{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T17:55:40Z","timestamp":1780509340912,"version":"3.54.1"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T00:00:00Z","timestamp":1557100800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Qompium N.V."},{"name":"Het Belang van Limburg"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>This cross-sectional study was set up to assess the feasibility of mass screening for atrial fibrillation (AF) with only the use of a smartphone.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>A local newspaper published an article, allowing to subscribe for a 7-day screening period to detect AF. Screening was performed through an application that uses photo-plethysmography (PPG) technology by exploiting a smartphone camera. Participants received instructions on how to perform correct measurements twice daily, with notifications pushed through the application\u2019s software. In case of heart rhythm irregularities, raw PPG signals underwent secondary offline analysis to confirm a final diagnosis. From 12\u00a0328 readers who voluntarily signed up for screening (49\u2009\u00b1\u200914\u2009years; 58% men), 120\u00a0446 unique PPG traces were obtained. Photo-plethysmography signal quality was adequate for analysis in 92% of cases. Possible AF was detected in 136 individuals (1.1%). They were older (P\u2009&lt;\u20090.001), more frequently men (P\u2009&lt;\u20090.001), and had higher body mass index (P\u2009=\u20090.004). In addition, participants who strictly adhered to the recommended screening frequency (i.e. twice daily) were more often diagnosed with possible AF (1.9% vs. 1.0% in individuals who did not adhere; P\u2009=\u20090.008). Symptoms of palpitations, confusion, and shortness of breath were more frequent in case of AF (P\u2009&lt;\u20090.001). The cumulative diagnostic yield for possible AF increased from 0.4% with a single heart rhythm assessment to 1.4% with screening during the entire 7-day screening period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Mass screening for AF using only a smartphone with dedicated application based on PPG technology is feasible and attractive because of its low cost and logistic requirements.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euz119","type":"journal-article","created":{"date-parts":[[2019,4,8]],"date-time":"2019-04-08T11:09:57Z","timestamp":1554721797000},"page":"1167-1175","source":"Crossref","is-referenced-by-count":45,"title":["Atrial fibrillation screening with photo-plethysmography through a smartphone camera"],"prefix":"10.1093","volume":"21","author":[{"given":"Frederik H","family":"Verbrugge","sequence":"first","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tine","family":"Proesmans","sequence":"additional","affiliation":[{"name":"Mobile Health Unit, Hasselt University, Campus Diepenbeek, Agoralaan Building D, Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Vijgen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Jessa Hospital, Stadsomvaart 11, Hasselt, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilfried","family":"Mullens","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximo","family":"Rivero-Ayerza","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugo","family":"Van Herendael","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"Vandervoort","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"},{"name":"Mobile Health Unit, Hasselt University, Campus Diepenbeek, Agoralaan Building D, Diepenbeek, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dieter","family":"Nuyens","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ziekenhuis Oost-Limburg, Schiepse Bos 6, Genk, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,5,5]]},"reference":[{"key":"2019080504544274000_euz119-B1","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1093\/europace\/euw295","article-title":"2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS","volume":"18","author":"Kirchhof","year":"2016","journal-title":"Europace"},{"key":"2019080504544274000_euz119-B2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.2147\/CLEP.S47385","article-title":"Epidemiology of atrial fibrillation: European perspective","volume":"6","author":"Zoni-Berisso","year":"2014","journal-title":"Clin Epidemiol"},{"key":"2019080504544274000_euz119-B3","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1093\/eurheartj\/ehs469","article-title":"All-cause mortality in 272,186 patients hospitalized with incident atrial fibrillation 1995-2008: a Swedish nationwide long-term case-control study","volume":"34","author":"Andersson","year":"2013","journal-title":"Eur Heart J"},{"key":"2019080504544274000_euz119-B4","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1080\/14779072.2018.1496018","article-title":"Screening for undiagnosed atrial fibrillation","volume":"16","author":"Sandhu","year":"2018","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2019080504544274000_euz119-B5","doi-asserted-by":"crossref","first-page":"38","DOI":"10.3399\/bjgp11X548956","article-title":"Screening for atrial fibrillation: sensitivity and specificity of a new methodology","volume":"61","author":"Lewis","year":"2011","journal-title":"Br J Gen Pract"},{"key":"2019080504544274000_euz119-B6","doi-asserted-by":"crossref","first-page":"e003428.","DOI":"10.1161\/JAHA.116.003428","article-title":"Diagnostic performance of a smartphone-based