Continuous Ambulatory ECG & Arrhythmia Analysis

Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus
Frontier X Plus

Pay as low as $43 with Affirm

1-Year Warranty

14-Day Return & Exchange

24/7 Customer Support

Continuous Ambulatory ECG & Arrhythmia Analysis

Early detection of Atrial fibrillation: and any abnormal heart rhythms, enabling timely intervention.
Non-Invasive Monitoring: Continuous ECG without adhesives, wires, or skin prep; perfect for daily activities and exercise.
Comfortable & Home-Friendly: Self-applied, chest-worn design for long-term comfort and ease of use.
Real-Time Access & Sharing: View ECG data on your smartphone and share reports with your healthcare provider for remote consultations.
Weekly Cardiac Rhythm Report: Get detailed weekly reports with rhythm breakdowns, trends, and heart rate analysis for proactive heart health management.
Regular price test2 $649
/

Use code HEARTMONTH to get 25% Off

Weekly Cardiac Rhythm Report - Receive a comprehensive weekly report on your cardiac rhythm, including a detailed analysis of AFib, bradycardia, and tachycardia.

With Frontier X Plus, you’ll receive

  • 1 Free consultation with our expert
  • Lifetime customer support
  • 1-year warranty for added peace of mind

We offer a 14-day risk-free trial. If you experience any issues, you can return or exchange the device within 14 days.

  • As an FDA 510(k) cleared device, the Frontier X Plus qualifies for purchase using your HSA or FSA funds.
  • Select Truemed payment method at checkout -> Pay with your normal card or HSA/FSA card -> Complete Payment.
  • Buy now & pay with Affirm at your own pace.
  • Pay as Low as $43 per month with Affirm.
  • Select the Affirm option at checkout -> Select Payment Plan -> Complete Payment
  • Delivery Partners :
  • Delivery in 2-3 business days (USA)
  • Delivery in 3-5 business days (Canada)
FDA Icon

FDA 510(k) Cleared

Prescription-based medical device, detects up to 6 rhythm classes

ECG Monitoring Icon

24/7 ECG Monitoring

Non-invasive, continuous heart monitoring during daily activities and exercise.

HSA Icon

HSA/FSA Eligible

Use your HSA/FSA card to avail the benefits of the fund

Remote Monitoring Icon

Remote Monitoring

Share your Real-time ECG along with ECG PDF reports with healthcare professional.

What is the Frontier X Plus?

The Frontier X Plus is a prescription-based FDA 510(k)-cleared medical device offering continuous, single-channel ECG monitoring through a comfortable chest-worn design. Built for healthcare professionals, patients with cardiac concerns, and health-focused individuals, it enables early detection of arrhythmias and AI-powered heart rhythm analysis — all without wires, adhesives, or hospital visits.

What Does It Diagnose?

  • Atrial Fibrillation (AFib) - An irregular heart rhythm that increases stroke risk.
  • Bradycardia (Slow Heart Rate) - A heart rate below 60 beats per minute, causing fatigue.
  • Tachycardia (Fast Heart Rate) - A heart rate over 100 beats per minute, leading to palpitations.
  • Exercise-Induced Arrhythmia - Irregular heart rhythms triggered by physical activity.

Frontier X Plus Compliance

*Disclaimer: RoHS2 & Reach Compliant chest strap.

Who Benefits Most from The Frontier X Plus?

Image 1

1. Patients with Heart Conditions

The Frontier X Plus is designed for individuals with known or suspected heart conditions...

Benefits:

  • Continuous ECG monitoring
  • Real-time alerts for anomalies
  • Shareable reports with physicians
  • Early detection of rhythms
Image 2

2. Cardiac Rehabilitation

The Frontier X Plus offers a safe and seamless solution for individuals recovering from cardiac procedures...

Benefits:

  • Monitor ECG during activities
  • Ensure safe levels of exertion
  • Enable remote clinician monitoring
  • Encourage adherence to rehab
Image 3

3. Holter Monitoring

As a wearable alternative to bulky Holter monitors, the Frontier X Plus offers continuous ECG tracking...

