Portable ECG function:

• Detects atrial fibrillation – a major cause of strokes
• Detects cardiac arrhythmias, such as extrasystoles – an early sign of circulatory disorders and inflammation of the heart muscle
• Recording of the heart rhythm in 30 seconds – at anytime and anywhere
• Immediate, easy to understand results display and detailed display (electrocardiogram) for the doctor

Fully automatic blood pressure measurement:

• High measuring accuracy
• Gentle and precise measurement on the upper arm with comfortable and ergonomic cuff
• Simple traffic-light-system classification of results
• Validated by the European Society of Hypertension (ESH), and the German Association for High Blood Pressure (DHL)
• Saves 128 readings
• 3 years warranty
• Developed in Germany

High level of precision verified: In addition to fulfilling the legal requirements of the DIN EN 1060 and DIN EN ISO 81060 standards, Veroval® 2 in 1 ECG and blood pressure monitor with its high accuracy in blood pressure measurement has been clinically validated in accordance with the protocols of the European Society of Hypertension(ESH)and the Deutsche Hochdruckliga (The German Association for High Blood Pressure – DHL)

A contraction of the heart muscle is caused by an electrical stimulus that is detected on the surface of the body and displayed by an electrocardiogram graphic, known by the ECG abbreviation. A disorder of these electrical signals is called an arrhythmia.

The Veroval® ECG and blood pressure monitor is a single-channel ECG that can detect different arrhythmias for example atrial fibrillation or extra systoles, and therefore helps to make a preliminary assessment by carrying out a basic recording.

It automatically evaluates whether the heart rhythm is normal (Fig. 1), too slow (Fig. 2), too fast (Fig. 3), with pauses (Fig. 4) or irregular (Fig. 5 and 6). This will be shown by clear symbols on the display immediately after the measurement.

In case the result shown is not an ‘OK’ icon, it may have a number of different causes which may be harmless, related to movement during measurement but which may also be triggered by diseases of varying severity. In this case, it is recommended to repeat the measurement and if you keep getting a different icon and not the ‘OK’ icon, please seek medical advice.

The ECG curve can be displayed and shared with the doctor by e-mail or PDF printout. Values can be cross-linked to the data of other Veroval® devices for enabling a comprehensive health analysis that can assist the physician in his therapy recommendation.

Stroke is a very common cause of death in the Middle East, but the good news is that 80% of strokes are preventable!¹

In 2019, the World Health Organization found that Stroke is the #2 cause of death in Saudi Arabia, United Arab Emirates, Oman and the #3 cause of death in Kuwait, Qatar and Bahrain.²

The biggest risk factor for developing Strokes is related to cardiac arrhythmias with the Atrial Fibrillation being the most frequent type. Atrial Fibrillation is not a direct life-threatening arrhythmia, but it indicates a 5 TIMES increased risk of Stroke! ^3,4

When a person has Atrial fibrillation, the beating in the upper chambers of the heart becomes irregular, and blood doesn't flow as well as it should to the lower chambers of the heart. This means that the heart beats unevenly and can lead to blood clotting that will cause the stroke to happen.

<sup>1. ASA American Stroke Association ‘About Stroke’ accessed: 2022-08-22, https://www.stroke.org/en/about-stroke
2. www.who.int/data/gho/data/themes/mortality-and-global-health-estimates/ghe-leading-causes-of-death
3. Go, A S et al. “Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study.” JAMA vol. 285,18 (2001): 2370-5. doi:10.1001/jama.285.18.2370.
4. Miyasaka, Yoko et al. “Secular trends in incidence of atrial fibrillation in Olmsted County, Minnesota, 1980 to 2000, and implications on the projections for future prevalence.” Circulation vol. 114,2 (2006): 119-25. doi:10.1161/CIRCULATIONAHA.105.595140</sup>

The challenge is that Atrial fibrillation, the most common type of cardiac arrhythmia, can be silent in 15% to 30% of the cases^{1, 2}. It takes years to develop from ‘silent’ Atrial fibrillation to ‘persistent’^1,2 and can have a triad of symptoms of racing heart, shortness of breath and dizziness…³

Therefore, a lot of people rarely feel their arrhythmia and it may come in a clustered way with several weeks in between which makes it very hard to detect!

That’s why, having the mobile Veroval® 2 in 1 ECG and Blood Pressure Monitor at your fingertips can make the heart assessment quick and easy thanks to repeatedly intermittent ECG recording at home allowing sporadic rhythm abnormalities to be detected.

