{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T14:44:37Z","timestamp":1776437077168,"version":"3.51.2"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T00:00:00Z","timestamp":1745625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Palpitations in children are common and obtaining symptom\u2010rhythm correlation is diagnostic, but challenging to obtain. The AliveCor KardiaMobile monitor is a smartphone\u2010based single\u2010lead ECG event recorder with limited study in children. We compared using this smartphone recorder to a conventional (Cardiocall) event recorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a prospective, randomized study of children presenting to pediatric cardiology for investigation of palpitations who require an event recorder for symptom\u2010rhythm correlation. Patients were randomized to the smartphone or conventional recorder for rhythm documentation for 3 months or 4 weeks, respectively. Diagnostic tracings were defined as one pathologic arrhythmia or three sinus rhythm tracings. We assessed tracing quality, diagnoses obtained, and time to diagnosis between groups. Patients were surveyed to assess perceptions of using the devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred participants were enrolled and randomized to 50 in each group. Diagnostic tracings were achieved in 51%\u00a0versus 44% (<jats:italic>p<\/jats:italic> = 0.525) in the smartphone versus conventional group at means of 23.7 (SD 36.4) versus 11.5 (SD 15.2) days, <jats:italic>p<\/jats:italic> = 0.181. Participants who used the smartphone monitor were more likely to transmit recordings (70%\u00a0vs. 49%, <jats:italic>p<\/jats:italic> = 0.037) and more often willing to use the device again (87%\u00a0vs. 42%, <jats:italic>p<\/jats:italic> = 0.015), with no differences between groups in finding episodes easy to record (74%\u00a0vs. 100%, <jats:italic>p<\/jats:italic> = 0.15), easy to transmit (70%\u00a0vs. 46%, <jats:italic>p<\/jats:italic> = 0.26), or overall satisfaction (83%\u00a0vs. 58%, <jats:italic>p<\/jats:italic> = 0.13).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Smartphone monitor devices provided similar diagnostic yield to conventional monitors in children. Families who used the smartphone monitor were more willing to use the device again.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.15190","type":"journal-article","created":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T09:36:36Z","timestamp":1745660196000},"page":"615-622","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does a Smartphone\u2010Based ECG Recording System in Pediatric Patients With Palpitations Improve Diagnostic Yield?"],"prefix":"10.1111","volume":"48","author":[{"given":"Hilal","family":"Al Riyami","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sultan","family":"Zamzami","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa K.","family":"Hornberger","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yashu","family":"Coe","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shubhayan","family":"Sanatani","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of British Columbia  Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"de la Cruz","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of British Columbia  Vancouver Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Atallah","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9401-3221","authenticated-orcid":false,"given":"Carolina A.","family":"Escudero","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Pediatrics University of Alberta  Edmonton Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2013.09.010"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.24.8.269"},{"issue":"7","key":"e_1_2_10_4_1","first-page":"975","article-title":"Yield of 48\u2010Hour Holter Monitoring in Children With Unexplained Palpitations and Significance of Associated Symptoms","volume":"67","author":"Aman R.","year":"2017","journal-title":"Journal of the Pakistan Medical Association"},{"issue":"2","key":"e_1_2_10_5_1","first-page":"178","article-title":"Efficacy of Transtelephonic Electrocardiographic Monitoring in Pediatric Patients","volume":"144","author":"Goldstein M. 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