Benefits:

  • Continuous, multi-day ECG tracking
  • No adhesive patches required
  • Fast Holter report turnaround
  • Comfort and compliance
Image 4

4. Preventive Heart Health

For fitness enthusiasts, older adults, or anyone looking to proactively monitor their heart...

Benefits:

  • Tracks irregular beats
  • Detects early cardiac stress
  • Complements fitness routines
  • Encourages awareness
Image 5

5. Clinical Research

The Frontier X Plus is a valuable tool in clinical trials and academic studies involving cardiac health...

Benefits:

  • High-fidelity ECG data
  • Beat-by-beat analytics
  • Improves participant adherence
  • Scalable for large studies
  • Researcher dashboards

Beyond Traditional Cardiac Monitoring Devices

Beyond Traditional Cardiac Monitoring Devices

What Sets Frontier X Plus Apart

Early Atrial Fibrillation Detection

Continuously captures ECGs and detects AFib for early diagnosis and timely care.

Clinically Proven Accuracy

98.10% sensitivity and 97.88% specificity, validated against a 12-lead ECG monitor.

ECG Monitoring During Exercise

Delivers precise ECGs even during physical activity, minimizing motion artifacts.

Stay Connected to Your Heart Care

Enables remote heart data sharing with doctors for better arrhythmia management.

Wireless ECG Monitoring for All-Day Comfort

Adhesive-free, wire-free design prevents skin irritation and enhances comfort.

Rechargeable & Reusable for Long-Term Monitoring

Long-term, cost-effective ECG monitoring without frequent replacements.

Weekly Cardiac Rhythm Report

What it includes:

  • ECG rhythm analysis with breakdowns like AFib, Bradycardia, Tachycardia and more
  • Weekly summary of rhythm trends
  • Beat-by-beat analysis and heart rate irregularities
  • Impact of workouts, recovery, and sleep on your rhythm

Learn More

*Frontier Premium includes a 7-day risk-free trial with a money-back guarantee if you're not satisfied by the end of the trial period.

How to use Frontier X Plus

Fourth Frontier is Trusted by Leading Cardiologists, Cardiac Rehab Centers, and Researchers Globally

18,000+ Users Worldwide
26,000+ Heart Events Detected
150,000,000+ Minutes of ECG Recorded
Snow

In the Box

  • Frontier X Plus Device
  • Elastic chest strap
  • Micro USB Cable
  • Quick start guide
  • User Manual

Connectivity

  • Bluetooth 5.2
  • Available for iOS and Android

Battery

  • Upto 24 hrs of continuous usage
  • Full charge in under ~ 1 hour

Device Size

  • Weight: 25 grams
  • Dimensions: 73mm x 24mm x 13mm
  • Waterproof and Sweatproof

Frontier X Plus Specifications

Connectivity

  • Bluetooth 5.2
  • Available for iOS and Android

Battery

  • Upto 24 hrs of continuous usage
  • Full charge in under ~ 1 hour

In the Box

  • Frontier X Plus Device
  • Elastic chest strap
  • Micro USB Cable
  • Quick start guide
  • User Manual

Device Size

  • Weight: 25 grams
  • Dimensions: 73mm x 24mm x 13mm
  • Waterproof and Sweatproof

Technical Safety and Performance Testing

Frontier X Plus Device

  • IEC 60601-2-47:2014 Medical Electrical Equipment Part 2-47: Particular Requirements for the safety. Including essential performance of ambulatory electrocardiographic systems.
  • IEC 60601-1:2005, AMD1:2012 Medical Electrical equipment - Part 1:General requirements for basic safety and essential performance.
  • IEC 60601-1-2:2014 +AMD1: 2020 CSV, Medical Electrical Equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: Electromagnetic disturbances Requirements and tests.
  • IEC 60601-1-11:2015 Medical Electrical Equipment - Part 1-11: General requirements for basic safety and essential performance - Collateral standard: Requirements for medical electrical equipment and medical electrical systems used in the home healthcare environment.

Chest Strap

  • Compliant with REACH and RoHS2 standards.

