Evidence map›Paper›PMID 39344253›Full record

ArticleEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2024

Smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: data from the TeleCheck-AF project.

Emma Sandgren, Astrid N L Hermans, Monika Gawalko, Konstanze Betz, Afzal Sohaib, Chi Ho Fung, Henrike A K Hillmann, Rachel M J van der Velden, Dominique Verhaert, Daniel Scherr and 14 more

Abstract read
In one paragraph

Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Personalized pulmonary vein isolation guided by left atrial wall thickness for persistent atrial fibrillation ablation: the PeAF-by-LAWT randomized trial.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
    Trial
  2. Smartphone app-based symptom assessment in patients with atrial fibrillation on the waiting list for electrical cardioversion: a TeleConvert-atrial fibrillation sub analysis.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
    Article
  3. Article
  4. Symptom severity assessment in patients with atrial fibrillation after catheter ablation using a smartphone application.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
    Article
  5. Pre-procedural time spent in atrial fibrillation using intermittent ECG monitoring is associated with arrhythmia recurrence after ablation: the ISOLATION cohort study.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
    Article
  6. Review
  7. Article
  8. Review
  9. Atrial fibrillation burden and symptom, quality of life, and healthcare resource utilization after cryoballoon ablation in persistent atrial fibrillation.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
  10. Article
  11. Prospective evaluation of low voltage-guided repeat ablation of atrial fibrillation.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
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

24 authors.

Emma SandgrenDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0001-7410-3246
Astrid N L HermansDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-9034-1479
Monika GawalkoDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-4619-9062
Konstanze BetzDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-3943-3896
Afzal SohaibBarts Heart Center, St Bartholomew's Hospital, London, UK.ORCID 0000-0002-2946-2343
Chi Ho FungDepartment of Cardiology, King George Hospital, Ilford, UK.ORCID 0000-0002-5944-5878
Henrike A K HillmannHannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.ORCID 0000-0002-6916-2652
Rachel M J van der VeldenDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0001-7144-3333
Dominique VerhaertDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-3477-2589
Daniel ScherrDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0001-5868-5493
Arian SultanDepartment of Electrophysiology, University of Cologne, Heart Center, Cologne, Germany.ORCID 0000-0003-1807-4860
Daniel StevenDepartment of Electrophysiology, University of Cologne, Heart Center, Cologne, Germany.ORCID 0000-0001-6839-5895
Ron PistersDepartment of Cardiology, Rijnstate Hospital, Arnhem, The Netherlands.ORCID 0000-0001-8965-0664
Martin HemelsDepartment of Cardiology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0002-2373-9858
Piotr Lodziński1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0002-1747-5999
Sevasti-Maria ChaldoupiDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-3938-6193
Dhiraj GuptaLiverpool Heart and Chest Hospital, Liverpool, UK.ORCID 0000-0002-3490-090X
Henri GruwezDepartment of Cardiology, Hospital East-Limburg, Genk, Belgium.ORCID 0000-0002-9169-265X
Nikki A H A PluymaekersDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-9663-6315
Jeroen M HendriksCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.ORCID 0000-0003-4326-9256
Malene NørregaardDepartment of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark.ORCID 0009-0004-1227-5113
Martin ManningerDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-0545-4373
David DunckerHannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.ORCID 0000-0003-2996-6338
Dominik LinzDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Universiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-4893-0824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsReduction of atrial fibrillation (AF) burden is the preferred outcome measure over categorical AF rhythm recurrence after AF ablation. In this sub-analysis of the TeleCheck-AF project, we tested the feasibility of smartphone app-based approximation of time spent with AF and/or symptoms. METHODS AND

resultsPatients scheduled for at least one teleconsultation during the 12-month follow-up after AF ablation were instructed to use a smartphone photoplethysmography-based application for simultaneous symptom and rhythm monitoring three times daily for 1 week. Proxies of time spent with AF and/or symptoms (% recordings, load, and % days), temporal aggregation of AF and/or symptoms (density), and symptom-rhythm correlation (SRC) were assessed. In total, 484 patients (60% male, 62 ± 9.9 years) were included. Adherence, motivation, and patient satisfaction were high. %AF recordings, AF load, and %AF days (rs = 0.88-0.95) and %symptom recordings, symptom load, and %symptom days (rs = 0.95-0.98) showed positive correlations. The SRC correlated negatively with time spent with symptoms (rs = -0.65-0.90) and with time spent with AF (rs = -0.31-0.34). In patients with paroxysmal AF before ablation and AF during the monitoring period, 87% (n = 39/44) had a low-density score <50% ('paroxysmal AF pattern') while 5% (n = 2/44) had a high-density score >90% ('persistent AF pattern'). Corresponding numbers for patients with persistent AF before ablation were 48% (n = 11/23) and 43% (n = 10/23), respectively.

conclusionOn-demand, app-based simultaneous rhythm and symptom assessment provides objective proxies of time spent with AF and/or symptoms and SRC, which may assist in assessing AF and symptom outcomes after AF ablation.

Indexed as

Atrial FibrillationCatheter AblationFeasibility StudiesMobile ApplicationsSmartphoneAgedFemaleHeart RateHumansMaleMiddle AgedMotivationPatient CompliancePatient SatisfactionPhotoplethysmographyRecurrenceAF burdenAF symptomsAtrial fibrillationCatheter ablationMobile healthPhotoplethysmography

Identifiers

PMID39344253
PMCPMC11481324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.