Remote Design of a Smartphone and Wearable Detected Atrial Arrhythmia in Older Adults Case Finding Study: Smart in OAC – AFNET 9

Frontiers in Cardiovascular Medicine

E. Guasch²  D. Haase³  T. Huebner⁴  Ulrich Schotten⁹  Antonia Zapf⁹  K. Jolly⁹  E. Czarnecki^1,10  D. Connolly^1,11  Renate B. Schnabel^1,12  P. Kirchhof^1,14  D. Dudek^1,15  Larissa Fabritz^1,16  A. Zlahoda-Huzior^1,17 

[1] Research, Ravennna, Italy;0Institut Clínic Cardio-Vascular, Hospital Clínic, University of Barcelona, Barcelona, Spain;1August Pi i Sunyer Biomedical Research Institute, Barcelona, Spain;2Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares, Madrid, Spain;3Preventicus GmbH, Jena, Germany;4Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom;5Department of Physiology, Cardiovascular Research Institute Maastricht, Maastricht University Medical Center, Maastricht, Netherlands;6Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;Atrial Fibrillation NETwork, Münster, Germany;D, Birmingham City Hospital, Sandwell and West Birmingham Trust, Birmingham, United Kingdom;;Department of Cardiology and R&Department of Cardiology, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;Department of Measurement and Electronics, AGH University of Science and Technology, Krakow, Poland;German Center for Cardiovascular Research, Partner Site Hamburg/Luebeck/Kiel, Berlin, Germany;Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland;Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom;;Maria Cecilia Hospital, GVM Care &University Center of Cardiovascular Science, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;

关键词: atrial fibrillation;    screening;    wearable;    digital consent;    stroke;    telemedicine;   

DOI  :  10.3389/fcvm.2022.839202

来源: DOAJ

【 摘 要 】

IntroductionScreening for atrial fibrillation and timely initiation of oral anticoagulation, rhythm management, and treatment of concomitant cardiovascular conditions can improve outcomes in high-risk populations. Whether wearables can facilitate screening in older adults is not known.Methods and AnalysesThe multicenter, international, investigator-initiated, single-arm case-finding Smartphone and wearable detected atrial arrhythmia in older adults case finding study (Smart in OAC – AFNET 9) evaluates the diagnostic yield of a validated, cloud-based analysis algorithm detecting atrial arrhythmias via a signal acquired by a smartphone-coupled wristband monitoring system in older adults. Unselected participants aged ≥65 years without known atrial fibrillation and not receiving oral anticoagulation are enrolled in three European countries. Participants undergo continuous pulse monitoring using a wristband with a photo plethysmography (PPG) sensor and a telecare analytic service. Participants with PPG-detected atrial arrhythmias will be offered ECG loop monitoring. The study has a virtual design with digital consent and teleconsultations, whilst including hybrid solutions. Primary outcome is the proportion of older adults with newly detected atrial arrhythmias (NCT04579159).DiscussionSmart in OAC – AFNET 9 will provide information on wearable-based screening for PPG-detected atrial arrhythmias in Europe and provide an estimate of the prevalence of atrial arrhythmias in an unselected population of older adults.

【 授权许可】

Unknown