobile).
2. Face the electrodes of Kardia Mobile away from you.
3. AC-007: Gently push the left side of Kardia Mobile toward you while at the same time
gently pulling the left edge of the case away from the device itself.
4. Kardia Mobile should then pop outof its case.
3.2. Unpack Kardia Mobile (Kardia Mobile Users)
1. Remove Kardia Mobile from the box.
2. Choose Kardia Mobile placement.
a) For Kardia Mobile cases, place Kardia Mobile on your phone as you would any standard
phone case.
b) The Kardia Mobile can be attached directly to the smartphone or tablet or to the case of
your choosing (the surface should be smooth and flat).

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a. AC-001 - AC-007: With the AliveCor logo right side up, the top of the smartphone
or tablet should be on the right.
b. AC-009: With the Kof the Kardia logo closest to the top of the smartphone or
tablet.
c) For use with an iPad, AliveCor does not recommend attaching Kardia Mobile to your
iPad. Instead, rest Kardia Mobile in both hands or place it on a flat surface less than one
foot away from the iPad to record EKGs.
Note: The Kardia Mobile must be less than 1 foot from the smartphone or tablet to ensure
communication between devices.
3.3. Unpack Kardia Band (Kardia Band Users)
1. Remove Kardia Band from the box, which consists of 2 pieces –one band that attaches to the
12 oclock side of the watch body and the other band that attaches to the 6 oclock side of
the watch body. The band that attaches 6 oclock side the watch body contains the
electrodes.
2. Remove existing watchband from the Apple Watch –consult the watch user manual, if
necessary.
3. Attach the Kardia Band EKG to the Apple Watch –consult the watch user manual, if
necessary. Ensure that the band with electrode attaches to the 6 oclock side of the watch
body.
NOTE: A second (shorter) band that attaches to the 6 oclock side of the watch body is included
in the box to make sure you have the right band for your wrist size. Use the band that ensures a
tight fit of the watch so that the sensor contacts the skin. For more information on how to
attach the bands to the watch, refer to a video at
https://www.youtube.com/watch?v=p7ZnT_ubEFY.
NOTE: Wrist hair may affect the performance of the device. We recommend removing excess
hair from your wrist.
3.4. Download the Kardia phone app
1. Using your smartphone or tablet, search for Kardia in the App Store or Google Play store.
2. Download and install the Kardia phone app.
NOTE: The Apple Watch only works with the Apple iPhone –consult the watch user manual, if
necessary.
3.5. Add Kardia watch app to Apple Watch (Kardia Band System Users)
1. Open the Apple Watch app on your iPhone and tap the My Watch tab.
2. Scroll to find the Kardia watch app and tap it.
3. Tap the Show App on Apple Watchand Show in Glancestoggles to turn on each feature.

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NOTE: The toggle will turn to green if turned to the onposition.
3.6. 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.
Add a passcode (personal identification number [PIN]), or Touch ID (fingerprint) to your smart
device to add a layer of security. It is important to secure the smart device since you will be
storing personal health information. Review the manual of the smart device for information on
how to add a layer of security.
NOTE: Kardia Band customers will be directed to the Kardia phone app to setup their account
and go through onboarding.
3.7. Free Trial for Premium Features
Once an account has been created, you have access to premium features for a period of time.
At the end of the free trial, your access to those features ends. If you wish to continue to
access the premium features, follow the onscreen instructions for purchasing a subscription.
4. RECORD EKG RHYTHMS
NOTE: You will not be able to view your recordings or utilize any of Kardias detectors until your
over-read analysis is received. To gain access to these features, you must create an account on the
Kardia phone app. Follow instructions on the Kardia phone app to take a first recording as part of
setting up the device. 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.
4.1. To take an EKG recording with Kardia Mobile, follow the instructions below.
Before taking each recording:
•Disconnect headphones, charger cables, or any other connected devices.
•Clean the two electrodes with alcohol-based sanitizer.
•Using your smartphone or tablet, launch the Kardia phone app.
1. Select an EKG option –Standard EKG, Resting Heart Rate, or 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 the body is most rested. Guest EKGis the recommended
option when a family member or friend needs to record an EKG.

