{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T14:23:38Z","timestamp":1783088618269,"version":"3.54.6"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>A recent European Heart Rhythm Association (EHRA) practical guide provides guidance on the use of novel digital devices for heart rhythm analysis using either electrocardiogram (ECG) or photoplethysmography (PPG) technology for the diagnosis of atrial fibrillation (AF). This survey assesses physicians' preferences to use digital devices in patients with possible AF and their impact on clinical decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Participants of the DAS\u2010CAM III initiated and distributed an online survey assessing physician preferences in using digital devices for the management of AF in different clinical scenarios. A total of 505 physicians (median age: 38 [IQR 33\u201346] years) from 30 countries completed the survey. A third of respondents were electrophysiologists, the others were cardiologists, cardiology residents, or general practitioners. Electrophysiologists were more likely to have experience with both ECG\u2010based (92% vs. 68%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and PPG\u2010based (60% vs. 34%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) digital devices. The initial diagnostic approach to each scenario (symptomatic low\u2010risk, symptomatic high\u2010risk, or asymptomatic high\u2010risk patient) was heterogeneous. Electrophysiologists preferred intermittent single\u2010lead ECG monitoring to traditional Holter ECGs to screen for AF. Both electrophysiologists and non\u2010electrophysiologists would rarely use PPG\u2010based devices to diagnose and screen for AF (8.2%\u20139.8%). Electrophysiologists and non\u2010electrophysiologists use ECG\u2010based technology to confirm PPG\u2010documented tracings suggestive of AF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>While PPG\u2010based digital devices are rarely used for diagnosis and screening for AF, intermittent ECG\u2010based digital devices are beginning to be implemented in clinical practice. More education on the potential of novel digital devices is required to achieve diagnostic pathways as suggested by the EHRA practical guide.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.24331","type":"journal-article","created":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T08:09:12Z","timestamp":1732522152000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Physician Preferences in Using Novel Digital Devices for the Management of Atrial Fibrillation\u2014A DAS\u2010CAM III Survey"],"prefix":"10.1002","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0545-4373","authenticated-orcid":false,"given":"Martin","family":"Manninger","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology Medical University of Graz Graz Austria"},{"name":"Department of Cardiology, Cardiovascular Research Institute Maastricht (CARIM) Maastricht University Medical Centre Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Zweiker","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology Medical University of Graz Graz Austria"},{"name":"Department of Cardiology and Intensive Care Clinic Ottakring Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatevik","family":"Hovakimyan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Arrhythmology Nork\u2010Marash Medical Center Yerevan Armenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142 T.","family":"Matusik","sequence":"additional","affiliation":[{"name":"Department of Electrocardiology, Institute of Cardiology Jagiellonian University Medical College, Faculty of Medicine Krak\u00f3w Poland"},{"name":"Department of Electrocardiology The John Paul II Hospital Krak\u00f3w 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Groningen Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0421-2110","authenticated-orcid":false,"given":"Wolfgang","family":"Dichtl","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine III Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9014-8097","authenticated-orcid":false,"given":"Christian\u2010Hendrik","family":"Heeger","sequence":"additional","affiliation":[{"name":"Department of Rhythmology, University Heart Center L\u00fcbeck University Hospital Schleswig\u2010Holstein L\u00fcbeck Germany"},{"name":"German Center for Cardiovascular Research (DZHK), Partner Site L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"ter Bekke","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Cardiovascular Research Institute 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