Evidence map›Paper›PMID 32981209›Full record

ArticleAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2020

Prolonged ECG with a novel recorder utilizing electrode belt and mobile device in patients with recent embolic stroke of undetermined source: A pilot study.

Tuomas Jussi Lumikari, Jani Pirinen, Jukka Putaala, Gerli Sibolt, Anne Kerola, Sami Pakarinen, Mika Lehto, Tuomo Nieminen

Open access · goldAbstract read
In one paragraph

Article in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Searching for atrial fibrillation: looking harder, looking longer, and in increasingly sophisticated ways. An EHRA position paper.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
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  5. Article
  6. Article
  7. Review
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  9. Prolonged ECG with a novel recorder utilizing electrode belt and mobile device in patients with recent embolic stroke of undetermined source: A pilot study.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
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  10. Article
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

8 authors at 3 institutions in 1 country.

Tuomas Jussi LumikariNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-5592-5938
Jani PirinenDepartment of Clinical Physiology and Nuclear Medicine, HUS Diagnostics, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-4030-9358
Jukka PutaalaNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-6630-6104
Gerli SiboltNeurology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4815-073X
Anne KerolaDepartment of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland.ORCID 0000-0003-2257-3291
Sami PakarinenDepartment of Internal Medicine, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID 0000-0002-5904-5954
Mika LehtoDepartment of Cardiology, Heart and Lung Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-8691-5142
Tuomo NieminenDepartment of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland.ORCID 0000-0003-1755-1688
University of Helsinki · FIPäijät-Hämeen Keskussairaala · FIHelsinki University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParoxysmal atrial fibrillation (pAF) is a major risk factor for ischemic stroke, but challenging to detect with routine short-term monitoring methods. In this pilot study, we present a novel method for prolonged ECG and screening for pAF in patients with a recent embolic stroke of unknown source (ESUS).

methodsFifteen patients aged ≥ 50 years with a recent ESUS were assigned to wear an external electrode belt-based 1-lead ECG device (Beat2Phone) continuously for 2 weeks (wear time). The device was operated via a mobile phone application in nonhospital conditions. The primary outcome was patient adherence to monitoring. Secondary outcomes were incidence of new pAF, quality-wise comparison to Holter, and usability of the novel ECG monitoring method with Systems Usability Scale (SUS). We also performed a 24- to 48-hr comparison between simultaneous Beat2Phone ECG and a standard Holter in 6 patients.

resultsWear time of Beat2Phone device was over 80% in 5 (33.3%) patients, 50%-80% in 7 (46.6%) patients, and less than 50% in 3 (20%) patients. We detected pAF ≥ 30 s in 1 patient (6.7%). In the simultaneous monitoring with Beat2Phone and Holter, there were a total of 817 (out of 1979) analyzable periods of sinus rhythm or premature atrial or ventricular beats (Cohen's Kappa coefficient 0.92 ± 0.02 between Beat2Phone and Holter), and no pAF events. Beat2Phone ECG showed remarkable SUS scores in user evaluations (average score: 81.4 out of 100 on SUS).

conclusionsBeat2Phone device was easy to use among ESUS patients and in optimal conditions provided high-quality 1-lead ECG signal for diagnosing pAF. CLINICAL

trial registrationThe study was not registered, as it was a nonrandomized single-arm pilot study.

Indexed as

Atrial FibrillationElectrocardiography, AmbulatoryElectrodesEmbolic StrokeEquipment DesignFemaleHumansMaleMiddle AgedPatient CompliancePilot ProjectsRisk Factorsatrial fibrillationelectrocardiogramembolic stroke of undetermined sourcestroke

Identifiers

PMID32981209
PMCPMC7679839
OpenAlexW3088118441

What OpenQuestion holds

Textmetadata
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.