Evaluating the Utility of mHealth ECG Heart Monitoring for the Detection and Management of Atrial Fibrillation in Clinical Practice
Key result
Smartphone ECG monitoring linked to ~155% greater detection of recurrent AF/AFL vs usual care.
- HR 2.55
- 95% CI 1.06 - 6.11
- P=0.04
Why the study?
Little attention has focused on integrating mobile health technology with self-management to improve detection and management of atrial fibrillation in clinical practice.
Does smartphone ECG monitoring improve the detection of recurrent AF/AFL and quality of life in patients with a known history of atrial fibrillation compared to usual care?
Population
23 patients with known atrial fibrillation (16 males, 7 females, mean age 55 ± 10)
Comparison
Smartphone ECG monitors vs usual care
Design
Cohort study
Follow-up
6 months
Authors
Discussion
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Member takes
Implication
mHealth integration in AF self-management may support QoL gains; leaves open superiority over usual care pending higher-level trials.
Study Design
Type
Cohort
Structured PICO
Does smartphone ECG monitoring improve the detection of recurrent AF/AFL and quality of life in patients with a known history of atrial fibrillation compared to usual care?
P
Population
Patients with a known history of atrial fibrillation followed for 6 months, comparing those given smartphone ECG monitors (n=23, mean age 55) to usual care controls.
E
Exposure
Smartphone ECG monitors (daily ECG monitoring) over a 6-month period
C
Comparator
Usual care
O
Outcome
Detection of recurrent atrial fibrillation or atrial flutter (AF/AFL)surrogate
Main Result
Hazard Ratio: 2.55 (95% CI 1.06–6.11)
Absolute Event Rate: 61% vs 30%
p-value: p=0.04
The use of smartphone ECG monitors for daily self-monitoring significantly increases the detection of recurrent atrial fibrillation and improves patient quality of life compared to usual care.
Cite This Study
Hickey et al. (2017) conducted a cohort in atrial fibrillation. smartphone ECG monitors vs. usual care was evaluated on detection of recurrent AF/AFL (HR 2.55, 95% CI 1.06 - 6.11, p=0.04). Smartphone ECG monitoring increased the detection of recurrent atrial fibrillation or flutter compared to usual care (61% vs 30%; HR 2.55; 95% CI 1.06-6.11; p=0.04).