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

article

Larissa Fabritz¹  D. Connolly⁴  E. Czarnecki⁶  D. Dudek⁷  A. Zlahoda-Huzior⁹  E. Guasch^1,10  D. Haase⁶  T. Huebner^1,13  K. Jolly^1,14  P. Kirchhof²  Ulrich Schotten⁶  Antonia Zapf^1,16  Renate B. Schnabel² 

[1] University Center of Cardiovascular Science, University Medical Center Hamburg-Eppendorf;Department of Cardiology, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf;German Center for Cardiovascular Research;Institute of Cardiovascular Sciences, University of Birmingham;Department of Cardiology and R&D, Birmingham City Hospital;Atrial Fibrillation NETwork;Institute of Cardiology, Jagiellonian University Medical College;Maria Cecilia Hospital, GVM Care & Research;Department of Measurement and Electronics, AGH University of Science and Technology;Institut Clínic Cardio-Vascular, Hospital Clínic, University of Barcelona;August Pi i Sunyer Biomedical Research Institute;Centro de Investigación Biomédica en Red en Enfermedades Cardiovasculares;Preventicus GmbH;Institute of Applied Health Research, University of Birmingham;Department of Physiology, Cardiovascular Research Institute Maastricht, Maastricht University Medical Center;Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf

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

DOI  :  10.3389/fcvm.2022.839202

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

Introduction Screening 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 Analyses The 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 ). Discussion Smart 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】

CC BY