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Steinberg JS, Varma N, Cygankiewicz I, Aziz P, Balsam P, Baranchuk A, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring\/telemetry. <i>Ann Noninvasive Electrocardiol<\/i> 2017; 22: e12447, doi:10.1111\/anec.12447.","DOI":"10.1111\/anec.12447"},{"key":"2","doi-asserted-by":"publisher","unstructured":"2. Varma N, Cygankiewicz I, Turakhia MP, Heidbuchel H, Hu YF, Chen LY, et al. 2021 ISHNE\/HRS\/EHRA\/APHRS expert collaborative statement on mHealth in arrhythmia management: Digital medical tools for heart rhythm professionals. <i>Circ Arrhythm Electrophysiol<\/i> 2021; 14: e009204, doi:10.1161\/CIRCEP.120.009204.","DOI":"10.1161\/CIRCEP.120.009204"},{"key":"3","doi-asserted-by":"publisher","unstructured":"3. Svennberg E, Tjong F, Goette A, Akoum N, Di Biase L, Bordachar P, et al. 2022 How to use digital devices to detect and manage arrhythmias: An EHRA practical guide. <i>Europace<\/i> 2022; 24: 979\u20131005, doi:10.1093\/europace\/euac038.","DOI":"10.1093\/europace\/euac038"},{"key":"4","doi-asserted-by":"publisher","unstructured":"4. Ferrick AM, Raj SR, Deneke T, Kojodjojo P, Lopez-Cabanillas N, Abe H, et al. 2023 HRS\/EHRA\/APHRS\/LAHRS expert consensus statement on practical management of the remote device clinic. <i>Heart Rhythm<\/i> 2023; 20: e92\u2013e144, doi:10.1016\/j.hrthm.2023.03.1525.","DOI":"10.1016\/j.hrthm.2023.03.1525"},{"key":"5","doi-asserted-by":"publisher","unstructured":"5. Papouchado M, Walker PR, James MA, Clarke LM. Fundamental differences between the standard 12-lead electrocardiograph and the modified (Mason-Likar) exercise lead system. <i>Eur Heart J<\/i> 1987; 8: 725\u2013733, doi:10.1093\/eurheartj\/8.7.725.","DOI":"10.1093\/eurheartj\/8.7.725"},{"key":"6","doi-asserted-by":"publisher","unstructured":"6. Locati ET, Moya A, Oliveira M, Tanner H, Willems R, Lunati M, et al. External prolonged electrocardiogram monitoring in unexplained syncope and palpitations: Results of the SYNARR-Flash study. <i>Europace<\/i> 2016; 18: 1265\u20131272, doi:10.1093\/europace\/euv311.","DOI":"10.1093\/europace\/euv311"},{"key":"7","doi-asserted-by":"publisher","unstructured":"7. Steinberg JS, Varma N, Cygankiewicz I, Aziz P, Balsam P, Baranchuk A, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring\/telemetry. <i>Heart Rhythm<\/i> 2017; 14: e55\u2013e96, doi:10.1016\/j.hrthm.2017.03.038.","DOI":"10.1016\/j.hrthm.2017.03.038"},{"key":"8","doi-asserted-by":"publisher","unstructured":"8. Gladstone DJ, Wachter R, Schmalstieg-Bahr K, Quinn FR, Hummers E, Ivers N, et al. Screening for atrial fibrillation in the older population: A randomized clinical trial. <i>JAMA Cardiol<\/i> 2021; 6: 558\u2013567, doi:10.1001\/jamacardio.2021.0038.","DOI":"10.1001\/jamacardio.2021.0038"},{"key":"9","doi-asserted-by":"publisher","unstructured":"9. Reiffel JA, Verma A, Kowey PR, Halperin JL, Gersh BJ, Wachter R, et al. Incidence of previously undiagnosed atrial fibrillation using insertable cardiac monitors in a high-risk population: The REVEAL AF study. <i>JAMA Cardiol<\/i> 2017; 2: 1120\u20131127, doi:10.1001\/jamacardio.2017.3180.","DOI":"10.1001\/jamacardio.2017.3180"},{"key":"10","doi-asserted-by":"publisher","unstructured":"10. Reiffel JA, Verma A, Kowey PR, Halperin JL, Gersh BJ, Elkind MSV, et al. Rhythm monitoring strategies in patients at high risk for atrial fibrillation and stroke: A comparative