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The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: centre and patient experiences
Open accessAbstract
AIMS: TeleCheck-AF is a multicentre international project initiated to maintain care delivery for patients with atrial fibrillation (AF) during COVID-19 through teleconsultations supported by an on-demand photoplethysmography-based heart rate and rhythm monitoring app (FibriCheck®). We describe the characteristics, inclusion rates, and experiences from participating centres according the TeleCheck-AF infrastructure as well as characteristics and experiences from recruited patients. METHODS AND RESULTS: Three surveys exploring centre characteristics (n = 25), centre experiences (n = 23), and patient experiences (n = 826) were completed. Self-reported patient characteristics were obtained from the app. Most centres were academic (64%) and specialized public cardiology/district hospitals (36%). Majority of the centres had AF outpatient clinics (64%) and only 36% had AF ablation clinics. The time required to start patient inclusion and total number of included patients in the project was comparable for centres experienced (56%) or inexperienced in mHealth use. Within 28 weeks, 1930 AF patients were recruited, mainly for remote AF control (31% of patients) and AF ablation follow-up (42%). Average inclusion rate was highest during the lockdown restrictions and reached a steady state at a lower level after easing the restrictions (188 vs. 52 weekly recruited patients). Majority (>80%) of the centres reported no problems during the implementation of the TeleCheck-AF approach. Recruited patients [median age 64 (55-71), 62% male] agreed that the FibriCheck® app was easy to use (94%). CONCLUSION: Despite different health care settings and mobile health experiences, the TeleCheck-AF approach could be set up within an extremely short time and easily used in different European centres during COVID-19.
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“Digital tools that require constant monitoring, often leading to false positive results, are prone to limited sustainability.60”
From Unlocking Tomorrow’s Health Care: Expanding the Clinical Scope of Wearables by Applying Artificial Intelligence (2024) · cites this paper as [60]
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Self-citationPluymaekers, N. A. H. A., Hermans, A. N. L., van der Velden, R. M. J., Gawalko, M. M., den Uijl, D. W., Buskes, S., Vernooy, K., Crijns, H. J. G. M., Hendriks, J., & Linz, D. (2020) · EP Europace · doi:10.1093/europace/euaa201 · Cited by 112
Self-citationHolt, A., Gislason, G., Schou, M., Zareini, B., Biering‐Sørensen, T., Phelps, M. D., Kragholm, K. H., Andersson, C., Fosbøl, E. L., Hansen, M. L., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa494 · Cited by 111
Accuracy of Smartphone Camera Applications for Detecting Atrial Fibrillation
O’Sullivan, J. W., Grigg, S. E., Crawford, W., Turakhia, M. P., Perez, M. V., Ingelsson, E., Wheeler, M. T., Ioannidis, J. P. A., & Ashley, E. A. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.2064 · Cited by 100
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Amiri, P., Nadri, H., & Bahaadinbeigy, K. (2024) · Figshare · doi:10.6084/m9.figshare.24455019
Amiri, P., Nadri, H., & Bahaadinbeigy, K. (2023) · Figshare · doi:10.6084/m9.figshare.24454962
Ratti, C., Malaguti, M., Mitri, G. D., & D’Aniello, E. (2026) · Future Cardiology · doi:10.1080/14796678.2026.2621339
Prescribed Cardiac Wearables in Routine Care: a qualitative study of Patient ExperiencesPreprint
Zeng, A., O’Hagan, E. T., Trivedi, R., Ford, B., Perry, T., Turnbull, S., Sheahen, B., Mulley, J., Sedhom, M., Choy, C. K., et al. (2026) · medRxiv · doi:10.64898/2026.04.09.26350550
