Volume 20 Issue 7
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(7): 1230-1234
GAO Chen-xi, CHEN Qing-yong. Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices[J]. Chinese Journal of General Practice, 2022, 20(7): 1230-1234. doi: 10.16766/j.cnki.issn.1674-4152.002565
Citation: GAO Chen-xi, CHEN Qing-yong. Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices[J]. Chinese Journal of General Practice, 2022, 20(7): 1230-1234. doi: 10.16766/j.cnki.issn.1674-4152.002565
shu

Systematic Review on the Efficacy of Atrial Fibrillation Screening Using Wearable Devices

doi: 10.16766/j.cnki.issn.1674-4152.002565
  • 1.

    Department of General Practice, West-China Hospital, Sichuan University, Chengdu, Sichuan 610041, China

Funds:

 2019YFC1709003

  • Received Date: 2021-12-15
    Available Online: 2022-09-23
    Abstract
  •   Objective  To carry out a systematic review of randomised controlled trial (RCT) studies on atrial fibrillation (AF) detection rates by wearable devices and provide the integrated evidence in supporting the clinical application of wearable devices that have been shown to be significantly effective in enhancing AF detection rates.  Methods  MEDLINE (PubMed), Ovid, Clinical Trials, Wanfang Medical Network and CNKI databases were searched for RCT studies on AF screening efficacy using wearable devices, published from establishment of the databases to October 30, 2021. The data related to AF detection rates were extracted, summarised and analysed according to "Preferred Reporting Items for Systematic Reviews and Meta-Analyses".  Results  A total of 11 RCT papers with a total of 41 565 intention-to-screen participants were identified. On continuous ECG(cECG) patches, 5 RCTs showed significantly higher AF detection rates compared with conventional detection methods. Of 6 RCT studies on handheld intermittent ECG detection devices, only 2 showed significantly higher AF detection rates compared with conventional methods.  Conclusion  AF can be more effectively screened using continuous cECG-based wearable devices compared with conventional detection methods. The effect of handheld intermittent ECG devices on AF screening was inconsistent, and further research is needed.

     

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    • References(17)
  • [1]
    CURRY S J, KRIST A H, OWENS D K, et al. Screening for atrial fibrillation with electrocardiography: US Preventive Services Task Force recommendation statement[J]. JAMA, 2018, 320(5): 478-484. doi: 10.1001/jama.2018.10321
    [2]
    刘露, 刘晓宇. 全科医生在心房颤动综合管理中的作用[J]. 中华全科医学, 2021, 19(9): 1553-1556. doi: 10.16766/j.cnki.issn.1674-4152.002110

    LIU L, LIU X Y. Role of general practitioners in the integrated management of atrial fibrillation[J]. Chin J General Practice, 2021, 19(9): 1553-1556. doi: 10.16766/j.cnki.issn.1674-4152.002110
    [3]
    BIERSTEKER T E, SCHALIJ M J, TRESKES R W. Impact of mobile health devices for the detection of atrial fibrillation: Systematic review[J]. JMIR Mhealth Uhealth, 2021, 9(4): e26161. DOI: 10.2196/26161.
    [4]
    MOHER D, LIBERATI A, TETZLAFF J, et al. Preferred reporting items for ssystematic reviews and meta-analyses: The PRISMA statement[J]. J Clin Epidemiol, 2009, 62(10): 1006-1012. doi: 10.1016/j.jclinepi.2009.06.005
    [5]
    刘括, 孙殿钦, 廖星, 等. 随机对照试验偏倚风险评估工具2.0修订版解读[J]. 中国循证心血管医学杂志, 2019, 11(3): 284-291. https://www.cnki.com.cn/Article/CJFDTOTAL-PZXX201903006.htm

