Short-term ECG for out of hospital detection of silent atrial fibrillation episodes
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OBJECTIVES: We evaluated a short-term ECG, thumb ECG, for detection of asymptomatic atrial fibrillation (AF) episodes. The aim was to evaluate registration efficacy, sensitivity, specificity, quality and feasibility in patients with special emphasis on asymptomatic AF. DESIGN: One hundred patients registered their cardiac rhythm with 12-lead ECG immediately followed by thumb ECG. The registrations were compared blindly. A second group of 12 patients, who had successfully undergone cardioversion, performed rhythm registration twice daily for 30 days. A third group of 606 individuals underwent an AF screening procedure. RESULTS: Thumb ECG correctly diagnosed AF (sensitivity) in 96% and sinus rhythm (specificity) in 92% compared with 12-lead ECG. In the group of cardioverted patients, 466 registrations were validated: 95% had satisfactory quality for diagnosis: four patients experienced AF recurrence in which three were asymptomatic. In the third group 12 persons were diagnosed with AF, six of these had neither symptoms nor a history of AF. CONCLUSIONS: Short-term ECG is able to diagnose AF with a high sensitivity, specificity and simple application making detection of asymptomatic AF possible for screening purposes.
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In Doliwa et al., Zenicor ECG had 96% sensitivity and 92% specificity for atrial fibrillation detection.
“In a study by Doliwa PS et al20 sensitivity and specificity for atrial fibrillation detection were 96% and 92%, respectively.”
From Portable out-of-hospital electrocardiography: A review of current technologies (2018) · cites this paper as [20]
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Gage, B. F., Waterman, A. D., Shannon, W., Boechler, M., Rich, M. W., & Radford, M. J. (2001) · JAMA · doi:10.1001/jama.285.22.2864 · Cited by 4,832 · see citing works
ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation: executive summary
Fuster, V., Rydén, L., ASINGER, R. W., Cannom, D. S., Crijns, H. J. G. M., Frye, R. L., Halperin, J. L., Kay, G. N., Klein, W. W., Lévy, S., et al. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01587-x · Cited by 1,358 · see citing works
Stroke with intermittent atrial fibrillation: incidence and predictors during aspirin therapy
Hart, R. G., Pearce, L. A., Rothbart, R. M., McAnulty, J. H., ASINGER, R. W., & Halperin, J. L. (2000) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(99)00489-1 · Cited by 662 · see citing works
Authors Task Force Members, Fuster, V., Rydén, L., Cannom, D. S., Crijns, H. J. G. M., Curtis, A. B., Ellenbogen, K. A., Halperin, J. L., Heuzey, J. L., Kay, G. N., et al. (2006) · European Heart Journal · doi:10.1093/eurheartj/ehl176 · Cited by 645 · see citing works
Page, R. L., Wilkinson, W. E., Clair, W. K., McCarthy, E. A., & Pritchett, E. L. (1994) · Circulation · doi:10.1161/01.cir.89.1.224 · Cited by 627 · cited 1× · see citing works
“With improved methods of cardiac rhythm monitoring it has also been shown that the prevalence of paroxysmal atrial fibrillation is higher than previously assumed (4,9) and may, furthermore, carry the same risk for stroke as does permanent atrial fibrillation (12,13).”
