Evidence map›Paper›PMID 29250277›Full record

ArticleJournal of atrial fibrillation

Evaluating the Utility of mHealth ECG Heart Monitoring for the Detection and Management of Atrial Fibrillation in Clinical Practice.

Kathleen T Hickey, Angelo B Biviano, Hasan Garan, Robert R Sciacca, Teresa Riga, Kate Warren, Ashton P Frulla, Nicole R Hauser, Daniel Y Wang, William Whang

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of atrial fibrillation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03877913 (Daily ECG Transmission Versus Serial 7-day Holter ECG for Assessment of Efficacy of Ablation for Atrial Fibrillation - the AGNES-ECG Study), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03877913 completednot on this map

Daily ECG Transmission Versus Serial 7-day Holter ECG for Assessment of Efficacy of Ablation for Atrial Fibrillation - the AGNES-ECG Study

TypeobservationalSponsorCentre of Postgraduate Medical EducationRan2018 to 2021Enrolled51ConditionsAtrial Fibrillation
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Daily ECG transmission versus serial 6-day Holter ECG for the assessment of efficacy of ablation for atrial fibrillation - the AGNES-ECG study.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2022
    Article
  8. Methods Used to Evaluate mHealth Applications for Cardiovascular Disease: A Quasi-Systematic Scoping Review.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Article
  11. Review
  12. Developing and Sustaining a Career as a Transdisciplinary Nurse Scientist.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2018
    Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Kathleen T HickeyAssociate Professor of Nursing, Columbia University School of Nursing.
Angelo B BivianoAssociate Professor of Medicine, Columbia University Medical Center.
Hasan GaranProfessor of Medicine, Columbia University Medical Center.
Robert R SciaccaBiostatistician, Columbia University School of Nursing.
Teresa RigaClinical Research Coordinator, Columbia University Medical Center.
Kate WarrenClinical Research Coordinator, Columbia University Medical Center.
Ashton P FrullaClinical Research Coordinator, Columbia University Medical Center.
Nicole R HauserClinical Research Coordinator, Columbia University Medical Center.
Daniel Y WangAssistant Professor of Medicine, Columbia University College of Physicians.
William WhangSenior Faculty.
Columbia University Irving Medical Center · USFaculty (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle attention has focused on the integration of mobile health (mHealth) technology with self-management approaches to improve the detection and management of atrial fibrillation (AF) in clinical practice.

objectiveThe objective of this study was to investigate the differences between mHealth and usual care over a 6-month follow-up period among patients with a known history of atrial fibrillation.

methodsA pilot cohort from within the larger ongoing randomized trial, iPhone® Helping Evaluate Atrial fibrillation Rhythm through Technology (iHEART), was evaluated to determine differences in detection of AF and atrial flutter (AFL) recurrence rates (following treatment to restore normal rhythm) between patients undergoing daily smartphone ECG monitoring and age and gender matched control patients. SF-36v2

resultsAmong the 23 patients with smartphone ECG monitors (16 males and 7 females, mean age 55 ± 10), 14 (61%) had detection of recurrent AF/AFL versus 30% of controls. During the follow-up period, patients given smartphone ECG monitors were more than twice as likely to have an episode of recurrent AF/AFL detected (hazard ratio: 2.55; 95% CI: 1.06 - 6.11; p = 0.04). Among the 13 patients with baseline and 6 month QoL assessments, significant improvements were observed in the physical functioning (p = 0.009), role physical (p = 0.007), vitality (p = 0.03), and mental health domains (p = 0.02).

conclusionsCardiac mHealth self-monitoring is a feasible and effective mechanism for enhancing AF/AFL detection that improves quality of life.

Indexed as

Atrial FibrillationECGMHealthQoL

Identifiers

PMID29250277
PMCPMC5673393
OpenAlexW2773809355

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.