Evidence map›Paper›PMID 33524462›Full record

Observational studyInternational journal of cardiology2021

Smartwatch Electrocardiogram and Artificial Intelligence for Assessing Cardiac-Rhythm Safety of Drug Therapy in the COVID-19 Pandemic. The QT-logs study.

Baptiste Maille, Marie Wilkin, Matthieu Million, Noémie Rességuier, Frédéric Franceschi, Linda Koutbi-Franceschi, Jérôme Hourdain, Elisa Martinez, Maxime Zabern, Christophe Gardella and 4 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in International journal of cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
7.7field-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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

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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

14 authors at 6 institutions in 2 countries.

Baptiste MailleAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Marie WilkinAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Matthieu MillionIHU-Méditerranée Infection, Marseille, France; Aix-Marseille University, IRD, APHM, MEPHI, Marseille, France.
Noémie RességuierDepartment of Epidemiology and Health Economics, APHM, Marseille, France.
Frédéric FranceschiAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Linda Koutbi-FranceschiAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Jérôme HourdainAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Elisa MartinezAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Maxime ZabernAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France.
Christophe GardellaCardiologs Technologies, Paris, France.
Hervé Tissot-DupontIHU-Méditerranée Infection, Marseille, France; Aix-Marseille University, IRD, APHM, MEPHI, Marseille, France.
Jagmeet P SinghMassachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Jean-Claude DeharoAssistance Publique - Hôpitaux de Marseille, Centre Hospitalier Universitaire La Timone, Service de Cardiologie, Marseille, France; Aix Marseille University, C2VN, Marseille, France. Electronic address: jean-claude.deharo@ap-hm.fr.
Laurent FiorinaInstitut Cardiovasculaire Paris-Sud, Hôpital Privé Jacques Cartier, Ramsay, Massy, France.
Assistance Publique Hôpitaux de Marseille · FRAix-Marseille Université · FRHôpital Privé Jacques Cartier · FRInstitut de Recherche pour le Développement · FRMassachusetts General Hospital · USMéditerranée Infection Foundation · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQTc interval monitoring, for the prevention of drug-induced arrhythmias is necessary, especially in the context of coronavirus disease 2019 (COVID-19). For the provision of widespread use, surrogates for 12‑lead ECG QTc assessment may be useful. This prospective observational study compared QTc duration assessed by artificial intelligence (AI-QTc) (Cardiologs®, Paris, France) on smartwatch single‑lead electrocardiograms (SW-ECGs) with those measured on 12‑lead ECGs, in patients with early stage COVID-19 treated with a hydroxychloroquine-azithromycin regimen.

methodsConsecutive patients with COVID-19 who needed hydroxychloroquine-azithromycin therapy, received a smartwatch (Withings Move ECG®, Withings, France). At baseline, day-6 and day-10, a 12‑lead ECG was recorded, and a SW-ECG was transmitted thereafter. Throughout the drug regimen, a SW-ECG was transmitted every morning at rest. Agreement between manual QTc measurement on a 12‑lead ECG and AI-QTc on the corresponding SW-ECG was assessed by the Bland-Altman method.

results85 patients (30 men, mean age 38.3 ± 12.2 years) were included in the study. Fair agreement between manual and AI-QTc values was observed, particularly at day-10, where the delay between the 12‑lead ECG and the SW-ECG was the shortest (-2.6 ± 64.7 min): 407 ± 26 ms on the 12‑lead ECG vs 407 ± 22 ms on SW-ECG, bias -1 ms, limits of agreement -46 ms to +45 ms; the difference between the two measures was <50 ms in 98.2% of patients.

conclusionIn real-world epidemic conditions, AI-QTc duration measured by SW-ECG is in fair agreement with manual measurements on 12‑lead ECGs. Following further validation, AI-assisted SW-ECGs may be suitable for QTc interval monitoring. REGISTRATION: ClinicalTrial.govNCT04371744.

Indexed as

Artificial IntelligenceCOVID-19 Drug TreatmentElectrocardiographyLong QT SyndromeAdultArrhythmias, CardiacAzithromycinFemaleHumansHydroxychloroquineMaleMiddle AgedPandemicsAzithromycinHydroxychloroquineArtificial intelligenceCOVID-19Hydroxychloroquine-azythromycineQTc intervalSmartwatch

Identifiers

PMID33524462
PMCPMC7845555
OpenAlexW3127514899

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.