Clinical Validation

This study aimed to validate the Frontier X Plus (FX+) single-lead, continuous ECG device by comparing its performance against the traditional FDA Cleared 12-lead ECG in ​832 patients​ in both a clinical and real world setting including individuals with and without atrial fibrillation (AFib). The performance of the Frontier X Plus in detecting atrial fibrillation (AF) demonstrated a sensitivity of 98.10% and a specificity of ​97.88%, when compared to the paired gold standard device as adjudicated by 3 independent cardiologists.

Publications

Roberts, William O. MD, MS, FACSM1; Levine, Benjamin D. MD, FACSM2

A case report of a 16-year-old competitive runner experienced sudden-onset tachycardia episodes, exceeding 200 bpm, were documented using a Garmin Instinct™ watch. Despite normal cardiac evaluations, the patient later used a Frontier X™ ECG Fitness Tracker, which successfully captured heart rhythm data during episodes and helped monitor his response to beta blocker therapy.

Ciara McCormack, Brona Kehoe, Sarah Cullivan, Noel McCaffrey, Sean Gaine, Brian McCullagh, Andrew McCarren, Sarah J Hardcastle, Niall M Moyna

The Frontier X device played a crucial role in continuously monitoring heart rate and respiratory rate, ensuring safety and enabling real-time feedback during the exercise sessions. The success of this remotely delivered intervention suggests that similar models could be effectively implemented for broader PH patient populations, offering a scalable alternative to hospital-based programs.

FAQs

How accurate is the ECG measured by the Frontier X2?

The ECG obtained from the Frontier X2 resembles the V5 lead position of a 12-Lead ECG. The quality of the ECG has been validated against a GE Holter Monitor.

Please note the Frontier X2 is a health & fitness product, and is not intended to be used for diagnostic or treatment purposes. Please read our detailed disclaimers here.

Is the Frontier X2 compatible with other external Heart Rate Monitors?

​The Frontier X uses Bluetooth Low Energy (BLE) Technology/Bluetooth Smart to sync with other devices as a heart rate monitor. These devices include certain models of ​Apple Watches, Garmins, Whoop Straps, Pelotons and more. If your external device is equipped with BLE/Bluetooth Smart technology, the Frontier X2 should easily sync as a heart rate monitor (HRM) with no issues whatsoever. 

The Frontier X2 can simultaneously connect to a maximum of 3 devices - 1 Mobile App & 2 External HRMs.

While the external device will only reflect Heart Rate, the Frontier X2 itself will reflect various metrics such as ECG (live and recorded), Breathing Rate, Strain, Heart Rate, Body Shock, and Training Load once it is connected to the mobile app, post your workout. You can see a more detailed view on the Frontier X web dashboard as well, once you've uploaded data from your device to the cloud.

Please note that the Frontier X2 does not support ANT+

Is the Frontier X2 compatible with other third-party fitness apps like Strava or Training Peaks?

There is currently no direct integration between the Frontier X2 and these fitness apps. However, there are a couple of workarounds.

When the Frontier X2 is connected to your phone/apple watch app and the phone/watch is carried along - it allows you to record GPS data as part of your workouts as well. The Frontier X2 doesn't have a GPS chip of its own, and thus uses the phone's/watch's GPS. You can then download a .FIT file of your workout from the Frontier X2 dashboard and upload it to apps like Strava, Training Peaks, JeFit etc. for further analysis. 

Alternatively, you can connect the Frontier X2 to an external HRM like a Garmin or Polar and then pass the information on to Strava or Training Peaks from your external HRM. The data uploaded onto Strava in this case will include the Heart Rate measured by the Frontier X2.

What is the battery life of the Frontier X2?

A fully charged Frontier X2 can last for up to 24 hours when recording data continuously and 14 days if used for an average of 1 hr/day.

Can I use the Frontier X2 without it being connected to my phone?

Yes. You can record data on the Frontier X2 without connecting the device to the mobile app. The Frontier X2 is equipped with a memory chip, unlike most other devices on the market. This ensures that even if you don't connect it to your phone during your workout, or choose to connect it to an external device like Garmin, there's zero data loss as you can come back home and connect the Frontier X2 to the phone later. Once synced, all metrics recorded on the device will be accessible.

