{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:57:28Z","timestamp":1787504248182,"version":"build-2736575974"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Reduction of atrial fibrillation (AF) burden is the preferred outcome measure over categorical AF rhythm recurrence after AF ablation. In this sub-analysis of the TeleCheck-AF project, we tested the feasibility of smartphone app-based approximation of time spent with AF and\/or symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Patients scheduled for at least one teleconsultation during the 12-month follow-up after AF ablation were instructed to use a smartphone photoplethysmography-based application for simultaneous symptom and rhythm monitoring three times daily for 1 week. Proxies of time spent with AF and\/or symptoms (% recordings, load, and % days), temporal aggregation of AF and\/or symptoms (density), and symptom\u2013rhythm correlation (SRC) were assessed. In total, 484 patients (60% male, 62 \u00b1 9.9 years) were included. Adherence, motivation, and patient satisfaction were high. %AF recordings, AF load, and %AF days (rs = 0.88\u20130.95) and %symptom recordings, symptom load, and %symptom days (rs = 0.95\u20130.98) showed positive correlations. The SRC correlated negatively with time spent with symptoms (rs = \u22120.65\u20130.90) and with time spent with AF (rs = \u22120.31\u20130.34). In patients with paroxysmal AF before ablation and AF during the monitoring period, 87% (n = 39\/44) had a low-density score &amp;lt;50% (\u2018paroxysmal AF pattern\u2019) while 5% (n = 2\/44) had a high-density score &amp;gt;90% (\u2018persistent AF pattern\u2019). Corresponding numbers for patients with persistent AF before ablation were 48% (n = 11\/23) and 43% (n = 10\/23), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>On-demand, app-based simultaneous rhythm and symptom assessment provides objective proxies of time spent with AF and\/or symptoms and SRC, which may assist in assessing AF and symptom outcomes after AF ablation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euae247","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T15:25:26Z","timestamp":1727191526000},"source":"Crossref","is-referenced-by-count":23,"title":["Smartphone app-based approximation of time spent with atrial fibrillation and symptoms in patients after catheter ablation: data from the TeleCheck-AF project"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7410-3246","authenticated-orcid":false,"given":"Emma","family":"Sandgren","sequence":"first","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]},{"name":"Department of Clinical Sciences, Karolinska Institutet, Danderyd University Hospital , Stockholm ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9034-1479","authenticated-orcid":false,"given":"Astrid N L","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4619-9062","authenticated-orcid":false,"given":"Monika","family":"Gawalko","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]},{"name":"Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen , Essen ,","place":["Germany"]},{"name":"1st Department of Cardiology, Medical University of Warsaw , Warsaw ,","place":["Poland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3943-3896","authenticated-orcid":false,"given":"Konstanze","family":"Betz","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2946-2343","authenticated-orcid":false,"given":"Afzal","family":"Sohaib","sequence":"additional","affiliation":[{"name":"Barts Heart Center, St Bartholomew\u2019s Hospital , London ,","place":["UK"]},{"name":"Department of Cardiology, King George Hospital , Ilford ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5944-5878","authenticated-orcid":false,"given":"Chi Ho","family":"Fung","sequence":"additional","affiliation":[{"name":"Department of Cardiology, King George Hospital , Ilford ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6916-2652","authenticated-orcid":false,"given":"Henrike A K","family":"Hillmann","sequence":"additional","affiliation":[{"name":"Hannover Heart Rhythm Center, Department of Cardiology and Angiology, Hannover Medical School , Hannover ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7144-3333","authenticated-orcid":false,"given":"Rachel M J","family":"van der Velden","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3477-2589","authenticated-orcid":false,"given":"Dominique","family":"Verhaert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht , Universiteitssingel 50, 6229 ER Maastricht ,","place":["The Netherlands"]},{"name":"Department of Cardiology, Radboud University Medical Center , 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