Your ECGme hand held device purchase is bundled with a subscription for your first 12 months. This can be renewed prior to expiry of your free 12-month subscription period. You do not need an App subscription to continue to use ECGme. All your ECGme recordings will still be stored locally on your iDevice. However, having a valid ECGme App subscription offers you a number of advantages: a. All your recordings will be stored in the ECGme Cloud when you are logged into your user account b. Recordings from each of your different iDevices will be synchronised in the ECGme Cloud and can be retrieved from any iDevice loaded with the ECGme App c. When you login to your user account, your ECGme recordings will undergo an automated computer analysis and a report of ECG parameters returned to the App d. A valid subscription provides you with e. A subscription enables Cardiologist Review of your ECGme recording from within the ECGme App. This facility is provided on a fee for service basis for each Cardiologist Review and is additional to the cost on annual ECGme App subscription

There is no limit to the number of shared users who can make recordings on your ECGme device. Each separate user can be added as a user. After making an ECGme recording, the new user can add their details to “Other User” prior to submitting the recording. Once the new user details are entered, select their name (a blue tick will appear next to the selected name) and hit “Back” then “Submit”. The recording PDF will appear with the selected user’s details.

ECGme records the electrical signals from your heart and uses these to calculate your heart rate (beats per minute or BPM). If your recording quality is poor, ECGme will not correctly identify the true ECG signals. This will result in calculating your heart rate as being either slower or faster than your true heart rate.

Although ECGme records the electrical signals from your heart, it can also record electrical interference from other parts of your body, predominantly from skeletal muscle activity (e.g. from holding ECGme too tightly). Your ECGme device is so sensitive that it might also record electrical interference from nearby electrical appliances e.g. computer, electric blanket. When ECGme recordings are marred by electrical interference, the recording will have a jagged or spiky tracing that often looks thick, rather than a thin smooth waveform. When electrical interference is present, we often call this “artefact”.

A small ECGme recording is called “low voltage ECG”. This does not necessarily indicate a health issue. It is often unexplained and considered to be a variant of normal. However, there many situations that can result in abnormal low voltage ECGme recordings (e.g. obesity, chronic obstructive pulmonary disease, severe hypothyroidism, pericardial effusion). You should consult your doctor if you have a low voltage ECGme recording.

There are a number of ways that you can improve your ECGme recording: a. Sit still in a comfortable position with your arms resting in your lap or on a table b. Consciously relax your shoulders c. Do not move or speak during the recording d. Hold the ECGme lightly, without squeezing the device. You should not apply firm pressure to the device, since this will increase artefact from muscle activity e. An alternative to holding ECGme in your hands, ECGme can be placed directly on your chest. ECGme is placed vertically directly onto your left chest, just beside your breastbone and just below your collarbone. The end electrode should be lower most. Firm pressure can then be applied to maintain ECGme electrode contact with your chest without causing significant artefact f. Ensure there are no electrical appliances close to you while making an ECGme recording

It is important to verify your abnormal ECGme recording by repeating the recording 1-2 times. Consult your doctor if ECGme continues to consistently report an abnormal result.

Your ECGme device operates from a rechargeable lithium ion battery that requires charging from time-to-time. When you perform an ECGme recording the ECGme App shows the percentage of battery charge. To charge your ECGme device, connect the supplied USB cable to the device and to a power source. The ECGme device will show a green light while charging. You will not be able to record from your ECGme device while it is plugged in for charging.

Your ECGme device is a precision electronic instrument and requires some care to maintain its function: a. Use a damp cloth or tissue to wipe your ECGme to remove moisture and oils that are deposited with skin contact b. Do not immerse your ECGme device in water – it is not waterproof and immersion in any liquid could cause complete failure of the device c. Do not use solvents or abrasive cleaning products on your ECGme device

An arrhythmia is any problem in the rate or rhythm of your heart. When your heart beats in a normal rhythm, this is called “sinus rhythm”. Any deviation from sinus rhythm is called an arrhythmia. Not all arrhythmias are abnormal, for example there is a normal increase and decrease of your heart rate occurring with normal breathing; increasing with breathing in and decreasing with breathing out. This results in an irregular heart rhythm called “sinus arrhythmia”. There are many abnormal arrhythmias. Some result in a regular heartbeat, while others result in an irregular heartbeat.

There are many different arrhythmias, and not all arrhythmias are serious. Many arrhythmias will not harm you nor your heart. Some arrhythmias can cause symptoms; palpitations (feeling your heartbeat), light-headedness, dizziness, fainting, blackout, shortness of breath, chest discomfort.

If you feel unwell, you should seek immediate medical attention. It is advisable that you call an ambulance if you have had blackout or if you have any of the following symptoms; light-headedness, dizziness, fainting, shortness of breath, chest discomfort. If you do not feel unwell, you can request our cardiologist review your ECGme recording by clicking the “Cardiologist Review” button in your ECGme App. You should also consult your doctor for advice regarding further investigation and treatment of your arrhythmia.

There are many causes of an arrhythmia: a. Heart diseases (coronary artery disease, cardiomyopathies, valvular heart disease) b. Diseases affecting the heart’s electrical system c. Abnormal blood electrolytes d. Certain medications e. Emotions and stress f. Exercise g. Alcohol h. Caffeine i. Tobacco

You should consult your doctor about any specific arrhythmia that you might record with ECGme. More general information about arrhythmias can be found at: https://www.heartfoundation.org.au/bundles/your-heart/heart-arrhythmia

When you record an “Ischemia Check”, ECGme guides you to record from six different body positions. These different positions are called “leads”. ECGme records two “limb leads” (Lead 1 and Lead 2) and four “chest leads” (V1, V2, V4, V6).

Ischemia Check analyses the part of the ECG known as the “ST segment”, which is the portion of the ECG starting at the end of the QRS complex and ending at the beginning of the T wave. ECGme measures the ST segment level above or below the baseline (isoelectric line) for each of the six recorded ECG leads. The ST segment level is expressed in mV. An ST segment above the baseline is called “ST elevation”, and an ST segment below the baseline is called “ST depression”.

Abnormal ST elevation can be present with some heart abnormalities: a. Acute heart injury (heart attack, myocardial infarction) b. Previous heart injury c. Left Bundle Branch Block (LBBB) ECG pattern d. Pericarditis

Abnormal ST depression can be present with some health issues: a. Coronary artery disease causing angina b. Previous heart attack c. Cardiomyopathy d. Hypertension e. Right Bundle Branch Block (RBBB)

If you are experiencing chest pain or chest discomfort, shortness of breath, dizziness, or blackout, you should telephone the emergency services number and request an ambulance (Dial 000 in Australia). If you have other symptoms but you do not feel unwell, you should contact your doctor for urgent assessment.

Check both hands are in contact with the 2 electrodes. When the right hand holds the right electrode and the left side of the device in contact with the chest, if the light does not turn on, check the contact position is correct. If the skin is too dry, please wipe skin with alcohol wipes or moist cloth. If there is too much hair on the chest, please shave to make sure there is firm contact between electrode and skin. Check if the battery is out of power.

Check Bluetooth is turned on. Exit the detection page and re- enter. Restart Bluetooth.

Check the network connection. Check if your login is with guest account. Logout the current account and login again.