Evidence map›Paper›PMID 40901364›Full record

ArticleFrontiers in cardiovascular medicine2025

Evaluation of ambulatory electrocardiographic monitoring of patients after high-risk acute coronary syndrome: the MONITOR ACS-Epic 13 randomized trial.

Jose M De La Torre Hernandez, Victor Exposito, Susana Gonzalez Enriquez, Felipe Rodriguez Entem, Adrian Margarida, Tamara García Camarero, Gabriela Veiga, Fermin Sainz Laso, Dae-Hyun Lee, Aritz Gil Ongay and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03940066 (Evaluation of Ambulatory Monitoring of Patients After High-risk Acute Coronary Syndrome Using Two Different Systems), 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.

NCT03940066 nacompletednot on this map

Evaluation of Ambulatory Monitoring of Patients After High-risk Acute Coronary Syndrome Using Two Different Systems: Biomonitor-2 and Kardia Mobile

TypeinterventionalSponsorFundación EPICRan2019 to 2024Enrolled169ConditionsAtrial Fibrillation, Syncope, Tachycardia, Arrhythmias, CardiacArmsBiomonitor-2 and Kardia mobile, No Intervention
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

16 authors.

Jose M De La Torre HernandezCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Victor ExpositoCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Susana Gonzalez EnriquezCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Felipe Rodriguez EntemCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Adrian MargaridaCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Tamara García CamareroCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Gabriela VeigaCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Fermin Sainz LasoCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Dae-Hyun LeeCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Aritz Gil OngayCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Sergio BarreraCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Santiago CatoyaCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Celia GarilletiCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Rigoberto HernandezCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Cristina ObregonCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.
Juan J OlallaCardiology Division, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Patients with acute coronary syndrome (ACS) may experience adverse events during follow-up. Previous trials have shown that asymptomatic arrhythmias preceded these adverse events in a substantial proportion of patients. Ambulatory remote monitoring may allow early detection of electrocardiographic alterations with therapeutic and prognostic implications. This study aims to evaluate the efficacy of remote monitoring in this population. Methods and results: This is a single-center, randomized controlled trial designed to evaluate the efficacy of 12-month monitoring of high-risk patients after ACS. High risk was defined by a GRACE score over 118 and a CHA Conclusions: Ambulatory monitoring of high-risk patients after ACS shows a significantly higher detection of ECG-clinically relevant findings as compared with a control group. This was not translated into a difference in 1-year MACE, though the study was clearly underpowered for these clinical endpoints. Clinical Trial Registration: https://clinicaltrials.gov/study/NCT03940066?tab=history&a=3NCT03940066, identifier: NCT03940066.

Indexed as

atrial fibrillationcardiac arrhythmiascontinuous monitoringimplantable loop recordermyocardial infarctionwearable device

Identifiers

PMID40901364
PMCPMC12400330

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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.