Article
Biochemistry & Molecular Biology
Konstantinos D. Rizas, Luisa Freyer, Nikolay Sappler, Lukas von Stuelpnagel, Peter Spielbichler, Aresa Krasniqi, Michael Schreinlechner, Felix N. Wenner, Fabian Theurl, Amira Behroz, Elodie Eiffener, Mathias P. Klemm, Annika Schneidewind, Martin Zens, Theresa Dolejsi, Ulrich Mansmann, Steffen Massberg, Axel Bauer
Summary: The study compared the efficacy of digital smart devices in detecting atrial fibrillation (AF) and found that digital screening technology more than doubled the detection rate of treatment-relevant AF compared to usual care. This technology has the potential for broad applicability and further studies are needed to assess if digital screening for AF leads to better treatment outcomes.
Article
Critical Care Medicine
Mik Wetterslev, Morten Hylander Moller, Anders Granholm, Christian Hassager, Nicolai Haase, Theis N. Lange, Sheila Myatra, Johanna M. Hastbacka, Yaseen Arabi, Jiawei Shen, Maria Cronhjort, Elin Lindqvist, Anders J. Aneman, Paul Young, Wojciech Szczeklik, Martin Siegemund, Thijs Koster, Tayyba Naz H. Aslam, Morten S. Bestle, Mia Girkov, Kushal Kalvit, Rakesh Mohanty, Joanne Mascarenhas, Manoranjan Pattnaik, Sara Vergis, Sai Praveen Haranath, Mehul Shah, Ziyokov Joshi, Erika Wilkman, Matti Reinikainen, Pasi Lehto, Ville Jalkanen, Anni Pulkkinen, Youzhong An, Guoxing Wang, Lei Huang, Bin Huang, Wei Liu, Hengbo Gao, Lin Dou, Shuangling Li, Wanchun Yang, Emily Tegnell, Agnes Knight, Miroslaw Czuczwar, Tomasz Czarnik, Anders Perner
Summary: This study aimed to assess the incidence, risk factors, and outcomes of atrial fibrillation (AF) in ICU and described the current practice in the management of AF. The results showed that the incidence of AF was 15.6%, with newly developed AF accounting for 13.3%. Factors associated with AF included arterial hypertension, paroxysmal AF, sepsis, or high disease severity at ICU admission. There were variations in the diagnostic and management strategies for AF, and AF was associated with worse outcomes.
CRITICAL CARE MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Edvard Liljedahl Sandberg, Sigrun Halvorsen, Trygve Berge, Jostein Grimsmo, Dan Atar, Rune Fensli, Bjornar Leangen Grenne, Jarle Jortveit
Summary: This study aimed to assess the feasibility of a fully digital self-screening procedure for atrial fibrillation (AF) and to evaluate the prevalence of undetected AF using continuous patch electrocardiogram monitoring. The results showed that this fully digital self-screening procedure was highly feasible and detected previously undetected cases of AF.
Article
Cardiac & Cardiovascular Systems
Gregory M. Marcus, Madelaine Faulkner Modrow, Christopher H. Schmid, Kathi Sigona, Gregory Nah, Jiabei Yang, Tzu-Chun Chu, Sean Joyce, Shiffen Gettabecha, Kelsey Ogomori, Vivian Yang, Xochitl Butcher, Mellanie True Hills, Debbe McCall, Kathleen Sciarappa, Ida Sim, Mark J. Pletcher, Jeffrey E. Olgin
Summary: Testing of AF triggers through n-of-1 trials did not improve AF-related quality of life, however, it was associated with a reduction in AF events. Acute exposure to alcohol increased AF risk, with no evidence that other exposures, including caffeine, more commonly triggered AF.
Article
Cardiac & Cardiovascular Systems
Steven A. Lubitz, Steven J. Atlas, Jeffrey M. Ashburner, Ana T. Trisini Lipsanopoulos, Leila H. Borowsky, Wyliena Guan, Shaan Khurshid, Patrick T. Ellinor, Yuchiao Chang, David D. McManus, Daniel E. Singer
Summary: Screening for atrial fibrillation using a single-lead ECG at primary care visits did not affect new atrial fibrillation diagnoses among individuals aged 65 years or older compared with usual care.
Article
Cardiac & Cardiovascular Systems
Henri Gruwez, Stijn Evens, Tine Proesmans, David Duncker, Dominik Linz, Hein Heidbuchel, Martin Manninger, Pieter Vandervoort, Peter Haemers, Laurent Pison
Summary: Physicians can detect atrial fibrillation (AF) on photoplethysmography (PPG) waveforms with a sensitivity of 88.8% and specificity of 86.3%. Additional presentation of the tachogram plus Poincare plot significantly increases sensitivity to 95.5% and specificity to 92.5%. Physicians can detect AF on single-lead ECG with a sensitivity of 91.2% and specificity of 93.9%, but full 12-lead ECG does not significantly improve diagnostic accuracy. There is no significant difference in performance between PPG waveform plus tachogram and Poincare compared to single-lead ECG in detecting or excluding AF.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Computer Science, Information Systems
Seyed Jamaleddin Mostafavi Yazdi, Hee-Joon Park, Chang-Sik Son, Jong-Ha Lee
Summary: The study developed an implantable ECG sensor for continuous monitoring and efficient AFib detection using global covering rule discovery and the MDL algorithm. The MDL algorithm and novel classification technique showed promising results in AFib detection and differentiation.