analysis from the REVEAL AF study. <i>Am Heart J<\/i> 2020; 219: 128\u2013136, doi:10.1016\/j.ahj.2019.07.016.","DOI":"10.1016\/j.ahj.2019.07.016"},{"key":"11","unstructured":"11. Japan Electronics and Information Technology Industries Association Healthcare Industries Board. Hossaji shinzo katsudo kirokusochi \u00b7 hossaji shinzo kirokusochi-yo program no tekisei kokoku \u00b7 hyoji gaidline (1st edition). https:\/\/home.jeita.or.jp\/upload_file\/20240318234038_q76G5S2Rhm.pdf (accessed January 17, 2025) [in Japanese]."},{"key":"12","doi-asserted-by":"publisher","unstructured":"12. Takase B, Ikeda T, Shimizu W, Abe H, Aiba T, Chinushi M, et al. JCS\/JHRS 2022 guideline on diagnosis and risk assessment of arrhythmia. <i>Circ J<\/i> 2024; 88: 1509\u20131595, doi:10.1253\/circj.CJ-22-0827.","DOI":"10.1253\/circj.CJ-22-0827"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Keitaishindenzu ni kansuru [Japanese Society of Electrocardiology]. Gaidline sakusei iinkai: Keitaishindenzu ni kansuru [Japanese Society of Electrocardiology guideline statement]. <i>Jpn J Electrocardiol<\/i> 2006; 26: 871\u2013937 [in Japanese].","DOI":"10.5105\/jse.26.871"},{"key":"14","doi-asserted-by":"publisher","unstructured":"14. Ramkumar S, Nerlekar N, D\u2019Souza D, Pol DJ, Kalman JM, Marwick TH. Atrial fibrillation detection using single lead portable electrocardiographic monitoring: A systematic review and meta-analysis. <i>BMJ Open<\/i> 2018; 8: e024178, doi:10.1136\/bmjopen-2018-024178.","DOI":"10.1136\/bmjopen-2018-024178"},{"key":"15","doi-asserted-by":"publisher","unstructured":"15. William AD, Kanbour M, Callahan T, Bhargava M, Varma N, Rickard J, et al. Assessing the accuracy of an automated atrial fibrillation detection algorithm using smartphone technology: The iREAD Study. <i>Heart Rhythm<\/i> 2018; 15: 1561\u20131565, doi:10.1016\/j.hrthm.2018.06.037.","DOI":"10.1016\/j.hrthm.2018.06.037"},{"key":"16","doi-asserted-by":"publisher","unstructured":"16. Frisch DR, Frankel ES, Farzad DJ, Woo SH, Kubey AA. Initial experience in monitoring QT intervals using a six-lead contactless mobile electrocardiogram in an inpatient setting. <i>J Innov Card Rhythm Manag<\/i> 2021; 12: 4433\u20134440, doi:10.19102\/icrm.2021.120301.","DOI":"10.19102\/icrm.2021.120301"},{"key":"17","doi-asserted-by":"publisher","unstructured":"17. Scholten J, Jansen WPJ, Horsthuis T, Mahes AD, Winter MM, Zwinderman AH, et al. Six-lead device superior to single-lead smartwatch ECG in atrial fibrillation detection. <i>Am Heart J<\/i> 2022; 253: 53\u201358, doi:10.1016\/j.ahj.2022.06.010.","DOI":"10.1016\/j.ahj.2022.06.010"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Bergeman AT, Pultoo SNJ, Winter MM, Somsen GA, Tulevski II, Wilde AAM, et al. Accuracy of mobile 6-lead electrocardiogram device for assessment of QT interval: A prospective validation study. <i>Neth Heart J<\/i> 2023; 31: 340\u2013347, doi:101007\/s12471-022-01716-5.","DOI":"10.1007\/s12471-022-01716-5"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Kleiman R, Darpo B, Brown R, Rudo T, Chamoun S, Albert DE, et al. Comparison of electrocardiograms (ECG) waveforms and centralized ECG measurements between a simple 6-lead mobile ECG device and a standard 12-lead ECG. <i>Ann Noninvasive Electrocardiol<\/i> 2021; 26: e12872, doi:10.1111\/anec.12872.","DOI":"10.1111\/anec.12872"},{"key":"20","doi-asserted-by":"publisher","unstructured":"20. Lee