Evidence map›Paper›PMID 35727618›Full record

ArticleJMIR cardio2022

Continuous mHealth Patch Monitoring for the Algorithm-Based Detection of Atrial Fibrillation: Feasibility and Diagnostic Accuracy Study.

Onni E Santala, Jukka A Lipponen, Helena Jäntti, Tuomas T Rissanen, Mika P Tarvainen, Tomi P Laitinen, Tiina M Laitinen, Maaret Castrén, Eemu-Samuli Väliaho, Olli A Rantula and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR cardio, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03507335 (Chest Strap and PPG-device Compared to Holter-device for Atrial Fibrillation Detection), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 12% 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.

NCT03507335 completednot on this map

Chest Strap and PPG-device Compared to Holter-device for Atrial Fibrillation Detection: 24 Hour Study

TypeobservationalSponsorKuopio University HospitalRan2018 to 2020Enrolled100ConditionsArrhythmia Atrial, StrokeArmschest strap and PPG-device for monitoring the rhythm
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Wearable smartwatches for atrial fibrillation detection and burden estimation after ablation: comparison with continuous monitoring.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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  7. Observational
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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 4 institutions in 1 country.

Onni E SantalaSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-3996-2827
Jukka A LipponenDepartment of Applied Physics, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-4182-1994
Helena JänttiCentre for Prehospital Emergency Care, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-0989-7032
Tuomas T RissanenHeart Center, North Karelia Central Hospital, Joensuu, Finland.ORCID https://orcid.org/0000-0002-1914-2282
Mika P TarvainenDepartment of Applied Physics, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-8686-5395
Tomi P LaitinenSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0003-3553-9957
Tiina M LaitinenDepartment of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-3361-096X
Maaret CastrénDepartment of Emergency Medicine and Services, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID https://orcid.org/0000-0001-7164-4733
Eemu-Samuli VäliahoSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0001-5586-4939
Olli A RantulaSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-7975-4408
Noora S NaukkarinenSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0002-0513-357X
Juha E K HartikainenSchool of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0003-0847-107X
Jari Halonen *School of Medicine, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.ORCID https://orcid.org/0000-0003-3878-1546
Tero J Martikainen *Department of Emergency Care, Kuopio University Hospital, Kuopio, Finland.ORCID https://orcid.org/0000-0002-8151-9845
University of Eastern Finland · FIKuopio University Hospital · FINorth Karelia Central Hospital · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe detection of atrial fibrillation (AF) is a major clinical challenge as AF is often paroxysmal and asymptomatic. Novel mobile health (mHealth) technologies could provide a cost-effective and reliable solution for AF screening. However, many of these techniques have not been clinically validated.

objectiveThe purpose of this study is to evaluate the feasibility and reliability of artificial intelligence (AI) arrhythmia analysis for AF detection with an mHealth patch device designed for personal well-being.

methodsPatients (N=178) with an AF (n=79, 44%) or sinus rhythm (n=99, 56%) were recruited from the emergency care department. A single-lead, 24-hour, electrocardiogram-based heart rate variability (HRV) measurement was recorded with the mHealth patch device and analyzed with a novel AI arrhythmia analysis software. Simultaneously registered 3-lead electrocardiograms (Holter) served as the gold standard for the final rhythm diagnostics.

resultsOf the HRV data produced by the single-lead mHealth patch, 81.5% (3099/3802 hours) were interpretable, and the subject-based median for interpretable HRV data was 99% (25th percentile=77% and 75th percentile=100%). The AI arrhythmia detection algorithm detected AF correctly in all patients in the AF group and suggested the presence of AF in 5 patients in the control group, resulting in a subject-based AF detection accuracy of 97.2%, a sensitivity of 100%, and a specificity of 94.9%. The time-based AF detection accuracy, sensitivity, and specificity of the AI arrhythmia detection algorithm were 98.7%, 99.6%, and 98.0%, respectively.

conclusionsThe 24-hour HRV monitoring by the mHealth patch device enabled accurate automatic AF detection. Thus, the wearable mHealth patch device with AI arrhythmia analysis is a novel method for AF screening.

trial registrationClinicalTrials.gov NCT03507335; https://clinicaltrials.gov/ct2/show/NCT03507335.

Indexed as

algorithmarrhythmiaartificial intelligenceatrial fibrillationAwario analysis Service, screeningfeasibilityheart rateheart rate variabilityHRVmHealthmobile healthmobile patchreliabilityriskscreeningstrokestroke riskwearable

Identifiers

PMID35727618
PMCPMC9257607
OpenAlexW4283216270

What OpenQuestion holds

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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.