Evidence map›Paper›PMID 40320720›Full record

Trial reportAnnals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc2025

Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single-Lead ECG Patch Device.

Dillon J Dzikowicz, Mehmed Aktas, Betty Mykins, Xiaojuan Xia, Wojciech Zareba, Jean-Phillippe Couderc

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04267133 (Home-based Videoplethysmographic Detection of Atrial Fibrillation), which is not on this 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.

NCT04267133 nacompletednot on this map

Home-based Videoplethysmographic Detection of Atrial Fibrillation

TypeinterventionalSponsorUniversity of RochesterRan2018 to 2021Enrolled256ConditionsAtrial FibrillationArmsFacial video of detection of cardiac disease
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Dillon J DzikowiczSchool of Nursing, University of Rochester, Rochester, New York, USA.ORCID 0000-0001-7230-1927
Mehmed AktasClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USA.
Betty MykinsClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USA.
Xiaojuan XiaClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USA.
Wojciech ZarebaClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USA.
Jean-Phillippe CoudercClinical Cardiovascular Research Center, University of Rochester Medical Center, Rochester, New York, USA.

Funding

Home-based videoplethysmographic detection of atrial fibrillation R01HL137617
6 · The paper itself

Abstract

introductionAtrial fibrillation (AF), affecting 3% of the US adults, is the most common arrhythmia. While ambulatory electrocardiogram (ECG) monitoring is essential for AF detection, conventional technologies have diagnostic limitations due to AF's sporadic nature. ECG patches offer extended monitoring periods, though their effectiveness is primarily limited by deteriorating skin-electrode contact rather than battery or memory constraints.

objectivesThis analysis reports our experience with the Zio ECG patch (iRhythm, San Francisco, CA) in 256 AF patients.

methodWe analyzed human and technical factors and their association with ECG recording duration using previously recorded data which employed the ECG patch as a reference. Descriptive statistics and logistic regression were used to identify associations.

resultsBody mass index (BMI) was found to be an independent predictor of poorer compliance in a dose-dependent manner (B = -0.046, OR = 0.955, 95% CI: 0.916-0.996, p = 0.033). Loss of adhesive was the primary reason for poor compliance (n = 25; 11%). These findings can guide researchers and clinicians in determining the appropriateness of a 14-day ECG patch based on expected wear time and patient compliance.

conclusionBMI significantly impacts ECG patch compliance, primarily through adhesive failures. These findings indicate the need for improved adhesive technologies for higher BMI patients. Future device development should prioritize maintaining electrode-skin contact across diverse patient populations.

trial registrationClinicalTrials.gov Identifier: NCT04267133.

Indexed as

Atrial FibrillationElectrocardiographyElectrocardiography, AmbulatoryAdultAgedBody Mass IndexFemaleHumansMaleMiddle AgedPatient Compliancediagnostic techniques and procedureselectrocardiography ambulatoryheart function testsmonitoring ambulatory

Identifiers

PMID40320720
PMCPMC12050362

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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.