Feasibility of repeated on-demand smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: Data from the ISOLATION study.

IF 5.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart rhythm Pub Date : 2025-03-06 DOI:10.1016/j.hrthm.2025.03.165

Emma Sandgren, Konstanze Betz, Monika Gawalko, Astrid Hermans, Zarina Habibi, Dominique Verhaert, Suzanne Philippens, Bianca Vorstermans, Dennis den Uijl, Sevasti-Maria Chaldoupi, Justin Luermans, Theo Lankveld, Ulrich Schotten, Kevin Vernooy, Dominik Linz

{"title":"Feasibility of repeated on-demand smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: Data from the ISOLATION study.","authors":"Emma Sandgren, Konstanze Betz, Monika Gawalko, Astrid Hermans, Zarina Habibi, Dominique Verhaert, Suzanne Philippens, Bianca Vorstermans, Dennis den Uijl, Sevasti-Maria Chaldoupi, Justin Luermans, Theo Lankveld, Ulrich Schotten, Kevin Vernooy, Dominik Linz","doi":"10.1016/j.hrthm.2025.03.165","DOIUrl":null,"url":null,"abstract":"Background: The preferred outcome after atrial fibrillation (AF) ablation is reducing AF burden, reflected by time spent with AF. Digital tools provide novel strategies to approximate time spent with AF.Objectives: The purpose of this study was to assess the feasibility of repeated on-demand heart rhythm and symptom monitoring and analyze time spent with AF and symptoms over 12 months after AF ablation.Methods: Patients were instructed to monitor heart rhythm and symptoms using an on-demand photoplethysmography-supported smartphone application 3 times daily for 7 days at 3-, 6-, and 12-month follow-ups. Metrics assessed included AF load and density, symptom load and density, and symptom-rhythm correlation.Results: A total of 191 patients (median age 65 years [interquartile range 58-71 years]) 65% (n = 125/191) male) were included. Patient adherence (-7%; P=.04) declined slightly over 12 months. Forty-five patients (24%) had AF recurrence and 136 (71%) symptom recurrence. Among patients with high AF load and density at 3 months, 73% (n = 11/15) and 88% (n = 7/8) remained in the respective high class; among patients with low AF load and density, 0% (n = 0/1 respective n = 0/1) remained in the low class. Among patients with high symptom load and density, 84% (n = 36/43) and 75% (n = 15/20) remained in the respective high class; among patients with low symptom load and density, 0% (n = 0/12 respective n = 0/2) remained in the low class. Symptom-rhythm correlation was high (median 97% [interquartile range 77%-100%]).Conclusion: Repeated on-demand smartphone-based monitoring is feasible after AF ablation. Patient adherence declined slightly over 12 months. At 3 months, high AF and symptom load reliably predicted the following year while low AF and symptom load necessitate repeated monitoring.","PeriodicalId":12886,"journal":{"name":"Heart rhythm","volume":" ","pages":""},"PeriodicalIF":5.6000,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart rhythm","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.hrthm.2025.03.165","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The preferred outcome after atrial fibrillation (AF) ablation is reducing AF burden, reflected by time spent with AF. Digital tools provide novel strategies to approximate time spent with AF.

Objectives: The purpose of this study was to assess the feasibility of repeated on-demand heart rhythm and symptom monitoring and analyze time spent with AF and symptoms over 12 months after AF ablation.

Methods: Patients were instructed to monitor heart rhythm and symptoms using an on-demand photoplethysmography-supported smartphone application 3 times daily for 7 days at 3-, 6-, and 12-month follow-ups. Metrics assessed included AF load and density, symptom load and density, and symptom-rhythm correlation.

Results: A total of 191 patients (median age 65 years [interquartile range 58-71 years]) 65% (n = 125/191) male) were included. Patient adherence (-7%; P=.04) declined slightly over 12 months. Forty-five patients (24%) had AF recurrence and 136 (71%) symptom recurrence. Among patients with high AF load and density at 3 months, 73% (n = 11/15) and 88% (n = 7/8) remained in the respective high class; among patients with low AF load and density, 0% (n = 0/1 respective n = 0/1) remained in the low class. Among patients with high symptom load and density, 84% (n = 36/43) and 75% (n = 15/20) remained in the respective high class; among patients with low symptom load and density, 0% (n = 0/12 respective n = 0/2) remained in the low class. Symptom-rhythm correlation was high (median 97% [interquartile range 77%-100%]).

Conclusion: Repeated on-demand smartphone-based monitoring is feasible after AF ablation. Patient adherence declined slightly over 12 months. At 3 months, high AF and symptom load reliably predicted the following year while low AF and symptom load necessitate repeated monitoring.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Heart rhythm 医学-心血管系统

CiteScore

10.50

自引率

5.50%

发文量

1465

审稿时长

24 days

期刊介绍： HeartRhythm, the official Journal of the Heart Rhythm Society and the Cardiac Electrophysiology Society, is a unique journal for fundamental discovery and clinical applicability. HeartRhythm integrates the entire cardiac electrophysiology (EP) community from basic and clinical academic researchers, private practitioners, engineers, allied professionals, industry, and trainees, all of whom are vital and interdependent members of our EP community. The Heart Rhythm Society is the international leader in science, education, and advocacy for cardiac arrhythmia professionals and patients, and the primary information resource on heart rhythm disorders. Its mission is to improve the care of patients by promoting research, education, and optimal health care policies and standards.