Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient
Background and CaseThis case report exemplifies the clinical application of non-invasive photoplethysmography (PPG)-based rhythm monitoring in the awakening mobile health (mHealth) era to detect symptomatic and asymptomatic paroxysmal atrial fibrillation (AF) in a cryptogenic stroke patient. Despite...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.839853/full |
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| author | Femke Wouters Femke Wouters Henri Gruwez Henri Gruwez Henri Gruwez Henri Gruwez Julie Vranken Julie Vranken Ludovic Ernon Dieter Mesotten Dieter Mesotten Pieter Vandervoort Pieter Vandervoort Pieter Vandervoort David Verhaert |
| author_facet | Femke Wouters Femke Wouters Henri Gruwez Henri Gruwez Henri Gruwez Henri Gruwez Julie Vranken Julie Vranken Ludovic Ernon Dieter Mesotten Dieter Mesotten Pieter Vandervoort Pieter Vandervoort Pieter Vandervoort David Verhaert |
| author_sort | Femke Wouters |
| collection | DOAJ |
| description | Background and CaseThis case report exemplifies the clinical application of non-invasive photoplethysmography (PPG)-based rhythm monitoring in the awakening mobile health (mHealth) era to detect symptomatic and asymptomatic paroxysmal atrial fibrillation (AF) in a cryptogenic stroke patient. Despite extensive diagnostic workup, the etiology remains unknown in one out of three ischemic strokes (i.e., cryptogenic stroke). Prolonged cardiac monitoring can reveal asymptomatic atrial fibrillation in up to one-third of this population. This case report describes a cryptogenic stroke patient who received prolonged cardiac monitoring with an insertable cardiac monitor (ICM) as standard of care. In the context of a clinical study, the patient simultaneously monitored his heart rhythm with a PPG-based smartphone application. AF was detected simultaneously on both the ICM and smartphone application after three days of monitoring. Similar AF burden was detected during follow-up (five episodes, median duration of 28 and 34 h on ICM and mHealth, respectively, p = 0.5). The detection prompted the initiation of oral anticoagulation and AF catheter ablation procedure.ConclusionThis is the first report of the cryptogenic stroke patient in whom PPG-based mHealth was able to detect occurrence and burden of the symptomatic and asymptomatic paroxysmal AF episodes with similar precision as ICM. It accentuates the potential role of PPG-based mHealth in prolonged cardiac rhythm monitoring in cryptogenic stroke patients. |
| first_indexed | 2024-12-18T11:17:49Z |
| format | Article |
| id | doaj.art-4376ecc472fb461ea05d5ac2f1fa0073 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-18T11:17:49Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-4376ecc472fb461ea05d5ac2f1fa00732022-12-21T21:09:53ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-03-01910.3389/fcvm.2022.839853839853Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke PatientFemke Wouters0Femke Wouters1Henri Gruwez2Henri Gruwez3Henri Gruwez4Henri Gruwez5Julie Vranken6Julie Vranken7Ludovic Ernon8Dieter Mesotten9Dieter Mesotten10Pieter Vandervoort11Pieter Vandervoort12Pieter Vandervoort13David Verhaert14Limburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumDepartment Future Health, Ziekenhuis Oost-Limburg, Genk, BelgiumLimburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumDepartment Future Health, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Cardiovascular Sciences, University of Leuven, Leuven, BelgiumLimburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumDepartment Future Health, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Neurology, Ziekenhuis Oost-Limburg, Genk, BelgiumLimburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumDepartment of Anesthesiology, Ziekenhuis Oost-Limburg, Genk, BelgiumLimburg Clinical Research Center/Mobile Health Unit, Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, BelgiumDepartment Future Health, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, BelgiumDepartment of Cardiology, Ziekenhuis Oost-Limburg, Genk, BelgiumBackground and CaseThis case report exemplifies the clinical application of non-invasive photoplethysmography (PPG)-based rhythm monitoring in the awakening mobile health (mHealth) era to detect symptomatic and asymptomatic paroxysmal atrial fibrillation (AF) in a cryptogenic stroke patient. Despite extensive diagnostic workup, the etiology remains unknown in one out of three ischemic strokes (i.e., cryptogenic stroke). Prolonged cardiac monitoring can reveal asymptomatic atrial fibrillation in up to one-third of this population. This case report describes a cryptogenic stroke patient who received prolonged cardiac monitoring with an insertable cardiac monitor (ICM) as standard of care. In the context of a clinical study, the patient simultaneously monitored his heart rhythm with a PPG-based smartphone application. AF was detected simultaneously on both the ICM and smartphone application after three days of monitoring. Similar AF burden was detected during follow-up (five episodes, median duration of 28 and 34 h on ICM and mHealth, respectively, p = 0.5). The detection prompted the initiation of oral anticoagulation and AF catheter ablation procedure.ConclusionThis is the first report of the cryptogenic stroke patient in whom PPG-based mHealth was able to detect occurrence and burden of the symptomatic and asymptomatic paroxysmal AF episodes with similar precision as ICM. It accentuates the potential role of PPG-based mHealth in prolonged cardiac rhythm monitoring in cryptogenic stroke patients.https://www.frontiersin.org/articles/10.3389/fcvm.2022.839853/fullatrial fibrillationcryptogenic strokemobile healthcase reportinsertable cardiac monitor (ICM) |
| spellingShingle | Femke Wouters Femke Wouters Henri Gruwez Henri Gruwez Henri Gruwez Henri Gruwez Julie Vranken Julie Vranken Ludovic Ernon Dieter Mesotten Dieter Mesotten Pieter Vandervoort Pieter Vandervoort Pieter Vandervoort David Verhaert Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient Frontiers in Cardiovascular Medicine atrial fibrillation cryptogenic stroke mobile health case report insertable cardiac monitor (ICM) |
| title | Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient |
| title_full | Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient |
| title_fullStr | Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient |
| title_full_unstemmed | Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient |
| title_short | Will Smartphone Applications Replace the Insertable Cardiac Monitor in the Detection of Atrial Fibrillation? The First Comparison in a Case Report of a Cryptogenic Stroke Patient |
| title_sort | will smartphone applications replace the insertable cardiac monitor in the detection of atrial fibrillation the first comparison in a case report of a cryptogenic stroke patient |
| topic | atrial fibrillation cryptogenic stroke mobile health case report insertable cardiac monitor (ICM) |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.839853/full |
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