Evidence map›Paper›PMID 30835243›Full record

ArticleJMIR mHealth and uHealth2019

Diagnostic Performance of a Smart Device With Photoplethysmography Technology for Atrial Fibrillation Detection: Pilot Study (Pre-mAFA II Registry).

Yong-Yan Fan, Yan-Guang Li, Jian Li, Wen-Kun Cheng, Zhao-Liang Shan, Yu-Tang Wang, Yu-Tao Guo

Open access · goldAbstract read
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 4 pooled it
8.0field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Mobile health solutions for atrial fibrillation detection and management: a systematic review.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
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  13. [Application of photoplethysmography for atrial fibrillation in early warning, diagnosis and integrated management].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2023
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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

7 authors at 2 institutions in 1 country.

Yong-Yan FanCollege of Medicine, Nankai University, Tianjin, China.ORCID 0000-0002-4846-6024
Yan-Guang LiDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0002-9121-1887
Jian LiDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0001-8307-8302
Wen-Kun ChengDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0001-9132-3443
Zhao-Liang ShanDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0003-2554-6379
Yu-Tang WangCollege of Medicine, Nankai University, Tianjin, China.ORCID 0000-0003-4501-3262
Yu-Tao GuoDepartment of Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.ORCID 0000-0001-7829-2195
People's Liberation Army No. 150 Hospital · CNNankai University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is the most common sustained cardiac arrhythmia. The asymptomatic nature and paroxysmal frequency of AF lead to suboptimal early detection. A novel technology, photoplethysmography (PPG), has been developed for AF screening. However, there has been limited validation of mobile phone and smart band apps with PPG compared to 12-lead electrocardiograms (ECG).

objectiveWe investigated the feasibility and accuracy of a mobile phone and smart band for AF detection using pulse data measured by PPG.

methodsA total of 112 consecutive inpatients were recruited from the Chinese PLA General Hospital from March 15 to April 1, 2018. Participants were simultaneously tested with mobile phones (HUAWEI Mate 9, HUAWEI Honor 7X), smart bands (HUAWEI Band 2), and 12-lead ECG for 3 minutes.

resultsIn all, 108 patients (56 with normal sinus rhythm, 52 with persistent AF) were enrolled in the final analysis after excluding four patients with unclear cardiac rhythms. The corresponding sensitivity and specificity of the smart band PPG were 95.36% (95% CI 92.00%-97.40%) and 99.70% (95% CI 98.08%-99.98%), respectively. The positive predictive value of the smart band PPG was 99.63% (95% CI 97.61%-99.98%), the negative predictive value was 96.24% (95% CI 93.50%-97.90%), and the accuracy was 97.72% (95% CI 96.11%-98.70%). Moreover, the diagnostic sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of mobile phones with PPG for AF detection were over 94%. There was no significant difference after further statistical analysis of the results from the different smart devices compared with the gold-standard ECG (P>.99).

conclusionsThe algorithm based on mobile phones and smart bands with PPG demonstrated good performance in detecting AF and may represent a convenient tool for AF detection in at-risk individuals, allowing widespread screening of AF in the population.

trial registrationChinese Clinical Trial Registry ChiCTR-OOC-17014138; http://www.chictr.org.cn/showproj.aspx?proj=24191 (Archived by WebCite at http://www.webcitation/76WXknvE6).

Indexed as

AdultAgedAtrial FibrillationCell PhoneChi-Square DistributionElectrocardiographyFemaleHumansMaleMass ScreeningMiddle AgedPhotoplethysmographyPilot ProjectsSensitivity and SpecificityStatistics, Nonparametricaccuracyalgorithmatrial fibrillationdetectionmobile phonephotoplethysmographysmart band

Identifiers

PMID30835243
PMCPMC6423467
OpenAlexW2913405464

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.