Evidence map›Paper›PMID 37101946›Full record

ArticleCardiovascular digital health journal2023

Assessment of the atrial fibrillation burden in Holter electrocardiogram recordings using artificial intelligence.

Elisa Hennings, Michael Coslovsky, Rebecca E Paladini, Stefanie Aeschbacher, Sven Knecht, Vincent Schlageter, Philipp Krisai, Patrick Badertscher, Christian Sticherling, Stefan Osswald and 3 more

Abstract read
In one paragraph

Article in Cardiovascular digital health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

13 authors.

Elisa HenningsCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Michael CoslovskyDepartment of Clinical Research, University Hospital Basel, University of Basel, Basel, Switzerland.
Rebecca E PaladiniCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Stefanie AeschbacherCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Sven KnechtCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Vincent SchlageterCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Philipp KrisaiCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Patrick BadertscherCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Christian SticherlingCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Stefan OsswaldCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Michael KühneCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Christine S ZuernCardiovascular Research Institute Basel, University Hospital Basel, University of Basel, Basel, Switzerland.
Swiss-AF Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emerging evidence indicates that a high atrial fibrillation (AF) burden is associated with adverse outcome. However, AF burden is not routinely measured in clinical practice. An artificial intelligence (AI)-based tool could facilitate the assessment of AF burden. Objective: We aimed to compare the assessment of AF burden performed manually by physicians with that measured by an AI-based tool. Methods: We analyzed 7-day Holter electrocardiogram (ECG) recordings of AF patients included in the prospective, multicenter Swiss-AF Burden cohort study. AF burden was defined as percentage of time in AF, and was assessed manually by physicians and by an AI-based tool (Cardiomatics, Cracow, Poland). We evaluated the agreement between both techniques by means of Pearson correlation coefficient, linear regression model, and Bland-Altman plot. Results: We assessed the AF burden in 100 Holter ECG recordings of 82 patients. We identified 53 Holter ECGs with 0% or 100% AF burden, where we found a 100% correlation. For the remaining 47 Holter ECGs with an AF burden between 0.01% and 81.53%, Pearson correlation coefficient was 0.998. The calibration intercept was -0.001 (95% CI -0.008; 0.006), and the calibration slope was 0.975 (95% CI 0.954; 0.995; multiple R Conclusion: The assessment of AF burden with an AI-based tool provided very similar results compared to manual assessment. An AI-based tool may therefore be an accurate and efficient option for the assessment of AF burden.

Indexed as

Artificial intelligenceAtrial fibrillationAtrial fibrillation burdenDeep learningHolter ECGMachine learning

Identifiers

PMID37101946
PMCPMC10123500

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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.