Evidence map›Paper›PMID 42226453›Full record

ArticleJournal of cardiovascular electrophysiology2026

Artificial Intelligence-Enhanced Implantable Loop Recorders in Pediatric Patients: Effects on Device Performance and Clinical Workflow in a Single-Center Experience.

Giovanni Domenico Ciriello, Diego Colonna, Nicola Grimaldi, Paolo Abate, Anna Murredda, Giovanni Papaccioli, Anna Correra, Emanuele Romeo, Maria Giovanna Russo, Berardo Sarubbi

Abstract read
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2026. 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. 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

10 authors.

Giovanni Domenico CirielloAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Diego ColonnaAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Nicola GrimaldiAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Paolo AbatePediatric Cardiology Unit, Monaldi Hospital, "L. Vanvitelli" University, Naples, Italy.
Anna MurreddaAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Giovanni PapaccioliAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Anna CorreraAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Emanuele RomeoAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.
Maria Giovanna RussoPediatric Cardiology Unit, Monaldi Hospital, "L. Vanvitelli" University, Naples, Italy.
Berardo SarubbiAdult Congenital Heart Disease and Familial Arrhythmias Unit, Monaldi Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionArtificial intelligence (AI)-based algorithms have been developed to reduce alert burden in patients with implantable loop recorders (ILRs), but their performance in pediatric populations has not been previously evaluated.

methodsWe retrospectively analyzed pediatric patients implanted with an AI-enhanced ILR (Linq2, Medtronic) incorporating AI-based filtering (AccuRhythm algorithms). The impact of AI on nonactionable alerts (NAAs) and estimated clinical workflow was assessed using previously published time-and-motion models.

resultsForty-five patients (10.8 ± 4.7 years) were included. AI-based filtering significantly reduced NAAs (43.7%), driven predominantly by a marked reduction in pause-related alerts (75%), corresponding to an estimated saving of 14 clinic hours over 3 months (58 projected hours annually).

conclusionsIn this exploratory pediatric experience, AI-enhanced ILR monitoring substantially reduced the burden of NAAs, particularly for pause alerts. These findings highlight the importance of population-specific AI algorithms and suggest that AI-based filtering may improve the efficiency and sustainability of monitoring in pediatric electrophysiology.

Indexed as

Arrhythmias, CardiacArtificial IntelligenceElectrocardiography, AmbulatoryHeart RateSignal Processing, Computer-AssistedWorkflowAction PotentialsAdolescentAge FactorsAlgorithmsChildChild, PreschoolEquipment DesignFemaleHumansMalealgorithmarrhythmiaartificial intelligencechildimplantable loop recordersyncope

Identifiers

PMID42226453
PMCPMC13475283

What OpenQuestion holds

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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.