Evidence map›Paper›PMID 38390580›Full record

ArticleCardiovascular digital health journal2024

Reducing the burden of inconclusive smart device single-lead ECG tracings via a novel artificial intelligence algorithm.

Simon Weidlich, Diego Mannhart, Alan Kennedy, Peter Doggart, Teodor Serban, Sven Knecht, Jeanne Du Fay de Lavallaz, Michael Kühne, Christian Sticherling, Patrick Badertscher

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular digital health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. State of the Art of Artificial Intelligence in Clinical Electrophysiology in 2025: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), and the ESC Working Group on E-Cardiology.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 · 2025
    Article
  5. Review
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

10 authors at 1 institution in 1 country.

Simon WeidlichUniversity Hospital Basel, Basel, Switzerland.
Diego MannhartUniversity Hospital Basel, Basel, Switzerland.
Alan KennedyPulseAI, Belfast, United Kingdom.
Peter DoggartPulseAI, Belfast, United Kingdom.
Teodor SerbanUniversity Hospital Basel, Basel, Switzerland.
Sven KnechtUniversity Hospital Basel, Basel, Switzerland.
Jeanne Du Fay de LavallazUniversity Hospital Basel, Basel, Switzerland.
Michael KühneUniversity Hospital Basel, Basel, Switzerland.
Christian SticherlingUniversity Hospital Basel, Basel, Switzerland.
Patrick BadertscherUniversity Hospital Basel, Basel, Switzerland.
University Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Multiple smart devices capable of automatically detecting atrial fibrillation (AF) based on single-lead electrocardiograms (SL-ECG) are presently available. The rate of inconclusive tracings by manufacturers' algorithms is currently too high to be clinically useful. Method: This is a prospective, observational study enrolling patients presenting to a cardiology service at a tertiary referral center. We assessed the clinical value of applying a smart device artificial intelligence (AI)-based algorithm for detecting AF from 4 commercially available smart devices (AliveCor KardiaMobile, Apple Watch 6, Fitbit Sense, and Samsung Galaxy Watch3). Patients underwent a nearly simultaneous 12-lead ECG and 4 smart device SL-ECGs. The novel AI algorithm (PulseAI, Belfast, United Kingdom) was compared with each manufacturer's algorithm. Results: We enrolled 206 patients (31% female, median age 64 years). AF was present in 60 patients (29%). Sensitivity and specificity for the detection of AF by the novel AI algorithm vs manufacturer algorithm were 88% vs 81% ( Conclusion: A novel AI algorithm reduced the rate of inconclusive SL-ECG diagnosis massively while maintaining sensitivity and improving the specificity compared to the manufacturers' algorithms.

Indexed as

Artificial intelligenceAtrial fibrillationDigital healthSingle-lead electrocardiogramSmart deviceSmartwatch

Identifiers

PMID38390580
PMCPMC10879015
OpenAlexW4390245863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.