Is the Frontier X2 waterproof?

Swimming is one of the most common use cases of the Frontier X2. The Frontier X2 is IP67 rated, which means that it is completely waterproof for up to 1.5 meters (approx. 3 ft).

Can the Frontier X2 be worn while exercising or playing sports?

Yes. The chest-worn design of the Frontier X2 keeps your hands free for sport and is tightly fastened to ensure good data quality during motion.

Can you use the Frontier X2 with a pacemaker?

While Frontier X2 has not gone through the official safety testing for use with pacemakers, we have several users who use the device with pacemakers. None of these users have reported any issues.

What is Frontier X Plus?

The Frontier X Plus™ by Fourth Frontier® is a wearable ambulatory electrocardiogram (EKG or ECG) recorder and display product that consists of a device affixed to the chest strap, a companion mobile application, and a web application for analysis of ECG. It is a novel, self-applied continuous ambulatory ECG solution for arrhythmia detection and management.

The Frontier X Plus system also displays ECG waveform and ECG rhythm analysis; detecting the presence of normal sinus rhythm, atrial fibrillation, bradycardia, tachycardia, inconclusive and unreadable rhythms. The device is intended for use by healthcare professionals to monitor patients with known or suspected heart conditions and health-conscious individuals. It is indicated for use on adult patients who may be asymptomatic or who may suffer from transient symptoms requiring cardiac monitoring. The device is a non-invasive, lightweight, rechargeable battery- operated wireless ambulatory ECG monitor.

Why is early detection of AFib important, and how does Frontier X Plus achieve this?

Early detection of atrial fibrillation (AFib) is crucial for preventing serious cardiac complications. Timely detection allows for early intervention through medication, lifestyle changes, or medical procedures, improving patient outcomes and preventing long-term health issues. The FDA-cleared Frontier X Plus, a chest strap-based heart monitor,  records and transfers single-channel ECG and provides automated detection of atrial fibrillation and other arrhythmias. Frontier X Plus achieves this with exceptional accuracy, boasting 98.10% sensitivity and 97.88% specificity for AFib detection.

How does Frontier X Plus improve patient compliance?

The Frontier X Plus improves patient compliance by offering a lightweight, wearable chest monitor that is comfortable and easy to use. Its real-time data tracking and wireless connectivity provide patients with instant feedback, making them more engaged in their health management. The wearable ECG solution is designed for comfort, encouraging consistent use. Patients can self-apply the device and integrate it effortlessly into their daily routines without disrupting their activities.

 Who should not use the Frontier X Plus device?

The Frontier X Plus  should not be used by individuals under the age of 22 years, pregnant women, or patients with potentially life-threatening arrhythmias requiring hospitalization or real-time/in-patient monitoring. Additionally, it is not suitable for individuals with known skin allergies to the materials listed in the "List of Patient-Contacting Materials."(mentioned in the section 1.4.4 of Frontier X Plus User Manual(PUBFXP001_Rev A0)

Can the device be used alongside external cardiac defibrillators or surgical equipment?

No, the device should not be used in combination with external cardiac defibrillators or high-frequency surgical equipment.

 What precautions should be taken if using a defibrillator?

Do not use a defibrillator with the Frontier X Plus device, as it may cause damage. Ensure the device is removed from areas where defibrillator electrodes are placed.

 Is the device suitable for detecting cardiac conditions like ischemia or myocardial infarction?

No, the Frontier X Plus is not indicated for the detection of cardiac conditions such as ischemia, myocardial infarction, or left ventricular hypertrophy (LVH).

 What should be done if the app identifies certain heart conditions as unreadable?

If the app identifies conditions like ventricular flutter, ventricular bigeminy, or ventricular trigeminy as unreadable, consult a physician for further analysis.

Does the Frontier X Plus guarantee the absence of arrhythmias or health conditions?

No, Frontier X Plus does not guarantee the absence of arrhythmias or other health conditions even if an ECG is labeled as normal. Always consult a physician for any potential health changes.

Customer Reviews

Be the first to write a review
0%
(0)
0%
(0)
0%
(0)
0%
(0)
0%
(0)