C, Lee C, Fernando C, Chow CM. Comparison of Apple Watch vs KardiaMobile: A tale of two devices. <i>CJC Open<\/i> 2022; 4: 939\u2013945, doi:10.1016\/j.cjco.2022.07.011.","DOI":"10.1016\/j.cjco.2022.07.011"},{"key":"21","doi-asserted-by":"publisher","unstructured":"21. Halcox JPJ, Wareham K, Cardew A, Gilmore M, Barry JP, Phillips C, et al. Assessment of remote heart rhythm sampling using the AliveCor heart monitor to screen for atrial fibrillation: The REHEARSE-AF study. <i>Circulation<\/i> 2017; 136: 1784\u20131794, doi:10.1161\/CIRCULATIONAHA.117.030583.","DOI":"10.1161\/CIRCULATIONAHA.117.030583"},{"key":"22","unstructured":"22. Apple Inc. Electrocardiogram (ECG) App Instructions for Use (IFU). https:\/\/regulatoryinfo.apple.com\/ifu\/ecg (accessed Februaiy 14, 2025)."},{"key":"23","unstructured":"23. Pharmaceutical and Medical Devices Agency. Apple no shindenzu application. https:\/\/www.pmda.go.jp\/PmdaSearch\/kikiDetail\/ResultDataSetPDF\/641002_30200BZI00020000_A_01_02 (accessed February 14, 2025) [in Japanese]."},{"key":"24","doi-asserted-by":"publisher","unstructured":"24. Senoo K, Miki T, Okura T, Shiraishi H, Shirayama T, Inoue K, et al. Diagnostic value of atrial fibrillation by built-in electrocardiogram technology in a blood pressure monitor. <i>Circ Rep<\/i> 2020; 2: 345\u2013350, doi:10.1253\/circrep.CR-20-0032.","DOI":"10.1253\/circrep.CR-20-0032"},{"key":"25","doi-asserted-by":"publisher","unstructured":"25. Senoo K, Yukawa A, Ohkura T, Shoji K, Takigami M, Iwakoshi H, et al. Screening for untreated atrial fibrillation in the elderly population: A community-based study. <i>PLoS One<\/i> 2022; 17: e0269506, doi:10.1371\/journal.pone.0269506.","DOI":"10.1371\/journal.pone.0269506"},{"key":"26","doi-asserted-by":"publisher","unstructured":"26. Senoo K, Yukawa A, Ohkura T, Iwakoshi H, Nishimura T, Shimoo S, et al. The impact of home electrocardiograph measurement rate on the detection of atrial fibrillation recurrence after ablation: A prospective multicenter observational study. <i>Int J Cardiol Heart Vasc<\/i> 2023; 44: 101177, doi:10.1016\/j.ijcha.2023.101177.","DOI":"10.1016\/j.ijcha.2023.101177"},{"key":"27","doi-asserted-by":"publisher","unstructured":"27. Yang TY, Huang L, Malwade S, Hsu CY, Chen YC. Diagnostic accuracy of ambulatory devices in detecting atrial fibrillation: Systematic review and meta-analysis. <i>JMIR Mhealth Uhealth<\/i> 2021; 9: e26167, doi:10.2196\/26167.","DOI":"10.2196\/26167"},{"key":"28","doi-asserted-by":"publisher","unstructured":"28. Perez MV, Mahaffey KW, Hedlin H, Rumsfeld JS, Garcia A, Ferris T, et al. Large-scale assessment of a smartwatch to identify atrial fibrillation. <i>N Engl J Med<\/i> 2019; 381: 1909\u20131917, doi:10.1056\/NEJMoa1901183.","DOI":"10.1056\/NEJMoa1901183"},{"key":"29","doi-asserted-by":"crossref","unstructured":"29. Guo Y, Wang H, Zhang H, Liu T, Liang Z, Xia Y, et al. Mobile photoplethysmographic technology to detect atrial fibrillation. <i>J Am Coll Cardiol<\/i> 2019; 74: 2365\u20132375.","DOI":"10.1016\/j.jacc.2019.08.019"},{"key":"30","unstructured":"30. Apple Inc. Fukisoku na heartbeat no tsuuchi shiyo setsumeisho. https:\/\/www.apple.com\/legal\/ifu\/irnf\/JP-ifu-irnf-2.pdf (accessed January 17, 2025) [in Japanese]."},{"key":"31","unstructured":"31. Pharmaceutical and Medical Devices Agency. Apple no Fukisoku na heartbeat no tsuuchi program. https:\/\/www.pmda.go.jp\/PmdaSearch\/kikiDetail\/ResultDataSetPDF\/641002_30200BZI00021000_A_02_03 (accessed January 17, 2025) [in Japanese]."