Evidence map›Paper›PMID 37476150›Full record

ArticleCardiology and cardiovascular medicine2023

False Atrial Fibrillation Alerts from Smartwatches are Associated with Decreased Perceived Physical Well-being and Confidence in Chronic Symptoms Management.

Khanh-Van Tran, Andreas Filippaios, Kamran Noorishirazi, Eric Ding, Dong Han, Fahimeh Mohagheghian, Qiying Dai, Jordy Mehawej, Ziyue Wang, Darleen Lessard and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in Cardiology and cardiovascular medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03761394 (Smartwatch Monitoring for Atrial Fibrillation After Stroke), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT03761394 nacompletednot on this map

Smartwatch Monitoring for Atrial Fibrillation After Stroke

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2019 to 2021Enrolled120ConditionsStroke, Atrial FibrillationArmsTesting Devices, Cardea Solo by Cardiac Insight, Kardia Mobile by AliveCor
3 · Its place in the literature

Who cites it

17 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

18 authors.

Khanh-Van TranDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Andreas FilippaiosDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Kamran NoorishiraziDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Eric DingDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Dong HanDepartment of Biomedical Engineering, University of Connecticut, 260 Glenbrook Road, Storrs, CT 06269, USA.
Fahimeh MohagheghianDepartment of Biomedical Engineering, University of Connecticut, 260 Glenbrook Road, Storrs, CT 06269, USA.
Qiying DaiDivision of Cardiovascular Medicine, Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, USA.
Jordy MehawejDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Ziyue WangDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Darleen LessardDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Edith Mensah OtabilDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Alex HamelDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Tenes PaulDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Matthew F GottbrechtDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Timothy P FitzgibbonsDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.
Jane SaczynskiDepartment of Pharmacy and Health Systems Sciences, Northeastern University, Boston, Massachusetts, USA.
Ki H ChonDepartment of Biomedical Engineering, University of Connecticut, 260 Glenbrook Road, Storrs, CT 06269, USA.
David D McManusDivision of Cardiovascular Medicine, Department of Medicine, University of Massachusetts, Chan Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.

Funding

The Center for Advancing Point of Care in Heart, Lung, Blood and Sleep DiseasesU54HL143541 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Nathaniel Scott Hafer · 2018 to 2026
$141.0M
RURAL: Risk Underlying Rural Areas Longitudinal Cohort StudyU01HL146382 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JUDD, SUZANNE E, RAMACHANDRAN, VASAN · 2019 to 2025
$42.5M
Transdisciplinary Training In Cardiovascular ResearchT32HL120823 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN, KIEFE, CATARINA I. · 2014 to 2025
$3.9M
Detecting bleeding events using EHRs for prediction in AfibR01HL137794 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCMANUS, DAVID D., YU, HONG · 2018 to 2021
$3.3M
Systematic Assessment of Geriatric Elements in Atrial Fibrillation (SAGE-AF)R01HL126911 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MCMANUS, DAVID D., SACZYNSKI, JANE STEELE · 2016 to 2019
$3.2M
Community Surveillance of Coronary Heart DiseaseR01HL135219 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GOLDBERG, ROBERT JOEL, YU, HONG · 2017 to 2020
$3.2M
Smartwatch Monitoring for Atrial Fibrillation After StrokeR01HL137734 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI CHON, KI H, MCMANUS, DAVID D. · 2018 to 2021
$3.1M
Automated detection and prediction of atrial fibrillation during sepsisR01HL136660 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WALKEY, ALLAN J. · 2017 to 2020
$2.2M
The Role of Highly inflamed Epicardial Adipose Tissue in the Development of Atrial FibrillationK23HL161432 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Khanh-Van Thi Tran · 2022 to 2026
$881k
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 HL161432NHLBI NIH HHS R01 HL126911NHLBI NIH HHS R01 HL135219NHLBI NIH HHS R01 HL136660NHLBI NIH HHS R01 HL137734NHLBI NIH HHS R01 HL137794NHLBI NIH HHS T32 HL120823NHLBI NIH HHS U01 HL146382NHLBI NIH HHS U54 HL143541
6 · The paper itself

Abstract

Wrist-based wearables have been FDA approved for AF detection. However, the health behavior impact of false AF alerts from wearables on older patients at high risk for AF are not known. In this work, we analyzed data from the Pulsewatch (NCT03761394) study, which randomized patients (≥50 years) with history of stroke or transient ischemic attack to wear a patch monitor and a smartwatch linked to a smartphone running the Pulsewatch application vs to only the cardiac patch monitor over 14 days. At baseline and 14 days, participants completed validated instruments to assess for anxiety, patient activation, perceived mental and physical health, chronic symptom management self-efficacy, and medicine adherence. We employed linear regression to examine associations between false AF alerts with change in patient-reported outcomes. Receipt of false AF alerts was related to a dose-dependent decline in self-perceived physical health and levels of disease self-management. We developed a novel convolutional denoising autoencoder (CDA) to remove motion and noise artifacts in photoplethysmography (PPG) segments to optimize AF detection, which substantially reduced the number of false alerts. A promising approach to avoid negative impact of false alerts is to employ artificial intelligence driven algorithms to improve accuracy.

Indexed as

AFFalse AF AlertsPulsewatch Study

Identifiers

PMID37476150
PMCPMC10358285

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.