{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T12:16:18Z","timestamp":1764332178654},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T00:00:00Z","timestamp":1378684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although atrial fibrillation (AF) is the most commonly encountered arrhythmia, some of the properties make its detection challenging. In daily practice, underdiagnosis can lead to less effective treatment in prevention of stroke. Based on data from studies on treatment of AF, more intensive follow\u2010up strategies, including 7\u2010day Holter recording, 30\u2010day event recording, and even implantable cardiac monitoring devices, are suggested. The study purpose is to evaluate the performance of a continuous single\u2010channel loop recorder with automatic AF detection and transtelephonic electrocardiogram (ECG) transmission capabilities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A consecutive cohort of 153 patients admitted to the stroke unit with a presumptive diagnosis of ischemic cerebrovascular accident was screened for AF. Twenty\u2010four\u2010hour rhythm observation was performed using a single\u2010channel external loop recorder (ELR) configured for automated AF detection. A total of 45 patients with a known history of AF, AF on the admission ECG, or incomplete registrations were excluded. Extensive additional frequency\u2010based settings were used to establish a reference registration. In total, 2923 recordings were transmitted. We evaluated all events, of which 1190 were designated by the device as AF. The sensitivity, specificity, PPV, and NPV for identifying AF using the ELR were, respectively, 93%, 51%, 5%, and 99%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this ELR validation study, the dedicated AF detection algorithm showed to be highly sensitive but not specific for AF. Applicability of an ELR might be limited for efficacious detection of AF, as manual verification is mandatory for a vast amount of recordings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12075","type":"journal-article","created":{"date-parts":[[2013,9,10]],"date-time":"2013-09-10T02:34:17Z","timestamp":1378780457000},"page":"564-570","source":"Crossref","is-referenced-by-count":6,"title":["Performance of an External Transtelephonic Loop Recorder for Automated Detection of Paroxysmal Atrial Fibrillation"],"prefix":"10.1111","volume":"18","author":[{"given":"Bob Oude","family":"Velthuis","sequence":"first","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorieke","family":"Bos","sequence":"additional","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Kraaier","sequence":"additional","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeroen","family":"Stevenhagen","sequence":"additional","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jurren M.","family":"van Opstal","sequence":"additional","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Job","family":"van der Palen","sequence":"additional","affiliation":[{"name":"Department of Research Methodology, Measurement and Data Analysis University of Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcoen F.","family":"Scholten","sequence":"additional","affiliation":[{"name":"Thoraxcenter Medisch Spectrum Twente  Enschede The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq278"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.18.2370"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"ii9","article-title":"What are the costs of atrial fibrillation?","volume":"13","author":"Blomstrom LC","year":"2011","journal-title":"Europace"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.98.10.946"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.27.10.1760"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.103.5.769"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2009.090402"},{"key":"e_1_2_6_9_1","unstructured":"CalkinsH KuckKH CappatoR et al.2012 HRS\/EHRA\/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection Procedural Techniques Patient Management and Follow\u2010up Definitions Endpoints and Research Trial Design: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Developed in partnership with the European Heart Rhythm Association (EHRA) a registered branch of the European Society of Cardiology (ESC) and the European Cardiac Arrhythmia Society (ECAS); and in collaboration with the American College of Cardiology (ACC) American Heart Association (AHA) the Asia Pacific Heart Rhythm Society (APHRS) and the Society of Thoracic Surgeons (STS). Endorsed by the governing bodies of the American College of Cardiology Foundation the American Heart Association the European Cardiac Arrhythmia Society the European Heart Rhythm Association the Society of Thoracic Surgeons the Asia Pacific Heart Rhythm Society and the Heart Rhythm Society.Europace2012March 1."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.029801"},{"key":"e_1_2_6_11_1","unstructured":"Werkgroep richtlijn beroerte 2000.Kwaliteitsinstituut voor de Gezondheidszorg in samenwerking met de Nederlandse Vereniging voor Neurologie.Richtlijn beroerte2013. CBO. 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