Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients
(1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AI...
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MDPI AG
2022-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/3/665 |
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| author | Marta Leńska-Mieciek Aleksandra Kuls-Oszmaniec Natalia Dociak Marcin Kowalewski Krzysztof Sarwiński Andrzej Osiecki Urszula Fiszer |
| author_facet | Marta Leńska-Mieciek Aleksandra Kuls-Oszmaniec Natalia Dociak Marcin Kowalewski Krzysztof Sarwiński Andrzej Osiecki Urszula Fiszer |
| author_sort | Marta Leńska-Mieciek |
| collection | DOAJ |
| description | (1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AIS patients were recruited to the study. Thirty-second single-lead electrocardiogram (ECG) usages were recorded on demand for three days using KM portable device. Each KM ECG record was verified by a cardiologist. The feasibility was evaluated using operationalization criteria. (3) Results: the recruitment rate among AIS patients was 26.3%. The withdrawal rate before the start of the intervention was 26%. The withdrawal rate after the start of the intervention was 6%. KM device detected AF in 2.8% of AIS patients and in 2.2% of ECG records. Cardiologist confirmed the AF in 0.3% AIS patients. Sensitivity and specificity of KM for AF was 100% and 98.3%, respectively. (4) Conclusions: the results of this study suggest that it is feasible to use KM device to detect AF in the selected AIS patients (younger and in better neurological condition). KM detected AF in the selected AIS patients with high specificity and sensitivity. |
| first_indexed | 2024-03-09T23:40:36Z |
| format | Article |
| id | doaj.art-21640d848c844d1f98aedadb45d45f32 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T23:40:36Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-21640d848c844d1f98aedadb45d45f322023-11-23T16:52:07ZengMDPI AGJournal of Clinical Medicine2077-03832022-01-0111366510.3390/jcm11030665Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke PatientsMarta Leńska-Mieciek0Aleksandra Kuls-Oszmaniec1Natalia Dociak2Marcin Kowalewski3Krzysztof Sarwiński4Andrzej Osiecki5Urszula Fiszer6Centre of Postgraduate Medical Education, Department of Neurology and Epileptology, 00-416 Warsaw, PolandDepartment of Neurology and Epileptology, Professor Orlowski’s Hospital, 00-416 Warsaw, PolandDepartment of Neurology and Epileptology, Professor Orlowski’s Hospital, 00-416 Warsaw, PolandCentre of Postgraduate Medical Education, Department of Neurology and Epileptology, 00-416 Warsaw, PolandDepartment of Cardiology, Bielański Hospital, 01-809 Warsaw, PolandDepartment of Cardiology, Bielański Hospital, 01-809 Warsaw, PolandCentre of Postgraduate Medical Education, Department of Neurology and Epileptology, 00-416 Warsaw, Poland(1) Background: AliveCor KardiaMobile (KM) is a portable electrocardiography recorder for detection of atrial fibrillation (AF). The aim of the study was to define the group of acute ischemic stroke (AIS) patients who can use the KM device and assess the diagnostic test accuracy. (2) Methods: the AIS patients were recruited to the study. Thirty-second single-lead electrocardiogram (ECG) usages were recorded on demand for three days using KM portable device. Each KM ECG record was verified by a cardiologist. The feasibility was evaluated using operationalization criteria. (3) Results: the recruitment rate among AIS patients was 26.3%. The withdrawal rate before the start of the intervention was 26%. The withdrawal rate after the start of the intervention was 6%. KM device detected AF in 2.8% of AIS patients and in 2.2% of ECG records. Cardiologist confirmed the AF in 0.3% AIS patients. Sensitivity and specificity of KM for AF was 100% and 98.3%, respectively. (4) Conclusions: the results of this study suggest that it is feasible to use KM device to detect AF in the selected AIS patients (younger and in better neurological condition). KM detected AF in the selected AIS patients with high specificity and sensitivity.https://www.mdpi.com/2077-0383/11/3/665mobile electrocardiographyatrial fibrillationacute ischemic stroke |
| spellingShingle | Marta Leńska-Mieciek Aleksandra Kuls-Oszmaniec Natalia Dociak Marcin Kowalewski Krzysztof Sarwiński Andrzej Osiecki Urszula Fiszer Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients Journal of Clinical Medicine mobile electrocardiography atrial fibrillation acute ischemic stroke |
| title | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
| title_full | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
| title_fullStr | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
| title_full_unstemmed | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
| title_short | Mobile Single-Lead Electrocardiogram Technology for Atrial Fibrillation Detection in Acute Ischemic Stroke Patients |
| title_sort | mobile single lead electrocardiogram technology for atrial fibrillation detection in acute ischemic stroke patients |
| topic | mobile electrocardiography atrial fibrillation acute ischemic stroke |
| url | https://www.mdpi.com/2077-0383/11/3/665 |
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