Search: onr:"swepub:oai:gup.ub.gu.se/326883" > Validation of a han...
Fältnamn | Indikatorer | Metadata |
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000 | 05202naa a2200541 4500 | |
001 | oai:gup.ub.gu.se/326883 | |
003 | SwePub | |
008 | 240910s2023 | |||||||||||000 ||eng| | |
009 | oai:DiVA.org:oru-106034 | |
009 | oai:prod.swepub.kib.ki.se:152684044 | |
024 | 7 | a https://gup.ub.gu.se/publication/3268832 URI |
024 | 7 | a https://doi.org/10.1111/pace.147452 DOI |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-1060342 URI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1526840442 URI |
040 | a (SwePub)gud (SwePub)orud (SwePub)ki | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Skröder, Sofia,d 1995-u Örebro universitet,Institutionen för medicinska vetenskaper,Centre for Clinical Research and Education, Region Värmland, Karlstad, Sweden4 aut0 (Swepub:oru)sisr |
245 | 1 0 | a Validation of a handheld single-lead ECG algorithm for atrial fibrillation detection after coronary revascularization |
264 | 1 | b Wiley-Blackwell Publishing Inc.c 2023 |
500 | a Funding agency:Centre for Clinical Research and Education, Region Värmland | |
520 | a BackgroundAtrial fibrillation (AF) is a rapidly increasing global public health concern entailing a high risk for ischemic stroke that can largely be avoided with anticoagulation therapy. AF is often underdiagnosed and there is a need for a reliable method of detection in individuals with additional risk factors for stroke such as coronary artery disease. We aimed to validate an automatic rhythm interpretation algorithm in thumb ECG in subjects with recent coronary revascularization. MethodsThumb ECG, a patient-operated handheld single-lead ECG recording device with an automatic interpretation algorithm, was performed three times daily for a month after coronary revascularization and 2-week periods 3, 12, and 24 months post-procedure. The detection of AF by the automatic algorithm on subject and single-strip ECG level was compared to manual interpretation. Results48,308 of 30 s thumb ECG recordings from 255 subjects (mean 212 +/- 3.5 recordings per subject) were retrieved from a database (AF 47 subjects/655 recordings; non-AF 208 subjects/47,653 recordings). The algorithm sensitivity at subject level was 100%, specificity 11.2%, positive predictive value (PPV) 20.2%, and negative predictive value (NPV) 100%. At the single-strip ECG level, sensitivity was 87.6%, specificity 94.0%, PPV 16.8%, and NPV 99.8%. The most common reasons for false positive results were technical disturbance and frequent ectopic beats. ConclusionsThe automatic interpretation algorithm in a handheld thumb ECG device can rule out AF in patients recently undergoing coronary revascularization with high accuracy, but manual confirmation is needed to confirm the diagnose of AF because of high false positive rates. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng |
653 | a arrhythmia | |
653 | a atrial fibrillation | |
653 | a cardiac electrophysiology | |
653 | a coronary | |
653 | a artery disease | |
653 | a coronary revascularization | |
653 | a electrocardiography | |
653 | a Cardiovascular System & Cardiology | |
653 | a Engineering | |
653 | a arrhythmia | |
700 | 1 | a Wickbom, Anders,d 1987-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)aswm |
700 | 1 | a Björkenheim, Anna,d 1980-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiology4 aut0 (Swepub:oru)anbm |
700 | 1 | a Ahlsson, A.u Karolinska Institutet4 aut |
700 | 1 | a Poci, Dritan,d 1969u Örebro universitet,Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Institutionen för medicinska vetenskaper,Department of Clinical Physiology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Molecular and Clinical Medicine, Institution for Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden4 aut0 (Swepub:oru)dnpi |
700 | 1 | a Fengsrud, Espen,d 1970-u Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiology, Örebro University Hospital, Örebro, Sweden4 aut0 (Swepub:oru)efd |
710 | 2 | a Örebro universitetb Institutionen för medicinska vetenskaper4 org |
773 | 0 | t Pace-Pacing and Clinical Electrophysiologyd : Wiley-Blackwell Publishing Inc.g 46:7, s. 782-787q 46:7<782-787x 0147-8389x 1540-8159 |
856 | 4 | u https://doi.org/10.1111/pace.14745y Fulltext |
856 | 4 8 | u https://gup.ub.gu.se/publication/326883 |
856 | 4 8 | u https://doi.org/10.1111/pace.14745 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-106034 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:152684044 |
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