Abstract
Early diagnosis of atrial fibrillation (AFib) is a priority for stroke prevention. We sought to test four commercial pulse detection systems (CPDSs) for ability to distinguish AFib from normal sinus rhythm using a published algorithm (Zhou et al., PLoS One 2015;10:e0136544), compared with visual diagnosis by electrocardiogram inspection. BAYathlon was a prospective, non-interventional, single-centre study. Adult cardiology patients with documented AFib or sinus rhythm who were due to have a routine 5-min electrocardiogram were randomized to undergo a parallel 5-min pulse assessment with a Polar V800, eMotion Faros 360, TomTom heart rate monitor, or Adidas miCoach Smart Run. 144 patients (73 with AFib, 71 with sinus rhythm (based on electrocardiograms); median age: 73 years; 53.5% male) were analysed. Algorithm sensitivities (primary endpoint) and specificities for AFib when applied to CPDS recordings were 93.3% and 94.1% with the Polar V800, 90.0% and 84.2% with the eMotion Faros 360, and 0% and 100% with the other CPDSs (analysis period: 127 heart rate signals + 2 min). When applied to routine electrocardiograms, the algorithm correctly detected AFib in 71/73 patients. Different analysis periods (127 heart rate signals +1 or 3...Continue Reading
References
Jul 11, 2006·The American Journal of Cardiology·David E KrummenSanjiv M Narayan
Nov 27, 2007·Journal of the American College of Cardiology·Stefan H HohnloserUNKNOWN ACTIVE W Investigators
Mar 13, 2008·European Heart Journal·Robby NieuwlaatUNKNOWN Euro Heart Survey Investigators
Jun 19, 2009·European Heart Journal·Paulus KirchhofGünter Breithardt
Apr 26, 2014·Circulation Research·Jordi HeijmanDobromir Dobrev
Sep 17, 2015·PloS One·Xiaolin ZhouYuanting Zhang
Sep 24, 2015·Journal of Cardiovascular Electrophysiology·David D McMANUSKi H Chon
Aug 28, 2016·European Heart Journal·Paulus KirchhofUNKNOWN ESC Scientific Document Group
Oct 13, 2016·JAMA Cardiology·Robert WangMarc Gillinov
Jan 15, 2017·BMJ Open·Mark LownMike Moore
Jul 15, 2017·Medicine and Science in Sports and Exercise·Stephen GillinovMilind Y Desai
Oct 20, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Georges H MairesseUNKNOWN ESC Scientific Document Group
Mar 21, 2018·IJC Heart & Vasculature·Hakeem AyindeJames Hopson
Jun 9, 2018·Journal of the American College of Cardiology·Michael V McConnellEuan A Ashley
Aug 23, 2018·The American Journal of Cardiology·Mark LownMichael Moore
Nov 24, 2018·JACC. Clinical Electrophysiology·Shaun GiancaterinoJonathan C Hsu
Dec 14, 2018·Medicine·Xiangdan LiDongyuan Xu
Jun 15, 2019·JMIR MHealth and UHealth·Godwin Denk Giebel, Christian Gissel
Sep 6, 2019·Journal of the American College of Cardiology·Yutao GuoUNKNOWN MAFA II Investigators