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2. Rest two or more fingers (it doesnt 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.
4.2. To take an EKG recording with the Kardia Band System, follow the instructions below.
NOTE: For the sake of clarity, the instructions below are specific for those who wear their Apple
Watch on their left wrist. If you wear your watch on your right wrist, follow the instructions by
swapping left and right.
1. Tap the Kardia watch app on the Apple Watch to open the application.
2. In the in-app tutorial, swipe right to left to view the instructions.
3. With your right hand, grasp your left hand. Rest your right thumb on the outer electrode on
the Kardia Band EKG. 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. This is a Lead I EKG.
4. Tap the Record EKGbutton. A 3-second countdown will appear; ensure that your hands
and fingers are in the proper position (described above).
5. While recording your EKG, speak your symptoms (e.g. Im feeling palpitations.) into the
smartwatch. Any voice recording taken will be transcribed to text, which will be found in the
Notes section for that EKG recording in the Kardia phone app.
6. The recording takes 35 seconds.
Additionally, you may add notes or tags to the recording in the Kardia phone app. 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 may add
notes or tags such as symptoms, activities, diet, etc.
Alternatively, you may 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 may
add or edit notes and tags.

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NOTES:
The Kardia Mobile and Kardia Band System do not require a Wi-Fi or mobile connection to
record an EKG and save it to the devices local memory; however, they do require a
connection 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 may email or print the data later when you have such a connection and the
sync will happen automatically at that time.
Kardia Mobile may 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.
Kardia Band must be attached to the Apple Watch. Using Kardia Band at a greater distance
may lead to communication issues between the devices and our recording may not be
successful.
On the paired iPhone, Bluetooth must be turned on to transfer data from the Apple Watch.
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 for the detectors to work.
If you are in a noisy area (e.g. train station, coffee shop, etc.), the voice recording with the
Kardia Band may pick up other conversations and will be found in the Notes for that EKG.
You may edit the Notes to remove any unwanted text in the Kardia phone app.
5. ONCE THE RECORDING IS FINISHED
5.1. For Kardia phone app:
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 may also enter personalized tags or notes, and you may also
edit the transcribed voice memo. After making your choices, tap Saveto continue.
You may review the EKG in the Journal screen, or go to Insights and view the trending of
your EKGs, heart rate, symptoms, activities, etc. You may 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 from the Journal screen, or on the EKG Review screen.
5.2. For Kardia watch app:
Immediately after recording, you have the option to save the recording by tapping Saveor
delete the recording by tapping Cancel.
If an EKG was successfully recorded, an analysis result for your EKG appears, if one is
available. Dismiss the result by tapping Close.

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To view the ECG, use the digital crown or swipe right to left.
Force touch the EKG tracing to replay the audio, invert the EKG, or delete the recording.
On the Home screen in the Kardia watch app, tap the Record EKGbutton to take another
EKG recording or view the last EKG recorded.
Force touch the Home screen to view a tutorial and how to contact customer support.
NOTE: The EKG recordings marked with a circular arrow have not been synced to the iPhone.
Those EKG recordings that have not been synced will sync once the Apple Watch has connected
to the Kardia phone app on the iPhone. Note, the Kardia watch app will store all unsynced
recordings until the sync has completed with the Kardia phone app.
NOTE: Due to the limited size of the Apple Watch screen, view the EKG on your phone, tablet,
or computer for interpretation or analysis.
6. ENTER AN EVENT WITHOUT AN EKG (KARDIA PHONE APP ONLY)
You may 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 may enter notes, or select tags such as symptoms, activities,
diet, etc., or create personalized tags.
In the Data Entry screen, you may 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 may be
edited anytime by selecting the dropdown arrow to the right of the event on the Journal
screen.
7. SETTINGS AND ADJUSTMENTS (KARDIA PHONE APP ONLY)
7.1. Recording Adjustments
Enhanced Filter. The Enhanced Filter suppresses noise in the EKG. The filter may 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 the
ENHANCED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 may be toggled on a
particular EKG from the EKG Review screen. Tap MOREat the bottom of the EKG Review
screen, and then tap the INVERTswitch to toggle it ON or OFF.
7.2. Adjustable Settings
To access the Settings, tap the Moreicon at the upper right and then tap Settings.

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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.
Mains Filter. The Mains Filter removes any mains interference from the EKG; it should be
set to match the frequency of the alternating current (AC) used in your location. For the
United States, Canada and Mexico, this is 60 Hz; in most other countries, it is 50 Hz.
Paper Size. Paper Size of the PDF report can be changed to accommodate Letter and A4
paper sizes.
Reminders. Reminders allow the EKG analysis reminder to be turned on or off. It also allows
you to turn on or off the EKG reminder, set the frequency, and time for the reminder. You
can also turn the AF Detector on or off, and modify your medication reminders.
Mode. Tap to modify device transmission settings. Normal mode is recommended for most
users. If your facility or location limits wireless communication, the Airplane/ICU setting
may be selected.
8. EMAIL, PRINT, OR DELETE RECORDINGS
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
smartphone or tablet. If you need assistance setting up an email account or troubleshooting your
email account, contact your smartphone or tablet provider for assistance.
1. Tap the envelope icon next to the EKG you would like to email/print on the Journal screen.
Alternatively, you may tap the EKG, then tap the envelope icon on the EKG Review screen.
2. Tap Email. The PDF version of the EKG recording will then be attached to a new email in
whatever email account you have set up on your smartphone or tablet.
To print a recording from the Kardia phone app, you must have an AirPrint compatible printer set
up on your smartphone or tablet (iOS only). If you need assistance setting up an AirPrint
compatible printer or troubleshooting your AirPrint compatible printer, contact your smartphone
or tablet provider for assistance.
1. Tap the envelope icon next to the EKG that you would like to email/print on the Journal
screen. Alternatively, you may tap the EKG, then tap the envelope icon on the EKG Review
screen
2. Tap Print.
To print a recording from the website:
1. Go to www.alivecor.com.
2. Click the SIGN INand enter your email address and password.
3. Select the desired recording by clicking 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:

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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.
To delete or invert a recording in the Kardia watch app:
1. Go to the Home screen in the Kardia watch app.
2. Tap the EKG recording that you wish to delete.
3. Firmly press (force touch) the recording. A new screen will appear providing options to
delete or invert the recording.
4. Tap the appropriate option –Deleteor Invert. Tap anywhere else on the screen to
cancel. Cancelif you do not wish to delete or invert the recording.
9. JOURNAL (KARDIA PHONE APP ONLY)
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 at the top of the screen to see a list of all EKG recordings on your smartphone or
tablet (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.
10. SEARCH OR FILTER RECORDINGS (KARDIA PHONE APP ONLY)
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 the search icon on the top right.
2. Select one of the existing filters. The filters allow you to choose one of the following: Custom
Searh…, Starred, Atrial Firillation, Analysis Reports, My EKGs, and Guest EKGs.
3. Your Journal screen will show you EKGs that meet the filter criteria until you disable the filter.
4. You may disable the filter by tapping the xicon next to the filter name at the upper right of
the Journal screen.
To search:
1. Tap the search icon at 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 may disable the search view by tapping Cancelon the top right of the screen or edit your
search term by tapping in the search bar and entering another term.

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11. VIEW AN EKG RECORDING ON THE ALIVECOR WEBSITE
To view an EKG recording on the AliveCor website, follow the instructions below:
On your web browser, go to www.alivecor.com and click SIGN IN
Enter your email address and the 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, and 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.
12. CLINICIAN REVIEW (KARDIA PHONE APP ONLY)
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 a Clinician Review:
1. Tap Journal and find the EKG you would like to send for analysis. Tap the envelope icon to the
right of the recording, then Clinician Review. Alternatively, you may tap the EKG, and then tap
the envelope icon at the top right of the EKG Review screen.
2. Select one of the listed options.
3. If you havent already entered your name, date of birth and gender, you will be prompted to
enter these details. Enter the required details and tap Next.
4. 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 Clinician Review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 may access EKG Analysis Reports from the EKG Review screen by tapping
Analysis.

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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.
13. DETECTORS (ATRIAL FIBRILLATION, NORMAL, UNREADABLE)
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 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.
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 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 the apps are 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.
CAUTION: AliveCor does not guarantee that you are not experiencing an arrhythmia or other health
conditions when labeling an EKG as normal. You should notify your physician for possible changes
in your health.
Unreadable Detector

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The Unreadable detector 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.
CAUTION: After EKG analysis, the app may incorrectly identify ventricular flutter, ventricular
bigeminy, and ventricular trigeminy heart conditions as unreadable. Please consult with your
physician.
13.1. 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.
13.2. AF, Normal, Unreadable, and Unclassified 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 and Kardia watch 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 screen.

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13.3. Activation of the Detectors
The Unreadable and Unclassified detectors can be turned on or off in the settings of the
Kardia phone app only.
13.4. 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.
14. MEDICATIONS (KARDIA PHONE APP –IOS ONLY)
You may track your medications with the Kardia phone app. To access and edit the medications:
Tap Insightsin the Menu at the bottom of the screen. Scroll to the bottom of the Insights
screen and tap Log Medications. You may edit your medications or select those taken that
day.
Alternatively, tap the medication push notification that is sent to you by default at 9:00am
every day. You may then edit your medications or select those taken that day.
You may also edit your medications by accessing your Profile. Tap . . . , Profile,
Medications.
You may view medications selected on the Insights screen.
You may select a medication more than once per day by tapping Medications Loggedat the
bottom of the Insights screen, and tapping the specific medication again. The number to the
right of the medication will update.
15. INSIGHTS (KARDIA PHONE APP ONLY)
Insights is a premium feature where your data will be graphed over time. To access it, tap the
Insightsicon. The following items are graphed in Insights over a 7-day period, and over a 14-day
period (iOS only) when the Kardia phone app is turned to landscape view:
Number of EKGs recorded, including the number of AF recordings and Normal Recordings
Heart rate (bpm) in each EKG recording
Symptoms, activities, diet, etc.
Medications that were selected (iOS only)
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.