MethodRISK OF STROKE IN NON-RHEUMATIC ATRIAL FIBRILLATION
Flegel, K. M., Shipley, M. J., & Rose, G. (1987) · The Lancet · doi:10.1016/s0140-6736(87)90174-7 · Cited by 439 · see citing works
Fitzmaurice, D. A., Hobbs, F. D. R., Jowett, S., Mant, J., Murray, E. T., Holder, R., Raftery, J. P., Bryan, S., Davies, M., Lip, G. Y. H., et al. (2007) · BMJ · doi:10.1136/bmj.39280.660567.55 · Cited by 405 · see citing works
Prevention of atrial fibrillation after cardioversion: results of the PAFAC trial
FETSCH, T. (2004) · European Heart Journal · doi:10.1016/j.ehj.2004.04.015 · Cited by 334 · see citing works
Kinlay, S., Leitch, J. W., Neil, A., Chapman, B. L., Hardy, D. B., & Fletcher, P. J. (1996) · Annals of Internal Medicine · doi:10.7326/0003-4819-124-1_part_1-199601010-00003 · Cited by 245 · see citing works
Senatore, G., Stabile, G., Bertaglia, E., Donnici, G., Simone, A. D., Zoppo, F., Turco, P., Pascotto, P., & FAZZARI, M. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.11.050 · Cited by 172 · see citing works
Friberg, L., Hammar, N., Pettersson, H., & Rosenqvist, M. (2007) · European Heart Journal · doi:10.1093/eurheartj/ehm308 · Cited by 146 · see citing works
Self-citationBarthélemy, J., Féasson‐Gérard, S., Garnier, P., Gaspoz, J., Costa, A. D., Michel, D., & Roche, F. (2003) · Annals of Noninvasive Electrocardiology · doi:10.1046/j.1542-474x.2003.08305.x · Cited by 104 · see citing works
Roche, F., Gaspoz, J., Costa, A. D., Isaaz, K., Duverney, D., Pichot, V., Costes, F., Lacour, J.-R., & Barthélemy, J. (2002) · Pacing and Clinical Electrophysiology · doi:10.1046/j.1460-9592.2002.01587.x · Cited by 101 · see citing works
Insertable Loop Recorder Use for Detection of Intermittent Arrhythmias
Krahn, A. D., Klein, G. J., Skanes, A. C., & Yee, R. K. (2004) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2004.00502.x · Cited by 66 · see citing works
Tieleman, R. G., Gelder, I. C. V., Bosker, H. A., Kingma, T., Wilde, A. A. M., Kirchhof, C. J. H. J., Bennekers, J. H., Bracke, F. A. L. E., Veeger, N. J. G. M., Haaksma, J., et al. (2005) · Heart Rhythm · doi:10.1016/j.hrthm.2004.11.014 · Cited by 34 · see citing works
Epidemiology and management of new-onset atrial fibrillation.
Abusaada, K., Sharma, S., Jaladi, R., et al. (2004) · PubMed · Cited by 28 · see citing works
Schwaab, B., Katalinic, A., Richardt, G., et al. (2006) · Journal of Telemedicine and Telecare · doi:10.1258/135763306778558204 · Cited by 22 · see citing works
Wieland, S., Kikillus, N., Baas, T., et al. (2007) · Conference proceedings · doi:10.1109/iembs.2007.4353133 · Cited by 5 · see citing works
Improving Thromboprophylaxis in Elderly Patients with Non-Valvular Atrial Fibrillation
Lowdon, D., Harper, J. R., & Gillespie, N. (2004) · Scottish Medical Journal · doi:10.1177/003693300404900411 · Cited by 4 · see citing works
What is the best method of detecting atrial fibrillation in people aged 65 years and older?
Wyse, D. G. (2007) · Nature Clinical Practice Cardiovascular Medicine · doi:10.1038/ncpcardio1063 · Cited by 2 · see citing works
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Svennberg, E., Engdahl, J., Al-Khalili, F., Friberg, L., Frykman, V., & Rosenqvist, M. (2015) · Circulation · doi:10.1161/circulationaha.114.014343 · Cited by 605 · see citing works
Halcox, J. P. J., Wareham, K., Cardew, A., Gilmore, M., Barry, J. P., Phillips, C., & Gravenor, M. B. (2017) · Circulation · doi:10.1161/circulationaha.117.030583 · Cited by 580 · see citing works
Screening to identify unknown atrial fibrillation: A systematic review
Lowres, N., Neubeck, L., Redfern, J., & Freedman, S. B. (2013) · Thrombosis and Haemostasis · doi:10.1160/th13-02-0165 · Cited by 327 · see citing works
How to use digital devices to detect and manage arrhythmias: an EHRA practical guide
