Evidence map›Paper›PMID 39582318›Full record

ArticleClinical cardiology2024

Physician Preferences in Using Novel Digital Devices for the Management of Atrial Fibrillation-A DAS-CAM III Survey.

Martin Manninger, David Zweiker, Tatevik Hovakimyan, Paweł T Matusik, Sergio Conti, Pierre Ollitrault, Aapo Aro, Bart A Mulder, Wolfgang Dichtl, Christian-Hendrik Heeger and 14 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Martin ManningerDepartment of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, Austria.ORCID http://orcid.org/0000-0002-0545-4373
David ZweikerDepartment of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, Austria.
Tatevik HovakimyanDepartment of Cardiac Arrhythmology, Nork-Marash Medical Center, Yerevan, Armenia.
Paweł T MatusikDepartment of Electrocardiology, Institute of Cardiology, Jagiellonian University Medical College, Faculty of Medicine, Kraków, Poland.
Sergio ContiDepartment of Cardiac Electrophysiology, ARNAS Civico Hospital, Palermo, Italy.
Pierre OllitraultElectrophysiology Unit, Department of Cardiology, Caen University Hospital, Caen, France.
Aapo AroDivision of Cardiology, Heart and Lung Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Bart A MulderDepartment of Cardiology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-4411-3918
Wolfgang DichtlDepartment of Internal Medicine III, Medical University of Innsbruck, Innsbruck, Austria.ORCID http://orcid.org/0000-0002-0421-2110
Christian-Hendrik HeegerDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.ORCID http://orcid.org/0000-0002-9014-8097
Rachel Ter BekkeDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, Maastricht, The Netherlands.
Enes Elvin GulDivision of Cardiac Electrophysiology, Madinah Cardiac Center, Madinah, Saudi Arabia.
Bob WeijsClinic for Internal Medicine, Cardiology and Electrophysiology, Katholische Stiftung Marienhospital, Aachen, Germany.ORCID http://orcid.org/0000-0003-3202-4931
Ann-Kathrin RahmDepartment of Cardiology, Angiology and Pneumology, Heidelberg University Hospital, Heidelberg, Germany.
Angeliki DarmaDepartment of Electrophysiology, Heart Centre Leipzig, Leipzig, Germany.
Banu EvranosDepartment of Cardiology Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Avi SabbagLeviev Heart Center, Sheba Medical Center, Affiliated With Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Kgomotso MorokaDepartment of Cardiology, Universitas Academic Hospital, University of the Free State, Bloemfontein, South Africa.
Vassil TraykovDepartment of Invasive Electrophysiology and Cardiac Pacing, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria.
Jacob Moesgaard LarsenDepartment of Cardiology, Aalborg University Hospital, Aalborg, Denmark.
Gisella Rita AmorosoDipartimento Medico Specialistico, Divisione di Cardiologia, Ospedale "SS Annunziata", Savigliano, Italy.
Stijn EvensQompium, Hasselt, Belgium.
William F McIntyrePopulation Health Research Institute, Hamilton, Canada.ORCID http://orcid.org/0000-0001-6082-7542
Dominik LinzDepartment of Cardiology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University Medical Centre, Maastricht, The Netherlands.

Funding

PTM was supported by National Science Centre, Poland (grant number 2021/05/X/NZ5/01511), Jagiellonian University Medical College, the John Paul II Hospital and the Ministry of Science and Higher Education stipend for outstanding young scientists.
6 · The paper itself

Abstract

aimA recent European Heart Rhythm Association (EHRA) practical guide provides guidance on the use of novel digital devices for heart rhythm analysis using either electrocardiogram (ECG) or photoplethysmography (PPG) technology for the diagnosis of atrial fibrillation (AF). This survey assesses physicians' preferences to use digital devices in patients with possible AF and their impact on clinical decision-making. METHODS AND

resultsParticipants of the DAS-CAM III initiated and distributed an online survey assessing physician preferences in using digital devices for the management of AF in different clinical scenarios. A total of 505 physicians (median age: 38 [IQR 33-46] years) from 30 countries completed the survey. A third of respondents were electrophysiologists, the others were cardiologists, cardiology residents, or general practitioners. Electrophysiologists were more likely to have experience with both ECG-based (92% vs. 68%, p < 0.001) and PPG-based (60% vs. 34%, p < 0.001) digital devices. The initial diagnostic approach to each scenario (symptomatic low-risk, symptomatic high-risk, or asymptomatic high-risk patient) was heterogeneous. Electrophysiologists preferred intermittent single-lead ECG monitoring to traditional Holter ECGs to screen for AF. Both electrophysiologists and non-electrophysiologists would rarely use PPG-based devices to diagnose and screen for AF (8.2%-9.8%). Electrophysiologists and non-electrophysiologists use ECG-based technology to confirm PPG-documented tracings suggestive of AF.

conclusionWhile PPG-based digital devices are rarely used for diagnosis and screening for AF, intermittent ECG-based digital devices are beginning to be implemented in clinical practice. More education on the potential of novel digital devices is required to achieve diagnostic pathways as suggested by the EHRA practical guide.

Indexed as

Atrial FibrillationElectrocardiographyPhotoplethysmographyPractice Patterns, Physicians'AdultClinical Decision-MakingFemaleHealth Care SurveysHeart RateHumansMaleMiddle AgedSurveys and Questionnairesatrial fibrillationdigital devicesphotoplethysmographyrhythm monitoringscreeningwearables

Identifiers

PMID39582318
PMCPMC11586575

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.