photoplethysmographic application for atrial fibrillation screening in a primary care setting","volume":"5","author":"Chan","year":"2016","journal-title":"J Am Heart Assoc"},{"key":"2019080504544274000_euz119-B7","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1111\/jce.12842","article-title":"PULSE-SMART: pulse-based arrhythmia discrimination using a novel smartphone application","volume":"27","author":"McManus","year":"2016","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2019080504544274000_euz119-B8","first-page":"3394","article-title":"Monitoring and detecting atrial fibrillation using wearable technology","volume":"2016","author":"Nemati","year":"2016","journal-title":"Conf Proc IEEE Eng Med Biol Soc"},{"key":"2019080504544274000_euz119-B9","first-page":"753","article-title":"Smart detection of atrial fibrillation","volume":"19","author":"Krivoshei","year":"2017","journal-title":"Europace"},{"key":"2019080504544274000_euz119-B10","doi-asserted-by":"crossref","first-page":"1906","DOI":"10.1088\/1361-6579\/aa8830","article-title":"Detection of atrial fibrillation using an earlobe photoplethysmographic sensor","volume":"38","author":"Conroy","year":"2017","journal-title":"Physiol Meas"},{"key":"2019080504544274000_euz119-B11","doi-asserted-by":"crossref","DOI":"10.1088\/1361-6579\/aad2c0","article-title":"omparison between electrocardiogram and photoplethysmogram derived features for atrial fibrillation detection in free-living conditions","author":"Eerikainen","year":"2018","journal-title":"Physiol Meas"},{"key":"2019080504544274000_euz119-B12","doi-asserted-by":"crossref","first-page":"e129.","DOI":"10.2196\/mhealth.7254","article-title":"Clinical validation of heart rate apps: mixed-methods evaluation study","volume":"5","author":"Vandenberk","year":"2017","journal-title":"JMIR Mhealth Uhealth"},{"key":"2019080504544274000_euz119-B13","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.bpa.2014.08.006","article-title":"Photoplethysmography","volume":"28","author":"Alian","year":"2014","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"2019080504544274000_euz119-B14","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1016\/j.hrthm.2016.03.003","article-title":"Typical, atypical, and asymptomatic presentations of new-onset atrial fibrillation in the community: characteristics and prognostic implications","volume":"13","author":"Siontis","year":"2016","journal-title":"Heart Rhythm"},{"key":"2019080504544274000_euz119-B15","first-page":"e12284","article-title":"Mobile phone-based use of the photoplethysmography technique to detect atrial fibrillation in primary care: a diagnostic accuracy study of the FibriCheck app","volume":"7","author":"Proesmans","year":"2019","journal-title":"JMU"},{"key":"2019080504544274000_euz119-B16","doi-asserted-by":"crossref","first-page":"1784","DOI":"10.1161\/CIRCULATIONAHA.117.030583","article-title":"Assessment of Remote Heart Rhythm Sampling Using the AliveCor Heart Monitor to Screen for Atrial Fibrillation: the REHEARSE-AF Study","volume":"136","author":"Halcox","year":"2017","journal-title":"Circulation"},{"key":"2019080504544274000_euz119-B17","doi-asserted-by":"crossref","first-page":"857","DOI":"10.7326\/0003-4819-146-12-200706190-00007","article-title":"Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation","volume":"146","author":"Hart","year":"2007","journal-title":"Ann Intern Med"},{"key":"2019080504544274000_euz119-B18","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1056\/NEJMoa1009638","article-title":"Rivaroxaban versus warfarin in nonvalvular atrial fibrillation","volume":"365","author":"Patel","year":"2011","journal-title":"N Engl J Med"},{"key":"2019080504544274000_euz119-B19","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1056\/NEJMoa1310907","article-title":"Edoxaban versus warfarin in patients with atrial fibrillation","volume":"369","author":"Giugliano","year":"2013","journal-title":"N Engl J Med"},{"key":"2019080504544274000_euz119-B20","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1161\/STROKEAHA.115.009930","article-title":"New appraisal of atrial fibrillation burden and stroke prevention","volume":"47","author":"Passman","year":"2016","journal-title":"Stroke"},{"key":"2019080504544274000_euz119-B21","doi-asserted-by":"crossref","first-page":"417.","DOI":"10.1056\/NEJMoa1707855","article-title":"Catheter ablation for atrial fibrillation with heart failure","volume":"378","author":"Marrouche","year":"2018","journal-title":"N Engl J Med"}],"container-title":["EP Europace"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/europace\/advance-article-pdf\/doi\/10.1093\/europace\/euz119\/28560350\/euz119.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/europace\/article-pdf\/21\/8\/1167\/29094353\/euz119.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T08:54:57Z","timestamp":1564995297000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/europace\/article\/21\/8\/1167\/5485758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,5]]},"references-count":21,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2019,5,5]]},"published-print":{"date-parts":[[2019,8,1]]}},"URL":"https:\/\/doi.org\/10.1093\/europace\/euz119","relation":{},"ISSN":["1099-5129","1532-2092"],"issn-type":[{"value":"1099-5129","type":"print"},{"value":"1532-2092","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,8]]},"published":{"date-parts":[[2019,5,5]]}}}