Article
Cardiac & Cardiovascular Systems
Matthew B. Murphy, Kyungsoo Kim, Prince J. Kannankeril, Tuerdi Subati, Joseph C. Van Amburg, Joey Barnett, Katherine T. Murray
Summary: In this study, we aimed to optimize transesophageal rapid atrial pacing (RAP) protocols for the detection of atrial fibrillation (AF) susceptibility in mouse models. We found that high stimulus intensity and pacing rates caused parasympathetic stimulation, leading to pacing-induced atrioventricular (AV) block and excessive AF induction. Pacing at twice diastolic threshold enabled improved phenotype discrimination in a pacing mode and sex-specific manner.
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY
(2022)
Editorial Material
Medicine, General & Internal
[Anonymous]
Summary: This interactive feature discusses screening for atrial fibrillation in asymptomatic older adults through a case vignette and two essays that present arguments for and against screening.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Keng Tat Koh, Wan Chung Law, Win Moe Zaw, Diana Hui Ping Foo, Chen Ting Tan, Anderson Steven, Desmond Samuel, Tem Lom Fam, Ching Hua Chai, Zhai Sing Wong, Sivaraj Xaviar, Chandan Deepak Bhavnani, Jason Seng Hong Tan, Yen Yee Oon, Asri Said, Alan Yean Yip Fong, Tiong Kiam Ong
Summary: The study aimed to compare the diagnostic yield of 30-day smartphone ECG recording with 24-hour Holter monitoring in detecting AF after ischaemic stroke. The results showed that smartphone ECG recording significantly improved AF detection and increased the proportion of patients on oral anticoagulation therapy.
Article
Cardiac & Cardiovascular Systems
Yong-Yeon Jo, Younghoon Cho, Soo Youn Lee, Joon-myoung Kwon, Kyung-Hee Kim, Ki-Hyun Jeon, Soohyun Cho, Jinsik Park, Byung-Hee Oh
Summary: A explainable deep learning model was developed and validated for detecting atrial fibrillation using diverse formats of electrocardiograms. The model achieved high performance in both internal and external validation, suggesting its potential application in clinical practice.
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Stavros Stavrakis, Khaled Elkholey, Marty M. Lofgren, Zain U. A. Asad, Lancer D. Stephens, Ben Freedman
Summary: Opportunistic screening for atrial fibrillation using a mobile, single-lead ECG device in tribal health clinics can detect more cases of AF compared to usual care, leading to appropriate initiation of anticoagulation. AF develops at a younger age in American Indian adults who may benefit from earlier screening.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Cardiac & Cardiovascular Systems
Aditya J. Ullal, DaJuanicia N. Holmes, Barbara L. Lytle, Roland A. Matsouaka, Shubin Sheng, Nihar R. Desai, Anne B. Curtis, Margaret C. Fang, Pamela J. McCabe, Gregg C. Fonarow, Andrea M. Russo, William R. Lewis, Paul A. Heidenreich, Jonathan P. Piccini, Mintu P. Turakhia, Alexander C. Perino
Summary: This study analyzed the disparities in achieving care measures among hospitals participating in the Get With The Guidelines - Atrial Fibrillation (GWTG-AFIB) Registry. Despite high overall attainment, there were significant variations among institutions, highlighting the need for improvements in certain aspects of atrial fibrillation care.
AMERICAN HEART JOURNAL
(2022)
Article
Computer Science, Information Systems
Li Zhu, Viswam Nathan, Jilong Kuang, Jacob Kim, Robert Avram, Jeffrey Olgin, Jun Gao
Summary: Atrial Fibrillation (AF) is a significant cardiac rhythm disorder that can be detected and monitored using wearable sensors. This study developed a highly sensitive and specific AF detection algorithm, and comprehensively validated its performance in a real-world population. The research also demonstrated the robustness and accuracy of the algorithm in daily living scenarios.
IEEE JOURNAL OF BIOMEDICAL AND HEALTH INFORMATICS
(2022)
Article
Cardiac & Cardiovascular Systems
Diego Mannhart, Mirko Lischer, Sven Knecht, Jeanne du Fay de lavallaz, Ivo Strebel, Teodor Serban, David Vogeli, Beat Schaer, Stefan Osswald, Christian Mueller, Michael Kuhne, Christian Sticherling, Patrick Badertscher
Summary: This study assessed the accuracy of 5 smart devices in detecting atrial fibrillation (AF) compared to physician-interpreted 12-lead electrocardiogram. The sensitivity and specificity varied among the devices, and manual review was required for about one-fourth of the cases.
JACC-CLINICAL ELECTROPHYSIOLOGY
(2023)