Svennberg, E., Tjong, F., Goette, A., Akoum, N., Di Biase, L., Bordachar, P., Boriani, G., Burri, H., Conte, G., Deharo, J. C., et al. (2022) · Europace · doi:10.1093/europace/euac038 · Cited by 261 · see citing works
Portable out-of-hospital electrocardiography: A review of current technologies
Bansal, A., & Joshi, R. (2018) · Journal of Arrhythmia · doi:10.1002/joa3.12035 · Cited by 174 · see citing works
Aronsson, M., Svennberg, E., Rosenqvist, M., Engdahl, J., Al-Khalili, F., Friberg, L., Frykman-Kull, V., & Levin, L.-Å. (2015) · Europace · doi:10.1093/europace/euv083 · Cited by 154 · see citing works
Improved screening for silent atrial fibrillation after ischaemic stroke
Doliwa Sobocinski, P., Anggardh Rooth, E., Frykman Kull, V., von Arbin, M., Wallen, H., & Rosenqvist, M. (2012) · Europace · doi:10.1093/europace/eur431 · Cited by 112 · see citing works
Self-citationFriberg, L., Engdahl, J., Frykman, V., Svennberg, E., Levin, L.-Å., & Rosenqvist, M. (2013) · EP Europace · doi:10.1093/europace/eus217 · Cited by 100 · see citing works
Self-citationThe Use of Wearable ECG Devices in the Clinical Setting: A Review
Kamga, P., Mostafa, R., & Zafar, S. (2022) · Current Emergency and Hospital Medicine Reports · doi:10.1007/s40138-022-00248-x · Cited by 94 · see citing works
Varma, N., Cygankiewicz, I., Turakhia, M. P., Heidbuchel, H., Hu, Y.-F., Chen, L. Y., Couderc, J.-P., Cronin, E. M., Estep, J. D., Grieten, L., et al. (2021) · Circulation: Arrhythmia and Electrophysiology · doi:10.1161/circep.120.009204 · Cited by 74 · see citing works
How will machine learning inform the clinical care of atrial fibrillation?
Siontis, K. C., Yao, X., Pirruccello, J. P., Philippakis, A. A., & Noseworthy, P. A. (2020) · Circulation Research · doi:10.1161/circresaha.120.316401 · Cited by 61 · see citing works
A cost-effectiveness analysis of screening for silent atrial fibrillation after ischaemic stroke
Levin, L.-A., Husberg, M., Sobocinski, P. D., Kull, V. F., Friberg, L., Rosenqvist, M., & Davidson, T. (2015) · Europace · doi:10.1093/europace/euu213 · Cited by 56 · see citing works
Self-citationNewer technologies for detection of atrial fibrillation
Zungsontiporn, N., & Link, M. S. (2018) · BMJ · doi:10.1136/bmj.k3946 · Cited by 53 · see citing works
Screening for undiagnosed atrial fibrillation in the community
Quinn, F. R., & Gladstone, D. (2014) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000018 · Cited by 34 · see citing works
- Authors
- Doliwa, P. S., Frykman, V., & Rosenqvist, M.
- Affiliations
- Danderyds sjukhus (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Doliwa, Peter Sobocinski
- Venue
- Scandinavian Cardiovascular Journal
- Publisher
- Informa UK Limited
- Published
- 2009-01
- Volume
- 43
- Issue
- 3
- Pages
- 163-168
- ISSN
- 1401-7431 (ISSN-L)
- 1651-2006
- OpenAlex
- W2085420007
- Cited by
- 105
- References
- 20
- Citations by year
- 2025: 3 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 9 · 2020: 10 · 2019: 11 · 2018: 9 · 2017: 10 · 2016: 9 · 2015: 6 · 2014: 6 · 2013: 6 · 2012: 3
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Scandinavian Cardiovascular Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Stockholms Läns Landsting
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Physical Sciences › Engineering › Biomedical Engineering › Non-Invasive Vital Sign Monitoring
- Keywords
- silent atrial fibrillation, asymptomatic atrial fibrillation, atrial fibrillation screening, 12-lead ECG comparison, cardioversion, atrial fibrillation recurrence, sensitivity and specificity
- MeSH terms
- Adult, Aged, Aged, 80 and over, Atrial Fibrillation, Electric Countershock, Electrocardiography, Feasibility Studies, Female, Humans, Male, Mass Screening, Middle Aged, Sensitivity and Specificity, Telemetry
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