Evidence map›Paper›PMID 32924024›Full record

ArticleCardiovascular digital health journal

Survey of current perspectives on consumer-available digital health devices for detecting atrial fibrillation.

Eric Y Ding, Emma Svennberg, Christina Wurster, David Duncker, Martin Manninger, Steven A Lubitz, Emily Dickson, Timothy P Fitzgibbons, Nazem Akoum, Sana M Al-Khatib and 9 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Cardiovascular digital health journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 5 pooled it
4.6field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Key stakeholder views on atrial fibrillation screening: a systematic mixed-studies review and interpretive analysis.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
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  10. The digital journey: 25 years of digital development in electrophysiology from an Europace perspective.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Review
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  16. Transfer learning enables prediction of myocardial injury from continuous single-lead electrocardiography.Journal of the American Medical Informatics Association : JAMIA · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 16 institutions in 5 countries.

Eric Y DingDivision of Cardiology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Emma SvennbergDepartment of Clinical Sciences, Danderyd Hospital, Danderyd, Sweden.
Christina WursterHeart Rhythm Society, Washington, District of Columbia.
David DunckerRhythmology and Electrophysiology, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.
Martin ManningerDivision of Cardiology, Department of Medicine, Medical University of Graz, Graz, Austria.
Steven A LubitzCardiovascular Research Center, Massachusetts General Hospital, Boston, Massachusetts.
Emily DicksonDivision of Cardiology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Timothy P FitzgibbonsDivision of Cardiology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
Nazem AkoumAtrial Fibrillation Program, University of Washington, Seattle, Washington.
Sana M Al-KhatibDivision of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Zachi I AttiaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Hamid GhanbariDivision of Cardiology, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Nassir F MarroucheCardiac Electrophysiology Division, Tulane University School of Medicine, New Orleans, Louisiana.
G Stuart MendenhallDepartment of Clinical Cardiac Electrophysiology, Scripps Memorial Hospital, La Jolla, California.
Nicholas S PetersNational Heart and Lung Institute & Centre for Cardiac Engineering, Imperial College London & NHS Trust, London, United Kingdom.
Khaldoun G TarakjiDepartment of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio.
Mintu TurakhiaDivision of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California.
Elaine Y WanDivision of Cardiology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
David D McManusDivision of Cardiology, Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts.
University of Massachusetts Chan Medical School · USCleveland Clinic · USColumbia University · USDanderyds sjukhus · SEDuke University · USHeart Rhythm Society · USImperial College London · GBMassachusetts General Hospital · USMayo Clinic · USMedical University of Graz · ATMedizinische Hochschule Hannover · DEScripps Memorial Hospital · USStanford University · USTulane University · USUniversity of Michigan–Ann Arbor · USUniversity of Washington · US

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
Transdisciplinary Training In Cardiovascular ResearchT32HL120823 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN, KIEFE, CATARINA I. · 2014 to 2025
$3.9M
Genomics of Cardiac ArrhythmiasR01HL139731 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2018 to 2022
$3.3M
Novel Techniques for Evaluating and Assessing Symptoms, Affect. Heart Rhythm and Functional Status in Patients with Atrial Fibrillation: miAfib ProjectK23HL135397 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GHANBARI, HAMID · 2018 to 2022
$983k
Feasibility of Smartwatches for Atrial Fibrillation Detection in Older AdultsF30HL149335 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DING, ERIC YUXIAO · 2019 to 2021
$92k
NHLBI NIH HHS F30 HL149335NHLBI NIH HHS K23 HL135397NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL139731NHLBI NIH HHS T32 HL120823
6 · The paper itself

Abstract

backgroundMany digital health technologies capable of atrial fibrillation (AF) detection are directly available to patients. However, adaptation into clinical practice by heart rhythm healthcare practitioners (HCPs) is unclear.

objectiveTo examine HCP perspectives on use of commercial technologies for AF detection and management.

methodsWe created an electronic survey for HCPs assessing practice demographics and perspectives on digital devices for AF detection and management. The survey was distributed electronically to all members of 3 heart rhythm professional societies.

resultsWe received 1601 responses out of 73,563 e-mails sent, with 43.6% from cardiac electrophysiologists, 12.8% from fellows, and 11.6% from advanced practice practitioners. Most respondents (62.3%) reported having recommended patient use of a digital device for AF detection. Those who did not had concerns about their accuracy (29.6%), clinical utility of results (22.8%), and integration into electronic health records (19.8%). Results from a 30-second single-lead electrocardiogram were sufficient for 42.7% of HCPs to recommend oral anticoagulation for patients at high risk for stroke. Respondents wanted more data comparing the accuracy of digital devices to conventional devices for AF monitoring (64.9%). A quarter (27.3%) of HCPs had no reservations recommending digital devices for AF detection, and most (53.4%) wanted guidelines from their professional societies providing guidance on their optimal use.

conclusionMany HCPs have already integrated digital devices into their clinical practice. However, HCPs reported facing challenges when using digital technologies for AF detection, and professional society recommendations on their use are needed.

Indexed as

Atrial fibrillationBiomedical sensors and wearable technologyDigital health devicesECGPulse plethysmographyRemote monitoring

Identifiers

PMID32924024
PMCPMC7452829
OpenAlexW3080590581

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.