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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 | Authors: | WOUTERS, Femke GRUWEZ, Henri VRANKEN, Julie Ernon, Ludovic MESOTTEN, Dieter VANDERVOORT, Pieter VERHAERT, David |
Issue Date: | 2022 | Publisher: | FRONTIERS MEDIA SA | Source: | FRONTIERS IN CARDIOVASCULAR MEDICINE, 9 (Art N° 839853) | Abstract: | 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. | Notes: | Wouters, F (corresponding author), Hasselt Univ, Fac Med & Life Sci, Limburg Clin Res Ctr, Mobile Hlth Unit, Hasselt, Belgium.; Wouters, F (corresponding author), Ziekenhuis Oost Limburg, Dept Future Hlth, Genk, Belgium. femke.wouters@uhasselt.be |
Keywords: | atrial fibrillation;cryptogenic stroke;mobile health;case report;insertable cardiac monitor (ICM) | Document URI: | http://hdl.handle.net/1942/37353 | ISSN: | 2297-055X | e-ISSN: | 2297-055X | DOI: | 10.3389/fcvm.2022.839853 | ISI #: | WOS:000780912500001 | Rights: | 2022 Wouters, Gruwez, Vranken, Ernon, Mesotten, Vandervoort and Verhaert. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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