},{"key":"32","unstructured":"32. Pharmaceutical and Medical Devices Agency. Apple no atrial fibrillation rireki program. https:\/\/www.pmda.go.jp\/PmdaSearch\/kikiDetail\/ResultDataSetPDF\/166359_30600BZI00010000_A_01_02 (accessed January 17, 2025) [in Japanese]."},{"key":"33","doi-asserted-by":"publisher","unstructured":"33. Pereira T, Tran N, Gadhoumi K, Pelter MM, Do DH, Lee RJ, et al. Photoplethysmography based atrial fibrillation detection: A review. <i>NPJ Digit Med<\/i> 2020; 3: 3, doi:10.1038\/s41746-019-0207-9.","DOI":"10.1038\/s41746-019-0207-9"},{"key":"34","doi-asserted-by":"publisher","unstructured":"34. Ishizawa M, Noma T, Izumi T, Tani R, Inoue T, Nasu E, et al. Development of a novel algorithm to detect atrial fibrillation using an automated blood pressure monitor with an irregular heartbeat detector. <i>Circ J<\/i> 2019; 83: 2428\u20132433, doi:10.1253\/circj.CJ-19-0349.","DOI":"10.1253\/circj.CJ-19-0349"},{"key":"35","doi-asserted-by":"publisher","unstructured":"35. Balanis T, Sanner B. Detection of atrial fibrillation using a home blood pressure monitor. <i>Vasc Health Risk Manag<\/i> 2021; 17: 407\u2013414, doi:10.2147\/VHRM.S317859.","DOI":"10.2147\/VHRM.S317859"},{"key":"36","doi-asserted-by":"publisher","unstructured":"36. Watanabe T, Tomitani N, Yasui N, Kario K. Validation of an ambulatory blood pressure monitoring device employing a novel method to detect atrial fibrillation. <i>Hypertens Res<\/i> 2022; 45: 1345\u20131352, doi:10.1038\/s41440-022-00925-0.","DOI":"10.1038\/s41440-022-00925-0"},{"key":"37","doi-asserted-by":"publisher","unstructured":"37. Hiyoshi Y, Hashimoto H, Kabuki T, Toda M, Sakurada H. Prediction of atrial fibrillation using a home blood pressure monitor with a high-resolution system. <i>Open Heart<\/i> 2022; 9: e002006, doi:10.1136\/openhrt-2022-002006.","DOI":"10.1136\/openhrt-2022-002006"},{"key":"38","doi-asserted-by":"publisher","unstructured":"38. Stergiou GS, Kyriakoulis KG, Stambolliu E, Destounis A, Karpettas N, Kalogeropoulos P, et al. Blood pressure measurement in atrial fibrillation: Review and meta-analysis of evidence on accuracy and clinical relevance. <i>J Hypertens<\/i> 2019; 37: 2430\u20132441, doi:10.1097\/HJH.0000000000002201.","DOI":"10.1097\/HJH.0000000000002201"},{"key":"39","unstructured":"39. MFER Committee. Medical waveform Format Encoding Rules. http:\/\/www.mfer.org\/jp\/index.htm (accessed January 17, 2025) [in Japanese]."},{"key":"40","unstructured":"40. The Japanese Circulation Society. SEAMAT: Standard Export datA forMAT. https:\/\/www.j-circ.or.jp\/itdata\/guideline_v11.pdf (accessed January 17, 2025)."},{"key":"41","doi-asserted-by":"crossref","unstructured":"41. Silva-Trujillo AG, Gonz\u00e1lez Gonz\u00e1lez MJ, Rocha P\u00e9rez LP, Garc\u00eda Villalba LJ. Cybersecurity analysis of wearable devices: Smartwatches passive attack. <i>Sensors<\/i> 2023; 23: 5438, doi:10.3390\/s23125438.","DOI":"10.3390\/s23125438"},{"key":"42","doi-asserted-by":"crossref","unstructured":"42. Varma N, Cygankiewicz I, Turakhia M, Heidbuchel H, Hu Y, Chen LY, et al. 2021 ISHNE\/HRS\/EHRA\/APHRS collaborative statement on mHealth in arrhythmia management: Digital medical tools for heart rhythm professionals: From the International Society for Holter and Noninvasive Electrocardiology\/Heart Rhythm Society\/European Heart Rhythm Association\/Asia Pacific Heart Rhythm Society. <i>Ann Noninvasive Electrocardiol<\/i> 2021; 26: e12795, doi:10.1111\/anec.12795.","DOI":"10.1111\/anec.12795"},{"key":"43","doi-asserted-by":"crossref","unstructured":"43. Chen Q, Bridges RA. Automated behavioral analysis of malware: A case study of WannaCry ransomware. <i>In<\/i>: 16th IEEE International Conference on Machine Learning and Applications (ICMLA). 