Wearable Devices Assist in the Detection, Screening, and Management of Major Diseases in Middle-aged and Elderly Populations

The inclusion criteria are as follows:

• Aged more than equal to 40 years, less than 69 years.
• Having at least one of the following conditions (with one risk factor for cardiovascular and cerebrovascular diseases):

① Male ≥ 55 years old, female ≥ 65 years old; ② Smokers or those who quit smoking within the past 3 months prior to the visit; ③ Diabetes (type 1 or 2); ④ Hypertension (systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg) or currently taking antihypertensive medication; ⑤ Dyslipidemia: total cholesterol ≥ 5.18mmol/L, triglycerides ≥ 1.70mmol/L, high-density lipoprotein<1.04mmol or low-density lipoprotein ≥ 3.37mmol/L; ⑥ hsCRP>3.0 mg/L; ⑦ 10-year ASCVD risk of 20% or more (calculated according to the formula designed in the PREVENT study)

• Agree to receive coronary CTA if suspected to have coronary artery stenosis.
• Voluntarily joined and signed the informed consent.

The exclusion criteria:

• Previously diagnosed with CAD or considered moderate to severe coronary stenosis (CAD-RADS grade 3 or above: stenosis degree of 50% or above) through coronary CTA or coronary angiography examination.
• Pregnant women or women planning to become pregnant within the next year.
• During the onset of the disease and needs in-hospital treatment.
• Tattoos or other substances that affect optical signals on the wrist.
• Severe arrhythmia patients, including third degree atrioventricular block, ventricular escape rhythm, severe sinus bradycardia, sick sinus syndrome, supraventricular tachycardia, ventricular tachycardia, atrial fibrillation, atrial flutter, ventricular fibrillation, ventricular flutter.
• Physical disability, blindness, and deafness.
• Allergic history of contrast agent containing iodine.