If you think more people should wear smart heart monitoring technology, which group should be encouraged to adopt the technology?

Children would be overkill, however, grownups in general can benefit

It is a multifunctional device, generally with high ergonomics, easy haptics and easy maintenance. Therefore, it is easy to adopt.

Technology is not sufficiently developed and interpretations might be problematic.

There is no harm in wearing the device and it is a useful screening tool

you need to start with a high-risk, high benefit population and segment accordingly. There will not be one solution for everybody but even this solution needs to be tailored individually with shared decision making between patient and physician

high risk should be screened

High incidence of some arrhythmias at certain age

It is difficult to select a population in whom routine smart watches usage would be of benefit to detect subclinical atrial fibrillation. Possibly, I would start investigating in a high-risk population with a high-likelihood of undiagnosed atrial fibrillation in whom the diagnosis would significantly change treatment, e.g. patients older than 60 years with dilated left atrium and a cerebrovascular event. This could improve the diagnosis of atril fibrillation in comparison to routine (e.g. 24h to 72h Holter monitoring, the latter not being routinely available for all patients in several hospitals).

These devices can not be recommended before documented data

I am over 70, with a heart condition. Expensive watch is in a drawer at home. Fingertip monitor is in my pocket. Card with emergency number is in my wallet. Cheap Cell phone has emergency number on it. Paper copy of latest ECG is also in my wallet.

About 20% of people over 65 years have atrial fibrillation, one of many arrythymias, so aiming for over 60s makes sense.

But proper orientation is to be provided.

as above

It should be an option for anyone, but it should only be recommended for those at high risk.

This decision needs to be done by each person individually.
Permanent supervision of body performance will detect some critically issues but will in parallel produce a lot of awarness to normal abnormalities.

These are the groups that cover the majority of fatal cardiac impairments. Especially in 50s many case aren't diagnosed and people are unaware of beeing in danger.

This technology merged with smart watch can be used by everyone.

above 40 age required to wear

Why not? It could save your life

For the reasons I stated in my answer to the second question - to evaluate cardio fitness and stimulate exercise, diet and the like, to establish a baseline and monitor trends as well as to provide alerts should a cardio emergency be encountered

Screening sensitivity and specificity varies by age.

Sudden cardiac failure at a younger age is rather sudden and wearing a smart watch may not make much of a difference. The cost/benefit ration may be too high for everyone to wear, but high risk and elderly would benefit the most.

Wearing smart heart monitoring devices is becoming more important as new infections emerge and lifestyle changes predispose people to heart-related conditions or diseases.

See explanation above.

Explained above i

it can promote community health

For those with SVT it may assist with monitoring, but accuracy of current tech is a limitation and will not capture QRS so will not replace holter monitoring.

Probably the worries it may cause outweighs the actual health benefits

Too much risk of false positive alerts for routine healthy monitoring

Scientific evidence from studies.

I think there is a very real risk of a false sense of security from these devices. If they are not specific medical devices designed for this purpose - I worry.

Only once when they are proven to be reliable as specially designed equipment for this purpose. Until then it may give false positive or negative results, putting people at risk of rushing to ER (false positive) or ignoring the situation (false negative)

the 70+ might be justified for fall detection, more than heart.

see above

People should just be on the look out for their health

Patients with known cardiac impairments or family history of heart disease are at a much higher risk of sudden cardiac death

Medical and nursing students