    LIU K, SUN D Q, LIAO X, et al. Interpretation of revised version 2.0 of the Risk of Bias Assessment Tool for Randomized Controlled Trials[J]. Chin J Evid Based Cardiovasc Med, 2019, 11(3): 284-291. https://www.cnki.com.cn/Article/CJFDTOTAL-PZXX201903006.htm
    [6]
    KAURA A, SZTRIHA L, CHAN F K, et al. Early prolonged ambulatory cardiac monitoring in stroke (EPACS): An open-label randomised controlled trial[J]. Eur J Med Res, 2019, 24(1): 25-34. doi: 10.1186/s40001-019-0383-8
    [7]
    OKUBO Y, TOKUYAMA T, OKAMURA S, et al. Evaluation of the feasibility and efficacy of a novel device for screening silent atrial fibrillation (MYBEAT trial)[J]. Circ J, 2022, 86(2): 182-188. doi: 10.1253/circj.CJ-20-1061
    [8]
    HA A C T, VERMA S, MAZER C D, et al. Effect of continuous electrocardiogram monitoring on detection of undiagnosed atrial fibrillation after hospitalization for cardiac surgery: A randomized clinical trial[J]. JAMA Netw Open, 2021, 4(8): e2121867. DOI: 10.1001/jamanetworkopen.2021.21867.
    [9]
    STEINHUBL S R, WAALEN J, EDWARDS A M, et al. Effect of a home-based wearable continuous ecg monitoring patch on detection of undiagnosed atrial fibrillation: The mSToPS randomized clinical trial[J]. JAMA, 2018, 10(2): 146-155.
    [10]
    GLADSTONE D J, WACHTER R, SCHMALSTIEG-BAHR K, et al. Screening for atrial fibrillation in the older population: A randomized clinical trial[J]. JAMA Cardiol, 2021, 6(5): 558-567. doi: 10.1001/jamacardio.2021.0038
    [11]
    HALCOX J P J, WAREHAM K, CARDEW A, et al. Assessment of remote heart rhythm sampling using the AliveCor heart monitor to screen for atrial fibrillation: The REHEARSE-AF study[J]. Circulation, 2017, 136(19): 1784-1794. doi: 10.1161/CIRCULATIONAHA.117.030583
    [12]
    KOH K T, LAW W C, ZAW W M, et al. Smartphone electrocardiogram for detecting atrial fibrillation after a cerebral ischaemic event: A multicentre randomized controlled trial[J]. Europace, 2021, 23(7): 1016-1023. doi: 10.1093/europace/euab036
    [13]
    GOLDENTHAL I L, SCIACCA R R, RIGA T, et al. Recurrent atrial fibrillation/flutter detection after ablation or cardioversion using the AliveCor KardiaMobile device: IHEART results[J]. J Cardiovasc Electrophysiol, 2019, 30(11): 2220-2228. doi: 10.1111/jce.14160
    [14]
    MANCINETTI M, SCHUKRAFT S, FAUCHERRE Y, et al. Handheld ECG tracking of in-hospital atrial fibrillation (HECTO-AF): A randomized controlled trial[J]. Front Cardiovasc Med, 2021, 8: 681890. DOI: 10.3389/fcvm.2021.681890.
    [15]
    KAASENBROOD F, HOLLANDER M, DE BRUIJN S H, et al. Opportunistic screening versus usual care for diagnosing atrial fibrillation in general practice: A cluster randomised controlled trial[J]. Br J Gen Pract, 2020, 70(695): e427-e433. doi: 10.3399/bjgp20X708161
    [16]
    UITTENBOGAART S B, VERBIEST-VAN G N, LUCASSEN W A M, et al. Opportunistic screening versus usual care for detection of atrial fibrillation in primary care: Cluster randomised controlled trial[J]. BMJ, 2020, 370: m3208. DOI: 10.1136/bmj.m3208.
    [17]
    QUER G, FREEDMAN B, STEINHUBL S R. Screening for atrial fibrillation: Predicted sensitivity of short, intermittent electrocardiogram recordings in an asymptomatic at-risk population[J]. Europace, 2020, 22(12): 1781-1787. doi: 10.1093/europace/euaa186
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