Wearable devices with built in arrhythmia detection capabilities are now widely available for consumer puchase. Despite FDA clearance specifically for those who do not have a diagnosed arrhythmia, many patients with pre-existing arrhythmias are using such devices for surveillance. There is growing concern for healthcare over-utilization as well as false positives and negatives in arrhythmia detection. We report a 71-year-old male patient with an implantable cardioverter defibrillator (ICD) who mistook his Apple watch vibrations as ICD vibratory alarms while asleep; leading to undue personal stress and excess utilization in healthcare resources.