{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:07:14Z","timestamp":1770484034837,"version":"3.49.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2011,4,18]],"date-time":"2011-04-18T00:00:00Z","timestamp":1303084800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eur J Prev Cardiolog"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p> Background: Clinical presentation of atrial fibrillation (AF) is usually represented by palpitations; nevertheless, atypical presentation of AF with symptoms other than palpitations may be not uncommon in elderly patients. This study therefore aimed to evaluate incremental diagnostic value of tele-medicine at-home assessment in patients who called emergency medical service (EMS). <\/jats:p><jats:p> Methods: A total of 27,841 consecutive EMS patients referred for suspected heart disease underwent ECG assessment with a mobile ECG-recorder device. ECGs were transmitted with mobile-phone support to a tele-cardiology \u2018hub\u2019 active 24\/7 where a cardiologist read the ECGs. Rate of prevalence of AF, age of patients, and symptoms were analysed. <\/jats:p><jats:p> Results: AF was diagnosed in 11.67% of patients who underwent ECG examination. Typical symptoms were complained by 6.56% of whole patients, only 14.05% of patients with AF: rate of subjects with AF and typical symptoms significantly decreased with age (&lt;65 years 29.58%, 65\u201375 years 17.06%, &gt;75 years 10.35%, p\u2009&lt;\u20090.001). Number needed to diagnose an AF with atypical presentation (number needed to treat) decreased from 45 (&lt;65 years) to 9 (65\u201375 years) and 5 (&gt;75 years) ( p\u2009&lt;\u20090.001). Tele-cardiology support increased the rate of at-home diagnosis of AF from two-fold (in 40-year-olds) up to four-fold (60-year-olds) and seven-fold (70-year-olds). <\/jats:p><jats:p> Conclusions: AF with symptoms other than palpitations is a common finding in elderly EMS patients. Tele-cardiology support improves the sensitivity of diagnosis of AF in elderly EMS patients and is useful in at-home identification of subjects with AF and atypical presentation. <\/jats:p>","DOI":"10.1177\/1741826711406060","type":"journal-article","created":{"date-parts":[[2011,4,18]],"date-time":"2011-04-18T23:34:59Z","timestamp":1303169699000},"page":"306-313","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":34,"title":["Atrial fibrillation with symptoms other than palpitations: incremental diagnostic sensitivity with at-home tele-cardiology assessment for emergency medical service"],"prefix":"10.1093","volume":"19","author":[{"given":"Natale Daniele","family":"Brunetti","sequence":"first","affiliation":[{"name":"Cardiology Department, University of Foggia, Foggia, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"De Gennaro","sequence":"additional","affiliation":[{"name":"Cardiology Department, University of Foggia, Foggia, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pier Luigi","family":"Pellegrino","sequence":"additional","affiliation":[{"name":"Cardiology Department, University of Foggia, Foggia, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Dellegrottaglie","sequence":"additional","affiliation":[{"name":"Cardio-on-line Europe S.r.l., Bari, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianfranco","family":"Antonelli","sequence":"additional","affiliation":[{"name":"Cardiology Department, Azienda Ospedaliera Policlinico, Bari, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Di Biase","sequence":"additional","affiliation":[{"name":"Cardiology Department, University of Foggia, Foggia, 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