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16. HEALTH APP AND GOOGLE FIT INTEGRATION
The Kardia phone app is integrated with the Apple Health and Google Fit apps. Information about
your activities and vitals helps us provide you with a monthly (premium) Personal Report. You have
the option of turning off the integration within the Apple Health and Google Fit apps; however,
doing so will limit the information available in your Personal Report. The Kardia phone app shares
the following pieces of information with the Apple Health and Google Fit app:
Heart Rate
Height
Weight
The Kardia phone app collects the following pieces of information from the Apple Health and
Google Fit apps:
Active Energy
Blood Glucose
Diastolic Blood Pressure
Flights Climbed
Heart Rate
Height
Oxygen Saturation
Resting Energy
Sleep Analysis
Steps
Systolic Blood Pressure
Walking + Running Distance
Weight
Workouts
17. REFERRAL CODE
If you were prescribed Kardia by your doctor or 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 on the Kardia
phone app. 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.
18. BLOOD PRESSURE
iOS
AliveCor has formed a partnership with Omron. The partnership allows us to upload blood pressure
readings directly into the Kardia phone app.
Pair your Omron blood pressure monitor* to the Kardia phone app:

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1. From the Home screen, tap Blood Pressure.
2. Turn on the blood pressure monitor.
3. On the blood pressure monitor, press and hold the Transfer or Clock button until you see a
flashing Por o.
4. Tap the Pair now button in the Kardia phone app to begin pairing.
NOTE: If you experience an error, repeat the above steps
Upload your blood pressure readings into the Kardia phone app:
1. From the Home screen, tap Blood Pressure.
2. After taking a recording, with the results displayed on the monitors screen, tap the Transfer
recording button in the Kardia phone app.
NOTE: *Only Omron blood pressure monitors that are compatible with the Apple iPhone. Check
with Omron for more information.
Android
Blood pressure measurements may be transferred from Google Fit or manually entered into the
Kardia phone app. If you have a blood pressure monitor that is connected to Google Fit, you may
transfer your blood pressure measurements from Google Fit into the Kardia phone app.
Connect to Google Fit
1. From the Home screen, tap Blood Pressure.
2. Tap the Learn more button and tap Next on the next screen.
3. Tap the Connect to Google Fit button.
Manual entry
1. From the Home screen, tap Blood Pressure.
2. By default, the systolic value is set at 120 and the diastolic value is set at 80. Tap the + and –
buttons to change the values.
3. Tap the Submit button to record the blood pressure measurements.
19. WEIGHT
Track your weight over time in the Kardia phone app. You have the option to enter your weight
manually or the Kardia phone app my gather the weight data from the Apple Health or Google Fit
app.
Connect to Apple Health or Google Fit.
1. From the Home screen, tap Weight.

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2. Tap the Learn more button and tap Next on the next screen.
3. Tap the Connect to Google Fit or Connect to Health button.
Manual entry
1. From the Home screen, tap Weight.
2. Scroll the scale gradations to the left or right to set the correct weight. Use the + or –
buttons to add or subtract 0.1 lbs.
3. Tap the Submit button to record the weight.
The Body Mass Index (BMI) value is calculated using a persons weight and height. Although BMI
does not measure body fat directly, research has shown that BMI is moderately correlated with
other body fat measurement techniques. The BMI categories are derived from the BMI value (see
the CDC website at https://www.cdc.gov/healthyweight/assessing/bmi/index.html). To view the
weight and BMI results, go to the Journal screen and tap Weight.
20. PERSONAL REPORT
The Personal Report, a premium feature, is a monthly report that displays any associations
between your Kardia 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 Apple Health app.
21. ACCESSING HELP
Learn more about using your Kardia Mobile by tapping the menu icon at the top left of the home
screen. Tap Supportto see all the options available.
Tutorials. Review these tutorials to learn about to navigate all the features of the app.
oRecording an EKG
oAlternate Recording Positions
Reference. Access the user manual and provide feedback.
oUser Manual
oFeedback
Learn more about using your Kardia Band by tapping the information icon accessed through the
Home screen in the Kardia watch app (force touch on the Home screen). Instructions for accessing
the user manual will appear.
22. EDITING USER PROFILE (KARDIA PHONE APP ONLY)
Launch the Kardia phone app.
Tap menu icon at the top left of the home screen.
Tap Your Profile.
All user details can be edited.