2017; 454\u2013460, doi:10.1109\/ICMLA.2017.0-119.","DOI":"10.1109\/ICMLA.2017.0-119"},{"key":"44","doi-asserted-by":"crossref","unstructured":"44. Aidan JS, Verma HK, Awasthi LK. Comprehensive survey on Petya ransomware attack. <i>In<\/i>: 2017 International Conference on Next Generation Computing and Information Systems (ICNGCIS). 2017; 122\u2013125, doi:10.1109\/ICNGCIS.2017.30.","DOI":"10.1109\/ICNGCIS.2017.30"},{"key":"45","unstructured":"45. Ikegami M. Cyber kogeki no doko to taisaku. <i>Jyoho no Kagaku to gijutsu<\/i> 2023; 73: 81\u201386 [in Japanese]."},{"key":"46","unstructured":"46. The Ministry of Economy, Trade and Industry (METI), The Ministry of Internal Affairs and Communications (MIC). The safety management guidelines for providers of information systems and services handling medical information. https:\/\/www.meti.go.jp\/policy\/mono_info_service\/healthcare\/teikyoujigyousyagl.html (accessed January 17, 2025) [in Japanese]."},{"key":"47","unstructured":"47. The Ministry of Health, Labour and Welfare. Guidelines on safety management of healthcare information systems. ver. 6 (2023 May). https:\/\/www.mhlw.go.jp\/stf\/shingi\/0000516275_00006.html (accessed February 3, 2025) [in Japanese]."},{"key":"48","unstructured":"48. The Ministry of Economy. Research and development guidelines for software as a medical device in medical and healthcare fields to promote behavior change (2023). https:\/\/www.meti.go.jp\/policy\/mono_info_service\/healthcare\/202303.55.pdf (accessed January 17, 2025) [in Japanese]."},{"key":"49","unstructured":"49. Personal Information Protection Commission, Government of Japan. Horei\/Guidline, etc. https:\/\/www.ppc.go.jp\/personalinfo\/legal\/ (accessed January 17, 2025) [in Japanese]."},{"key":"50","unstructured":"50. Cabinet Office, Government of Japan. <i>The Next Generation Medical Infrastructure Act<\/i>; public relations video. https:\/\/wwwc.cao.go.jp\/lib_023\/digital_signage1_en.html (accessed January 17, 2025)."},{"key":"51","unstructured":"51. Ministry of Health, Labour and Welfare of Japan. Ministerial ordinance on good clinical practice for drugs. https:\/\/www.pmda.go.jp\/files\/000152996.pdf (accessed January 17, 2025)."},{"key":"52","doi-asserted-by":"publisher","unstructured":"52. Mendu ML, McAvay G, Lampert R, Stoehr J, Tinetti ME. Yield of diagnostic tests in evaluating syncopal episodes in older patients. <i>Arch Intern Med<\/i> 2009; 169: 1299\u20131305, doi:10.1001\/archinternmed.2009.204.","DOI":"10.1001\/archinternmed.2009.204"},{"key":"53","doi-asserted-by":"crossref","unstructured":"53. Soteriades ES, Evans JC, Larson MG, Chen MH, Chen L, Benjamin EJ, et al. Incidence and prognosis of syncope. <i>N Engl J Med<\/i> 2002; 347: 878\u2013885, doi:10.1056\/NEJMoa012407.","DOI":"10.1056\/NEJMoa012407"},{"key":"54","doi-asserted-by":"crossref","unstructured":"54. Edvardsson N, Frykman V, van Mechelen R, Mitro P, Oskarsson AM, Pasqui\u00e9 JL, et al. Use of an implantable