Abstract
| Original language | English |
|---|---|
| Pages (from-to) | 249-252 |
| Number of pages | 4 |
| Journal | International Journal of Cardiology |
| Volume | 236 |
| DOIs | |
| Publication status | Published - Jun 1 2017 |
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Keywords
- Adult
- Cardiovascular Diseases/diagnosis/economics/epidemiology
- Cohort Studies
- Electrocardiography/economics/instrumentation/methods
- Female
- Humans
- Male
- Mass Screening/economics/instrumentation/methods
- Middle Aged
- Poverty/economics
- Senegal/epidemiology
- Smartphone/economics/utilization
- Telemedicine/economics/instrumentation/methods
- Low-income settings
- Portable electrocardiograph
- Telemedicine
- mHealth
Cite this
Cardiovascular screening in low-income settings using a novel 4-lead smartphone-based electrocardiograph (D-Heart(R)). / Maurizi, N.; Faragli, A.; Imberti, J.; Briante, N.; Targetti, M.; Baldini, K.; Sall, A.; Cisse, A.; Berzolari, F. G.; Borrelli, P.; Avvantaggiato, F.; Perlini, S.; Marchionni, N.; Cecchi, F.; Parigi, G.; Olivotto, I.
In: International Journal of Cardiology, Vol. 236, 01.06.2017, p. 249-252.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Cardiovascular screening in low-income settings using a novel 4-lead smartphone-based electrocardiograph (D-Heart(R))
AU - Maurizi, N.
AU - Faragli, A.
AU - Imberti, J.
AU - Briante, N.
AU - Targetti, M.
AU - Baldini, K.
AU - Sall, A.
AU - Cisse, A.
AU - Berzolari, F. G.
AU - Borrelli, P.
AU - Avvantaggiato, F.
AU - Perlini, S.
AU - Marchionni, N.
AU - Cecchi, F.
AU - Parigi, G.
AU - Olivotto, I.
N1 - LR: 20171211; CI: Copyright (c) 2017; JID: 8200291; OTO: NOTNLM; 2016/10/29 00:00 [received]; 2017/02/07 00:00 [accepted]; 2017/02/22 06:00 [pubmed]; 2017/12/12 06:00 [medline]; 2017/02/21 06:00 [entrez]; ppublish
PY - 2017/6/1
Y1 - 2017/6/1
N2 - BACKGROUND: MHealth technologies are revolutionizing cardiovascular medicine. However, a low-cost, user-friendly smartphone-based electrocardiograph is still lacking. D-Heart(R) is a portable device that enables the acquisition of the ECG on multiple leads which streams via Bluetooth to any smartphone. Because of the potential impact of this technology in low-income settings, we determined the accuracy of D-Heart(R) tracings in the stratification of ECG morphological abnormalities, compared with 12-lead ECGs. METHODS: Consecutive African patients referred to the Ziguinchor Regional Hospital (Senegal) were enrolled (n=117; 69 males, age 39+/-11years). D-Heart(R) recordings (3 peripheral leads plus V5) were obtained immediately followed by 12 lead ECGs and were assessed blindly by 2 independent observers. Global burden of ECG abnormalities was defined by a semi-quantitative score based on the sum of 9 criteria, identifying four classes of increasing severity. RESULTS: D-Heart(R) and 12-lead ECG tracings were respectively classified as: normal: 72 (61%) vs 69 (59%); mildly abnormal: 42 (36%) vs 45 (38%); moderately abnormal: 3 (3%) vs 3 (3%). None had markedly abnormal tracings. Cohen's weighted kappa (kw) test demonstrated a concordance of 0,952 (p
AB - BACKGROUND: MHealth technologies are revolutionizing cardiovascular medicine. However, a low-cost, user-friendly smartphone-based electrocardiograph is still lacking. D-Heart(R) is a portable device that enables the acquisition of the ECG on multiple leads which streams via Bluetooth to any smartphone. Because of the potential impact of this technology in low-income settings, we determined the accuracy of D-Heart(R) tracings in the stratification of ECG morphological abnormalities, compared with 12-lead ECGs. METHODS: Consecutive African patients referred to the Ziguinchor Regional Hospital (Senegal) were enrolled (n=117; 69 males, age 39+/-11years). D-Heart(R) recordings (3 peripheral leads plus V5) were obtained immediately followed by 12 lead ECGs and were assessed blindly by 2 independent observers. Global burden of ECG abnormalities was defined by a semi-quantitative score based on the sum of 9 criteria, identifying four classes of increasing severity. RESULTS: D-Heart(R) and 12-lead ECG tracings were respectively classified as: normal: 72 (61%) vs 69 (59%); mildly abnormal: 42 (36%) vs 45 (38%); moderately abnormal: 3 (3%) vs 3 (3%). None had markedly abnormal tracings. Cohen's weighted kappa (kw) test demonstrated a concordance of 0,952 (p
KW - Adult
KW - Cardiovascular Diseases/diagnosis/economics/epidemiology
KW - Cohort Studies
KW - Electrocardiography/economics/instrumentation/methods
KW - Female
KW - Humans
KW - Male
KW - Mass Screening/economics/instrumentation/methods
KW - Middle Aged
KW - Poverty/economics
KW - Senegal/epidemiology
KW - Smartphone/economics/utilization
KW - Telemedicine/economics/instrumentation/methods
KW - Low-income settings
KW - Portable electrocardiograph
KW - Telemedicine
KW - mHealth
U2 - S0167-5273(16)33297-1 [pii]
DO - S0167-5273(16)33297-1 [pii]
M3 - Article
VL - 236
SP - 249
EP - 252
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
ER -