Smart in OAC – AFNET e.V.

Smart in OAC-AFNET 9

Remote, investigator-initiated Smartphone and wearable detected atrial arrhythmia in Older Adults Case finding study

Study Design

Multi-centre, multi-national, investigator-initiated, single-arm case-finding study of a cloud based analytic service as screening tool to detect and quantify episodes of atrial arrhythmia using an automated, wearable photoplethysmography-based monitoring system.

Inclusion criteria:

65 years or older

Willing and able to provide informed consent

Owning a mobile phone compatible with the PPG-wearable

No known AF

No current or planned oral anticoagulation treatment

Exclusion criteria

Known AF

Known current or planned oral anticoagulation treatment

hypothesis

Simplified detection of atrial arrhythmias via consumer-electronics enables earlier therapy in at-risk populations.

Conclusion

Remote, digitally supported consumer-electronics-based screening is feasible in older European adults and identifies atrial arrhythmias in 5% of participants within 4 weeks of monitoring

PATIENTS

STUDY sites

Study duration

Start of study

31st of January 2021

End of study

21st of February 2022

Publications

Fabritz L, Connolly DL, Czarnecki E, Dudek D, Guasch E, Haase D, Huebner T, Zlahoda-Huzior A, Jolly K, Kirchhof P, Obergassel J, Schotten U, Vettorazzi E, Winkelmann SJ, Zapf A, Schnabel RB; Smart in OAC—AFNET 9 investigators. Smartphone and wearable detected atrial arrhythmias in Older Adults: Results of a fully digital European Case finding study. Eur Heart J Digit Health. 2022 Nov 1; 3(4):610-625. doi: 10.1093/ehjdh/ztac067. PMID: 36710894; PMCID: PMC9779806. eCollection 2022 Dec.

Fabritz Larissa, Connolly D., Czarnecki E., Dudek D., Zlahoda-Huzior A., Guasch E., Haase D., Huebner T., Jolly K., Kirchhof P., Schotten Ulrich, Zapf Antonia, Schnabel Renate B: Remote Design of a Smartphone and Wearable Detected Atrial Arrhythmia in Older Adults Case Finding Study: Smart in OAC – AFNET 9. Frontiers in Cardiovascular Medicine, (2022), 9 https://www.frontiersin.org/article/10.3389/fcvm.2022.839202