Evidence map›Paper›PMID 40285525›Full record

Trial reportPacing and clinical electrophysiology : PACE2025

Does a Smartphone-Based ECG Recording System in Pediatric Patients With Palpitations Improve Diagnostic Yield?

Hilal Al Riyami, Sultan Zamzami, Lisa K Hornberger, Yashu Coe, Shubhayan Sanatani, Francesca de la Cruz, Joseph Atallah, Carolina A Escudero

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pacing and clinical electrophysiology : PACE, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Hilal Al RiyamiDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Sultan ZamzamiDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Lisa K HornbergerDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Yashu CoeDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Shubhayan SanataniDivision of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Francesca de la CruzDivision of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada.
Joseph AtallahDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Carolina A EscuderoDivision of Cardiology, Department of Pediatrics, University of Alberta, Edmonton, Canada.ORCID 0000-0001-9401-3221

Funding

Women and Children's Health Research Institute of the University of Alberta
6 · The paper itself

Abstract

introductionPalpitations in children are common and obtaining symptom-rhythm correlation is diagnostic, but challenging to obtain. The AliveCor KardiaMobile monitor is a smartphone-based single-lead ECG event recorder with limited study in children. We compared using this smartphone recorder to a conventional (Cardiocall) event recorder.

methodsWe performed a prospective, randomized study of children presenting to pediatric cardiology for investigation of palpitations who require an event recorder for symptom-rhythm correlation. Patients were randomized to the smartphone or conventional recorder for rhythm documentation for 3 months or 4 weeks, respectively. Diagnostic tracings were defined as one pathologic arrhythmia or three sinus rhythm tracings. We assessed tracing quality, diagnoses obtained, and time to diagnosis between groups. Patients were surveyed to assess perceptions of using the devices.

resultsOne hundred participants were enrolled and randomized to 50 in each group. Diagnostic tracings were achieved in 51% versus 44% (p = 0.525) in the smartphone versus conventional group at means of 23.7 (SD 36.4) versus 11.5 (SD 15.2) days, p = 0.181. Participants who used the smartphone monitor were more likely to transmit recordings (70% vs. 49%, p = 0.037) and more often willing to use the device again (87% vs. 42%, p = 0.015), with no differences between groups in finding episodes easy to record (74% vs. 100%, p = 0.15), easy to transmit (70% vs. 46%, p = 0.26), or overall satisfaction (83% vs. 58%, p = 0.13).

conclusionSmartphone monitor devices provided similar diagnostic yield to conventional monitors in children. Families who used the smartphone monitor were more willing to use the device again.

Indexed as

Arrhythmias, CardiacElectrocardiographyElectrocardiography, AmbulatorySmartphoneAdolescentChildChild, PreschoolFemaleHumansMaleProspective Studieschildrenevent recorderpalpationssmartphonesupraventricular tachycardiasymptomstachycardia

Identifiers

PMID40285525
PMCPMC12166532

What OpenQuestion holds

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LicenceCC BY-NC
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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.