Evidence map›Paper›PMID 41624561›Full record

ArticleEuropean heart journal. Digital health2026

Smartphone application-based heart rhythm monitoring to cancel scheduled electrical cardioversion in patients with spontaneous conversion of presumed persistent atrial fibrillation: TeleConvert-AF.

Madelon D E A Engels, Astrid N L Hermans, Ben J M Hermans, Justin Luermans, Sevasti-Maria Chaldoupi, Jeroen M L Hendriks, Theo Lankveld, Mandy V M Kessels, Bianca J G H Vorstermans, Rypko J Beukema and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in European heart journal. Digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06359132 (The Effect of Integrated Mobile Health-supported Heart Rhythm Management Around Electrical Cardioversion in Terms of Cancelling Unnecessary Scheduled ECV Appointments in Patients With Presumed Persistent Atrial Fibrillation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06359132 unknown statusnot on this map

The Effect of Integrated Mobile Health-supported Heart Rhythm Management Around Electrical Cardioversion in Terms of Cancelling Unnecessary Scheduled ECV Appointments in Patients With Presumed Persistent Atrial Fibrillation (TeleConvert-AF)

TypeobservationalSponsorMaastricht University Medical CenterRan2022 to 2025Enrolled264ConditionsAtrial Fibrillation, Arrhythmia, Mobile Health, Electrical Cardioversion
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  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
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

13 authors.

Madelon D E A EngelsDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Astrid N L HermansDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Ben J M HermansDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Justin LuermansDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.ORCID https://orcid.org/0000-0001-9598-2286
Sevasti-Maria ChaldoupiDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Jeroen M L HendriksDepartment of Nursing, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Theo LankveldDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Mandy V M KesselsDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Bianca J G H VorstermansDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.
Rypko J BeukemaDepartment of Cardiology, Radboud University Medical Centre, Geert Grooteplein Zuid 10, Nijmegen, GA 6525, The Netherlands.
Kevin VernooyDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.ORCID https://orcid.org/0000-0002-8818-5964
Wilfred HeesenDepartment of Cardiology, VieCuri Medical Centre, Tegelseweg 210, Venlo, BL 5912, The Netherlands.
Dominik K LinzDepartment of Cardiology-Cardiovascular Research Institute Maastricht, Maastricht University Medical Centre+, P. Debyelaan 25, Maastricht, HX 6229, The Netherlands.ORCID https://orcid.org/0000-0003-4893-0824

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Patients with presumed persistent atrial fibrillation (AF) scheduled for electrical cardioversion (ECV) might have self-terminating AF to sinus rhythm (SR) while awaiting ECV, leading to unnecessary visits and healthcare burden. The TeleConvert-AF study evaluated the effectiveness of a novel smartphone app-based and alert-supported heart rhythm monitoring approach to detect spontaneous conversion to SR or a paroxysmal AF to be able to cancel ECV appointments. Methods and results: Patients with presumed persistent AF scheduled for ECV used a photoplethysmography (PPG) based smartphone app, supported by a red-amber-green alert system, to record their heart rhythm three times daily for at least two weeks prior to ECV and four weeks after ECV. ECV was cancelled if spontaneous conversion to SR or a paroxysmal AF pattern was confirmed by electrocardiogram. Among the 270 patients (median age 68years, 71% male), 37 (13.7%) had their ECV cancelled. Self-terminating AF was the leading cause of ECV cancellation ( Conclusion: The TeleConvert-AF approach is feasible and effective in accurately identifying patients with spontaneous conversion to SR or paroxysmal AF while awaiting ECV. A significant number of unnecessary hospital admissions and cardioversions could be avoided. ClinicalTrials.gov ID NCT06359132.

Indexed as

Atrial fibrillationElectrical cardioversionMobile healthPatient engagementPhotoplethysmographySpontaneous conversion

Identifiers

PMID41624561
PMCPMC12853120

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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.