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
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

FDA cleared Prescription-based ECG monitoring for AFib, bradycardia, tachycardia, and other arrhythmias with doctor reports you can easily share with your physician

Detect AFib Early: 24/7 Continuous ECG monitoring with arrhythmia burden analysis.
Get AFib alerts: Continuous Afib Detection and vibration alerts.
Comfortable for Everyday Wear: No adhesives or wires designed for exercise, rest & sleep.
Regular price test2 $649
/

Use code PLUS120 to get $120 Off

Have a prescription? Submit the form after purchase; we'll ship upon approval.

Get prescription with our virtual care platform.

Prescription-based ECG monitoring for AFib, bradycardia, tachycardia, and other arrhythmias—with reports you can easily share with your physician.

Detect AFib Early: Continuous ECG monitoring with arrhythmia burden analysis.
Comfortable, Patch-Free Wear: No adhesives, wires, or skin preparation required.
Built for Daily Life: Wear comfortably at home, outdoors, or during exercise.
View & Share ECG Reports: Access data instantly and share reports with your physician.
Weekly Rhythm Insights: Track rhythm trends, arrhythmia burden, and heart rate patterns.
Optional add-ons

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

How The Prescription Works

For "I Need a Prescription": If you don’t have a prescription, you’ll be directed to our physician network (managed by Beluga Health) to complete a medical form after purchasing the device. Once your prescription is approved by a physician, your order will be processed. To learn more, click here.

For "I Have a Prescription": Complete your order and upload your prescription over a secure link. The device will be dispatched once your prescription has been verified. To learn more, click here.

Free add-ons / Shipping

With Frontier X Plus, you’ll receive:

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

Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand logo
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat
Brand_logo_repeat

What is the Frontier X Plus?

FDA 510(k)-cleared continuous ECG monitoring for early detection of heart rhythm irregularities. Frontier X Plus continuously tracks your heart's electrical activity in real time, whether you're exercising, working or resting.

Detects & Monitors:

  • Atrial Fibrillation (AFib)
  • Bradycardia (Slow Heart Rate)
  • Tachycardia (Fast Heart Rate)
  • Monitor Arrhythmia During Exercise
  • Normal Sinus Rhythm

Frontier X Plus Compliance

*Disclaimer: RoHS2 & Reach Compliant chest strap.

Is Frontier X Plus Right for You?

1. Monitoring Arrhythmias During Exercise

Image 1

1. If You’re Living with a Heart Condition

Some arrhythmias may only appear during physical activity. Frontier X Plus helps you monitor your heart rhythm continuously when it matters most.

Benefits

  • Continuous ECG monitoring during exercise
  • Real-time detection of rhythm irregularities
  • Understand activity-related heart rhythm patterns

2. Living with a Heart Condition

Image 2

2. Living with a Heart Condition

Frontier X Plus helps individuals with cardiac conditions monitor their heart rhythm continuously and detect irregularities earlier.

Benefits

  • Continuous ECG monitoring at home
  • Detect irregular heart rhythms and AFib episodes
  • Share doctor-ready reports remotely

3. Recovering After a Heart Procedure

Image 3

3. Recovering After a Heart Procedure

Supports recovery after procedures such as angioplasty, ablation, or bypass surgery by providing continuous ECG monitoring at home.

Benefits

  • Track heart rhythm during recovery and rehab
  • Avoid overexertion with real-time feedback
  • Share recovery progress with your care team

4. Tracking Arrhythmias While You Sleep

Image 4

4. Tracking Arrhythmias While You Sleep

Monitor your heart overnight to capture rhythm changes and silent AFib episodes that may go unnoticed during the day.

Benefits

  • Detect arrhythmias during sleep stages
  • Capture ECG data even when symptoms go unnoticed
  • Identify patterns for timely intervention

5. Staying Ahead of Heart Issues

Image 5

5. Staying Ahead of Heart Issues

It helps health-conscious individuals proactively monitor their heart rhythm and detect potential issues earlier.

Benefits

  • Identify potential rhythm changes earlier
  • Monitor trends across activity, rest, and sleep
  • Support proactive heart health decisions

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

30,000+ Users Worldwide
50,000+ Heart Events Detected
316,000,000+ Minutes of ECG Recorded

Beyond Traditional Cardiac Monitoring Devices

Beyond Traditional Cardiac Monitoring Devices

Try the Frontier X Plus for 14 Days, Risk-Free

The Frontier X Plus includes a 14-day risk-free trial, with a money-back guarantee.

Get Started

*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.

What Sets Frontier X Plus Apart

Detect Atrial Fibrillation Earlier

Continuous ECG monitoring for early detection of heart rhythm irregularities.

Clinically Validated Accuracy

98.1% sensitivity and 97.88% specificity, validated against a 12-lead ECG.

ECG Monitoring During Exercise

Capture high-quality ECG data during physical and daily activity.

Share Data with Your Doctor

Generate and share doctor-ready reports for informed care decisions.

Comfortable All-Day Wear

Wire-free, adhesive-free design, built for comfortable ECG monitoring.

Rechargeable and Reusable

A cost-effective solution for long-term heart rhythm monitoring.

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 Frontier X Plus Simplifies Medical-Grade ECG Monitoring

Snow

In the Box

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

Connectivity

  • BLE 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
  • Compliance with IP22 Rating

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
  • Compliance with IP22 Rating

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

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.

What if I already have a prescription?

If you already have a valid prescription, you can proceed to purchase the Frontier X Plus directly. After checkout, you’ll be required to fill out a short form and upload your prescription. Once approved, your device will be prepared for shipment.

What happens if I don’t have a prescription?

If you don’t have a prescription, you’ll be redirected to our physician network (managed by Beluga Health). There, you can purchase the Frontier X Plus and complete a short form with the medical details required to initiate the prescription process.

Once submitted, your information will be securely reviewed by licensed physicians. Once approved, a prescription will be issued, and your order will be processed and shipped.

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.

Note:

The Frontier X Plus is a US FDA 510(k) cleared medical device for ambulatory ECG monitoring. It is not tested for use in individuals with pacemakers or ICDs. It is not meant for the diagnosis of cardiac ischemia. Please request the IFU for intended use, indications, contraindications and availability in your geography.

Disclaimer:

All images used are for illustrative purposes only.

The Frontier X Plus ECG monitor is intended to capture, store, transmit and display electrocardiogram (ECG) information for long term monitoring and evaluation. It is intended for use on adult patients who may be asymptomatic or who may suffer from transient symptoms requiring cardiac monitoring such as palpitations, shortness of breath, dizziness, lightheadedness, presyncope, syncope, fatigue, or anxiety. The Frontier X Plus ECG monitor is not intended to provide diagnostic interpretation to the patient. The Frontier X Plus ECG monitor is a prescription-only device, and the reported information is provided for review by a physician to render a diagnosis based on clinical judgment and experience. For the full disclaimer, please visit this link: https://fourthfrontier.com/pages/disclaimers