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Metadata
- Authors
- Gawałko, M., Duncker, D., Manninger, M., van der Velden, R. M. J., Hermans, A. N. L., Verhaert, D. V. M., Pison, L., Pisters, R., Hemels, M., Sultan, A., Steven, D., Gupta, D., Heidbuchel, H., Sohaib, A., Wijtvliet, P., Tieleman, R., Gruwez, H., Chun, J., Schmidt, B., Keaney, J. J., Müller, P., Lodziński, P., Svennberg, E., Hoekstra, O., Jansen, W. P. J., Desteghe, L., de Potter, T., Tomlinson, D. R., Neubeck, L., Crijns, H. J. G. M., Pluymaekers, N. A. H. A., Hendriks, J. M., Linz, D., & the TeleCheck-AF investigators
- Affiliations
- Department of Cardiology, Maastricht University Medical Centre, Cardiovascular Research Institute Maastricht, 6202 AZ Maastricht, The Netherlands
- Medizinische Hochschule Hannover (DE)
- Medical University of Graz (AT)
- Maastricht University Medical Centre (NL)
- Radboud University Medical Center (NL)
- Ziekenhuis Oost-Limburg (BE)
- Rijnstate Hospital (NL)
- University of Cologne (DE)
- Liverpool Heart and Chest Hospital (GB)
- Antwerp University and University Hospital, Antwerp, Belgium
- Barts Heart Centre, West Smithfield, London, UK
- Martini Ziekenhuis (NL)
- KU Leuven (BE)
- Cardiovascular Center Bethanien (DE)
- Mater Misericordiae University Hospital (IE)
- University Hospital Münster (DE)
- Medical University of Warsaw (PL)
- Karolinska University Hospital (SE)
- Tergooi (NL)
- Jessa Hospital (BE)
- Cardiovascular Center, Onze Lieve Vrouwziekenhuis, Aalst, Belgium
- Derriford Hospital (GB)
- Edinburgh Napier University (GB)
- Royal Adelaide Hospital (AU)
- University of Copenhagen (DK)
- Corresponding author
- Linz, Dominik
- ORCID
- Gawałko, Monika
- Duncker, David
- Manninger, Martin
- Hermans, Astrid N.L.
- Verhaert, Dominique V.M.
- Pison, Laurent
- Pisters, Ron
- Hemels, Martin
- Sultan, Arian
- Steven, Daniel
- Gupta, Dhiraj
- Sohaib, Afzal
- Wijtvliet, Petra
- Tieleman, Robert
- Gruwez, Henri
- Chun, Julian
- Schmidt, Boris
- Müller, Patrick
- Lodziński, Piotr
- Svennberg, Emma
- Jansen, Ward P.J.
- Desteghe, Lien
- Neubeck, Lis
- Crijns, Harry J.G.M.
- Pluymaekers, Nikki A.H.A.
- Hendriks, Jeroen M.
- Linz, Dominik
- Venue
- EP Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2021-04-02
- Volume
- 23
- Issue
- 7
- Pages
- 1003-1015
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- PMC
- PMC8083545
- OpenAlex
- W3149244439
- Cited by
- 106
- References
- 19
- Citations by year
- 2026: 6 · 2025: 18 · 2024: 27 · 2023: 13 · 2022: 28 · 2021: 14
- FWCI
- 17.77
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- EP Europace (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, cc-by-nc)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by-nc)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (publishedVersion, cc-by-nc)
- Lirias (KU Leuven) (submittedVersion, cc-by-nc)
- Research Output (Edinburgh Napier University) (submittedVersion, cc-by-nc)
- Document Server@UHasselt (UHasselt) (submittedVersion, cc-by-nc)
- Radboud Repository (Radboud University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- Maastricht Universitair Medisch Centrum
- Biosense Webster
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- atrial fibrillation, remote patient monitoring, COVID-19 pandemic, photoplethysmography, mobile health apps, remote patient care, teleconsultation, patient recruitment, patient experience, lockdown measures
- MeSH terms
- COVID-19, SARS-CoV-2, Atrial Fibrillation, Communicable Disease Control, Female, Humans, Male, Middle Aged, Pandemics, Mobile Applications, Patient Outcome Assessment
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