loop recorder to increase the diagnostic yield in unexplained syncope: Results from the PICTURE registry. <i>Europace<\/i> 2011; 13: 262\u2013269, doi:10.1093\/europace\/euq418.","DOI":"10.1093\/europace\/euq418"},{"key":"55","doi-asserted-by":"publisher","unstructured":"55. Solbiati M, Casazza G, Dipaola F, Sheldon RS, Costantino G. Cochrane corner: Implantable loop recorder versus conventional workup for unexplained recurrent syncope. <i>Heart<\/i> 2016; 102: 1862\u20131863, doi:10.1136\/heartjnl-2016-309980.","DOI":"10.1136\/heartjnl-2016-309980"},{"key":"56","doi-asserted-by":"publisher","unstructured":"56. Shen WK, Sheldon RS, Benditt DG, Cohen MI, Forman DE, Goldberger ZD, et al. 2017 ACC\/AHA\/HRS guideline for the evaluation and management of patients with syncope: A report of the American College of Cardiology\/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. <i>J Am Coll Cardiol<\/i> 2017; 70: e39\u2013e110, doi:10.1016\/j.jacc.2017.03.003.","DOI":"10.1016\/j.jacc.2017.03.003"},{"key":"57","doi-asserted-by":"publisher","unstructured":"57. Brignole M, Moya A, de Lange FJ, Deharo JC, Elliott PM, Fanciulli A, et al. 2018 ESC guidelines for the diagnosis and management of syncope. <i>Eur Heart J<\/i> 2018; 39: 1883\u20131948, doi:10.1093\/eurheartj\/ehy037.","DOI":"10.1093\/eurheartj\/ehy037"},{"key":"58","doi-asserted-by":"publisher","unstructured":"58. Sanna T, Diener HC, Passman RS, Lazzaro VD, Bernstein RA, Morillo CA, et al. Cryptogenic Stroke and Underlying Atrial Fibrillation (CRYSTAL AF). <i>N Engl J Med<\/i> 2014; 370: 2478\u20132486, doi:10.1056\/NEJMoa1313600.","DOI":"10.1056\/NEJMoa1313600"},{"key":"59","doi-asserted-by":"publisher","unstructured":"59. Tsivgoulis G, Katsanos AH, Grory BM, K\u00f6hrmann M, Ricci BA, Tsioufis K, et al. Prolonged cardiac rhythm monitoring and secondary stroke prevention in patients with cryptogenic cerebral ischemia. <i>Stroke<\/i> 2019; 50: 2175\u20132180, doi:10.1161\/STROKEAHA.119.025169.","DOI":"10.1161\/STROKEAHA.119.025169"},{"key":"60","doi-asserted-by":"publisher","unstructured":"60. Ratajczak-Tretel B, Tancin Lambert A, Al-Ani R, Arntzen K, Bakkejord GK, Bekkeseth H, et al. Atrial fibrillation in cryptogenic stroke and TIA patients in the Nordic Atrial Fibrillation and Stroke (NOR-FIB) study: Main results. <i>EurStroke J<\/i> 2023; 8: 148\u2013156, doi:10.1177\/23969873221123122.","DOI":"10.1177\/23969873221123122"},{"key":"61","doi-asserted-by":"publisher","unstructured":"61. Mariani JA, Weerasooriya R, van den Brink O, Mohamed U, Gould PA, Pathak RK, et al. Miniaturized implantable cardiac monitor with a long sensing vector (BIOMONITOR III): Insertion procedure assessment, sensing performance, and home monitoring transmission success. <i>J Electrocardiol<\/i> 2020; 60: 118\u2013125, doi:10.1016\/j.jelectrocard.2020.04.004.","DOI":"10.1016\/j.jelectrocard.2020.04.004"},{"key":"62","doi-asserted-by":"publisher","unstructured":"62. Lustgarten DL, Rajagopal G, Reiland J, Koehler J, Sarkar S. Premature ventricular contraction detection for long-term monitoring in an implantable cardiac monitor. <i>Pacing Clin Electrophysiol<\/i> 2020; 43: 462\u2013470, doi:10.1111\/pace.13903.","DOI":"10.1111\/pace.13903"},{"key":"63","doi-asserted-by":"publisher","unstructured":"63. Nault I, Andr\u00e9 P, Plourde B, Leclerc F, Sarrazin JF, Philippon F, et al. Validation of a novel single lead ambulatory ECG