<sup>1. Rienstra, Michiel et al. “Symptoms and functional status of patients with atrial fibrillation: state of the art and future research opportunities.” Circulation vol. 125,23 (2012): 2933-43. doi:10.1161/CIRCULATIONAHA.111.069450
2. Boriani, Giuseppe et al. “Asymptomatic atrial fibrillation: clinical correlates, management, and outcomes in the EORP-AF Pilot General Registry.” The American journal of medicine vol. 128,5 (2015): 509-18.e2. doi:10.1016/j.amjmed.2014.11.026.
3. American Heart Association (c2021) „FAQs of Atrial Fibrillation“ accessed: 2021-01-28, www.heart.org/en/health-topics/atrial-fibrillation/afib-resources-for-patients--professionals/afib-awareness</sup>.

Lots of people rarely feel their arrhythmias. Atrial fibrillation, the most common type of cardiac arrhythmia, can be asymptomatic or characterized by a markedly accelerated, constantly irregular heartbeat that can lead to blood clots causing stroke!

The challenge is that it can only be detected the moment it occurred. Therefore, the conventional methods have limitation in discovering arrhythmias such as Atrial fibrillations that are taking years to develop from ‘silent’ to ‘persistent’.¹

As per the guidelines from the European Society of Cardiology, it has been estimated that daily and symptom-activated event recordings may document the arrhythmia in approximately 70% of Atrial fibrillation patients.^2,3

Other studies have proven that an intermittent 30 seconds recording with a home handy single channel ECG device twice daily (morning and evening) for 28 days, is more effective than 24-hour Holter ECG in the detection of arrhythmias for both asymptomatic and symptomatic Atrial fibrillations.^4,5

That’s why, the experts recommend making repeated and intermittent 30 seconds ECG home recording twice daily (morning and evening) with Veroval® 2 in 1 ECG and Blood Pressure Monitor for the cases of silent Atrial fibrillation and anytime you feel any symptoms.

Using the Veroval® medi.connect software, the results recorded can be graphed and shared by email with your doctor! This allows your doctor to make a rapid further diagnosis.

Please keep in mind that recording your own ECG is not a substitute for medical treatment! Do not interpret the electrocardiograms by yourself and do not use them for self-prescribed treatment. Immediately seek medical treatment, regardless of the measurement result, if you notice any symptoms that may indicate an acute heart disease (this list is not exhaustive): pain on the left side or a feeling of pressure in the chest or abdominal region; radiating pain in the mouth/jaw/ face, shoulder, arm or hand; pain around the back; nausea; burning in the chest area; tendency to collapse; difficulty breathing; racing heart or irregular heart rhythm.

<sup>1. Page, R L et al. “Asymptomatic arrhythmias in patients with symptomatic paroxysmal atrial fibrillation and paroxysmal supraventricular tachycardia.” Circulation vol. 89,1 (1994): 224-7. doi:10.1161/01.cir.89.1.224.
2. Kirchhof, Paulus et al. “Outcome parameters for trials in atrial fibrillation: executive summary.” European heart journal vol. 28,22 (2007): 2803-17. doi:10.1093/eurheartj/ehm358.
3. European Heart Rhythm Association et al. “Guidelines for the management of atrial fibrillation“ European heart journal vol. 31,19 (2010): 2369-429. doi:10.1093/eurheartj/ehq278.
4. Doliwa, Piotr Sobocinski et al. “Paroxysmal atrial fibrillation with silent episodes: intermittent versus continuous monitoring.” Scandinavian cardiovascular journal : SCJ vol. 46,3 (2012): 144-8. doi:10.3109/14017431.2012.661873.
5. Hendrikx, T., Rosenqvist, M., Wester, P. et al. „Intermittent short ECG recording is more effective than 24-hour Holter ECG in detection of arrhythmias“ BMC Cardiovasc Disord 14, 41 (2014). https://doi.org/10.1186/1471-2261-14-41.</sup>

There are two methods to record your heart rhythm with Veroval® 2 in 1 ECG and Blood Pressure Monitor: the ‘Chest method’ or the ‘Hands method’.

It is preferrable that you use the ‘Chest Method’ because the measurement stability is higher. If you cannot record your heart rhythm, or the ECG is unstable like the error message ‘EE’ is frequently shown, then switch to the ‘Hands method’ that can be more comfortable.

Download the below instructions to understand the usage.

If you cannot record any stable measurements using a particular method, it may simply be due to frequent body movement, pressing too hard on the electrodes or due to harmless causes such as the heart shape but it may also be due to pathological reasons that require to seek medical advice.