Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients
(1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AI...
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| Veröffentlicht in: | Journal of clinical medicine 2022-01, Vol.11 (3), p.665 |
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| creator | Leńska-Mieciek, Marta Kuls-Oszmaniec, Aleksandra Dociak, Natalia Kowalewski, Marcin Sarwiński, Krzysztof Osiecki, Andrzej Fiszer, Urszula |
| description | (1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AIS patients were recruited to the study. Thirty-second single-lead electrocardiogram (ECG) usages were recorded on demand for three days using KM portable device. Each KM ECG record was verified by a cardiologist. The feasibility was evaluated using operationalization criteria. (3) Results: the recruitment rate among AIS patients was 26.3%. The withdrawal rate before the start of the intervention was 26%. The withdrawal rate after the start of the intervention was 6%. KM device detected AF in 2.8% of AIS patients and in 2.2% of ECG records. Cardiologist confirmed the AF in 0.3% AIS patients. Sensitivity and specificity of KM for AF was 100% and 98.3%, respectively. (4) Conclusions: the results of this study suggest that it is feasible to use KM device to detect AF in the selected AIS patients (younger and in better neurological condition). KM detected AF in the selected AIS patients with high specificity and sensitivity. |
| doi_str_mv | 10.3390/jcm11030665 |
| format | Article |
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The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AIS patients were recruited to the study. Thirty-second single-lead electrocardiogram (ECG) usages were recorded on demand for three days using KM portable device. Each KM ECG record was verified by a cardiologist. The feasibility was evaluated using operationalization criteria. (3) Results: the recruitment rate among AIS patients was 26.3%. The withdrawal rate before the start of the intervention was 26%. The withdrawal rate after the start of the intervention was 6%. KM device detected AF in 2.8% of AIS patients and in 2.2% of ECG records. Cardiologist confirmed the AF in 0.3% AIS patients. Sensitivity and specificity of KM for AF was 100% and 98.3%, respectively. (4) Conclusions: the results of this study suggest that it is feasible to use KM device to detect AF in the selected AIS patients (younger and in better neurological condition). KM detected AF in the selected AIS patients with high specificity and sensitivity.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11030665</identifier><identifier>PMID: 35160117</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Algorithms ; Asymptomatic ; Automation ; Cardiac arrhythmia ; Clinical medicine ; Consent ; Dyspnea ; Electrocardiography ; Pain ; Registration ; Smartphones ; Stroke ; Transient ischemic attack</subject><ispartof>Journal of clinical medicine, 2022-01, Vol.11 (3), p.665</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-541fc231dd24e4411386a0293279d0be31d6eb8bf603be8a257a000969740f43</citedby><cites>FETCH-LOGICAL-c409t-541fc231dd24e4411386a0293279d0be31d6eb8bf603be8a257a000969740f43</cites><orcidid>0000-0001-7245-7817</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836576/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836576/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35160117$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leńska-Mieciek, Marta</creatorcontrib><creatorcontrib>Kuls-Oszmaniec, Aleksandra</creatorcontrib><creatorcontrib>Dociak, Natalia</creatorcontrib><creatorcontrib>Kowalewski, Marcin</creatorcontrib><creatorcontrib>Sarwiński, Krzysztof</creatorcontrib><creatorcontrib>Osiecki, Andrzej</creatorcontrib><creatorcontrib>Fiszer, Urszula</creatorcontrib><title>Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>(1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AIS patients were recruited to the study. Thirty-second single-lead electrocardiogram (ECG) usages were recorded on demand for three days using KM portable device. Each KM ECG record was verified by a