Samsung Galaxy Watch can predict fainting episodes with AI, but experts raise concerns

Reviewed byNidhi Govil

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Samsung's Galaxy Watch 6 achieved 84.6% accuracy in predicting vasovagal syncope up to five minutes before it happens in a clinical study with 132 patients. The wearable technology uses a photoplethysmography sensor and AI algorithm to analyze heart rate variability. But medical experts warn the 64% specificity could trigger excessive false alarms in real-world use.

Samsung Galaxy Watch Demonstrates Ability to Predict Fainting Episodes

Samsung has released findings from a clinical study showing its Galaxy Watch 6 can predict fainting episodes with 84.6% accuracy using an AI algorithm and biosignals

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. The research, conducted in partnership with Chung-Ang University Gwangmyeong Hospital in Korea, evaluated 132 patients with suspected vasovagal syncope symptoms during induced fainting tests

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. The Samsung Galaxy Watch successfully predicted fainting episodes up to five minutes in advance, achieving a clinical sensitivity of 90% and specificity of 64%

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Source: Samsung

Source: Samsung

The wearable technology uses a photoplethysmography sensor, or PPG sensor, which measures changes in blood flow beneath the skin using light

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. By analyzing heart rate variability data collected through this sensor, the AI algorithm identifies patterns that emerge before someone faints

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. The findings were published in European Heart Journal - Digital Health, with Samsung calling it a "world-first breakthrough in fainting prediction"

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Understanding Vasovagal Syncope and Its Risks

Vasovagal syncope affects up to 40% of people throughout their lives, according to Professor Junhwan Cho from Chung-Ang University Gwangmyeong Hospital

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. This common type of fainting occurs when heart rate and blood pressure drop abruptly, often triggered by stress, dehydration, standing too long, or emotional distress

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. While the fainting itself is rarely life-threatening, secondary injuries from falls can cause concussions, fractures, or blood loss

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Source: PC Magazine

Source: PC Magazine

"An early warning could give patients advance time to get into a safe position or call for help, which would dramatically reduce the incidence of secondary injuries," Professor Cho explained

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. Dr. Sam Setareh, director of cardiology at Beverly Hills Cardiovascular and Longevity Institute, echoed this view: "Even a few minutes of warning could be meaningful: sit or lie down, hydrate, perform counterpressure maneuvers, or call for help. That could reduce falls, fractures, concussions, and other secondary injuries"

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Medical Experts Highlight Significant Limitations

Despite the promising results, medical professionals have raised concerns about the study's limitations and real-world applicability. Dr. Brett A. Sealove, chair of cardiology at Hackensack Meridian Jersey Shore University Medical Center, identified the 64% specificity as one of the biggest issues

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. "In a controlled tilt-table lab, that may be acceptable," he said, "but in the real world, where millions of watch users are moving through daily life, that false-positive rate could generate an enormous volume of unnecessary alerts"

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The clinical study was conducted in a highly controlled environment with patients undergoing tilt-table testing specifically designed to provoke fainting episodes

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. Dr. Setareh cautioned that everyday factors such as motion artifact, hydration status, posture, medications, sleep, alcohol, and anxiety can all affect biosignals in real-world settings

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. "Too many false positives can create anxiety, alarm fatigue, and unnecessary medical evaluations," he warned

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Dr. Sealove also noted that all participants had suspected neurally mediated syncope and were undergoing a deliberately provocative laboratory procedure. "The study tells us nothing about how this algorithm would perform in someone who has never had a tilt-table test, who has no documented history of vasovagal syncope, or who is simply going about their daily life," he said

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Path to Preventive Healthcare Remains Uncertain

"This study is an example of how wearable technology can help shift healthcare from being designed for 'post-care' to a model of preventive care," said Jongmin Choi, head of Samsung's health R&D group

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. Samsung has expressed commitment to "driving technological innovation that empowers our users to lead healthier everyday lives" and intends to "accelerate the implementation of personalized health solutions"

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Source: TechRadar

Source: TechRadar

However, Samsung hasn't confirmed when or if this fainting prediction feature will become available to Galaxy Watch users

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. The company would likely need to navigate regulatory approval and conduct more extensive real-world testing before releasing such a feature commercially

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. Samsung plans to work with more medical institutions and focus on preventive healthcare, but the timeline for bringing this capability to market remains unclear

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