cardiologist. The feasibility was evaluated using operationalization criteria. (3) Results: the recruitment rate among AIS patients was 26.3%. The withdrawal rate before the start of the intervention was 26%. The withdrawal rate after the start of the intervention was 6%. KM device detected AF in 2.8% of AIS patients and in 2.2% of ECG records. Cardiologist confirmed the AF in 0.3% AIS patients. Sensitivity and specificity of KM for AF was 100% and 98.3%, respectively. (4) Conclusions: the results of this study suggest that it is feasible to use KM device to detect AF in the selected AIS patients (younger and in better neurological condition). KM detected AF in the selected AIS patients with high specificity and sensitivity.</description><subject>Algorithms</subject><subject>Asymptomatic</subject><subject>Automation</subject><subject>Cardiac arrhythmia</subject><subject>Clinical medicine</subject><subject>Consent</subject><subject>Dyspnea</subject><subject>Electrocardiography</subject><subject>Pain</subject><subject>Registration</subject><subject>Smartphones</subject><subject>Stroke</subject><subject>Transient ischemic attack</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkctLxDAQxoMoKurJuwS8CFLNo03ai7D4hhUF9x7SdLqbNW00aQX_e7P4YDWXGZhfvpmPD6FDSs44r8j50nSUEk6EKDbQLiNSZoSXfHOt30EHMS5JemWZMyq30Q4vqCCUyl0UH3xtHeBn288dZFPQDb52YIbgjQ6N9fOgOzwDs-i98_MP3PqAJ0Ow2uEbWwfrnB6s7_EVDOnXqrM9nphxAHwfzQI6a_BzUnsB_JRI6Ie4j7Za7SIcfNc9NLu5nl3eZdPH2_vLyTQzOamGrMhpaxinTcNyyHNKeSk0YRVnsmpIDWkioC7rVhBeQ6lZIXUyWYlK5qTN-R66-JJ9HesOGpNWB-3Ua7CdDh_Ka6v-Tnq7UHP_rsqSi0KKJHDyLRD82whxUJ2NBpLjHvwYFROsIoIVxWrX8T906cfQJ3crShaSVFIm6vSLMsHHGKD9PYYStYpTrcWZ6KP1-3_Zn_D4J_aCm1A</recordid><startdate>20220127</startdate><enddate>20220127</enddate><creator>Leńska-Mieciek, Marta</creator><creator>Kuls-Oszmaniec, Aleksandra</creator><creator>Dociak, Natalia</creator><creator>Kowalewski, Marcin</creator><creator>Sarwiński, Krzysztof</creator><creator>Osiecki, Andrzej</creator><creator>Fiszer, Urszula</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7245-7817</orcidid></search><sort><creationdate>20220127</creationdate><title>Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients</title><author>Leńska-Mieciek, Marta ; Kuls-Oszmaniec, Aleksandra ; Dociak, Natalia ; Kowalewski, Marcin ; Sarwiński, Krzysztof ; Osiecki, Andrzej ; Fiszer, Urszula</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-541fc231dd24e4411386a0293279d0be31d6eb8bf603be8a257a000969740f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Algorithms</topic><topic>Asymptomatic</topic><topic>Automation</topic><topic>Cardiac arrhythmia</topic><topic>Clinical medicine</topic><topic>Consent</topic><topic>Dyspnea</topic><topic>Electrocardiography</topic><topic>Pain</topic><topic>Registration</topic><topic>Smartphones</topic><topic>Stroke</topic><topic>Transient ischemic attack</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leńska-Mieciek, Marta</creatorcontrib><creatorcontrib>Kuls-Oszmaniec, Aleksandra</creatorcontrib><creatorcontrib>Dociak, Natalia</creatorcontrib><creatorcontrib>Kowalewski, Marcin</creatorcontrib><creatorcontrib>Sarwiński, Krzysztof</creatorcontrib><creatorcontrib>Osiecki, Andrzej</creatorcontrib><creatorcontrib>Fiszer, Urszula</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leńska-Mieciek, Marta</au><au>Kuls-Oszmaniec, Aleksandra</au><au>Dociak, Natalia</au><au>Kowalewski, Marcin</au><au>Sarwiński, Krzysztof</au><au>Osiecki, Andrzej</au><au>Fiszer, Urszula</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2022-01-27</date><risdate>2022</risdate><volume>11</volume><issue>3</issue><spage>665</spage><pages>665-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>(1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). 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| source | MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Algorithms Asymptomatic Automation Cardiac arrhythmia Clinical medicine Consent Dyspnea Electrocardiography Pain Registration Smartphones Stroke Transient ischemic attack |
| title | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
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