monitor \u2013 Cardiostat<sup>TM<\/sup> \u2013 compared to a standard ECG Holter monitoring. <i>J Electrocardiol<\/i> 2019; 53: 57\u201363, doi:10.1016\/j.jelectrocard.2018.12.011.","DOI":"10.1016\/j.jelectrocard.2018.12.011"},{"key":"64","doi-asserted-by":"publisher","unstructured":"64. Krahn AD, Klein GJ, Yee R. Randomized assessment of syncope trial: Conventional diagnostic testing versus a prolonged monitoring strategy. <i>Circulation<\/i> 2001; 104: 46\u201351, doi:10.1161\/01.cir.104.1.46.","DOI":"10.1161\/01.CIR.104.1.46"},{"key":"65","doi-asserted-by":"publisher","unstructured":"65. Tanno K. Use of implantable and external loop recorders in syncope with unknown causes. <i>J Arrhythm<\/i> 2017; 33: 579\u2013582, doi:10.1016\/j.joa.2017.03.006.","DOI":"10.1016\/j.joa.2017.03.006"},{"key":"66","doi-asserted-by":"publisher","unstructured":"66. Carrington M, Provid\u00eancia R, Chahal CAA, Ricci F, Epstein AE, Gallina S, et al. Monitoring and diagnosis of intermittent arrhythmias: Evidence-based guidance and role of novel monitoring strategies. <i>Eur Heart J Open<\/i> 2022; 2: oeac072, doi:10.1093\/ehjopen\/oeac072.","DOI":"10.1093\/ehjopen\/oeac072"},{"key":"67","doi-asserted-by":"publisher","unstructured":"67. Turakhia MP, Hoang DD, Zimetbaum P, Miller JD, Froelicher VF, Kumar UN, et al. Diagnostic utility of a novel leadless arrhythmia monitoring device. <i>Am J Cardiol<\/i> 2013; 112: 520\u2013524, doi:10.1016\/j.amjcard.2013.04.017.","DOI":"10.1016\/j.amjcard.2013.04.017"},{"key":"68","doi-asserted-by":"crossref","unstructured":"68. Tsukada S, Nakashima H, Torimitsu K. Conductive polymer combined silk fiber bundle for bioelectrical signal recording. <i>PLoS One<\/i> 2012; 7: e33689, doi:10.1371\/journal.pone.0033689.","DOI":"10.1371\/journal.pone.0033689"},{"key":"69","doi-asserted-by":"publisher","unstructured":"69. Tsukada YT, Tokita M, Murata H, Hirasawa Y, Yodogawa K, Iwasaki YK, et al. Validation of wearable textile electrodes for ECG monitoring. <i>Heart Vessels<\/i> 2019; 34: 1203\u20131211, doi:10.1007\/s00380-019-01347-8.","DOI":"10.1007\/s00380-019-01347-8"},{"key":"70","doi-asserted-by":"publisher","unstructured":"70. Machino T, Aonuma K, Maruo K, Komatsu Y, Yamasaki H, Igarashi M, et al. Randomized crossover trial of 2-week garment electrocardiogram with dry textile electrode to reveal instances of post-ablation recurrence of atrial fibrillation underdiagnosed during 24-hour Holter monitoring. <i>PLoS One<\/i> 2023; 18: e0281818, doi:10.1371\/journal.pone.0281818.","DOI":"10.1371\/journal.pone.0281818"},{"key":"71","doi-asserted-by":"publisher","unstructured":"71. Kaleschke G, Hoffmann B, Drewitz I, Steinbeck G, Naebauer M, Goette A, et al. Prospective, multicentre validation of a simple, patient-operated electrocardiographic system for the detection of arrhythmias and electrocardiographic changes. <i>Europace<\/i> 2009; 11: 1362\u20131368, doi:10.1093\/europace\/eup262.","DOI":"10.1093\/europace\/eup262"},{"key":"72","doi-asserted-by":"publisher","unstructured":"72. Mannhart D, Lischer M, Knecht S, du Fay de Lavallaz J, Strebel I, Serban T, et al. Clinical validation of 5 direct-to-consumer wearable smart devices to detect atrial fibrillation: BASEL wearable study. <i>JACC Clin Electrophysiol<\/i> 2023; 9: 232\u2013242, doi:10.1016\/j.jacep.2022.09.011.","DOI":"10.1016\/j.jacep.2022.09.011"},{"key":"73","doi-asserted-by":"publisher","unstructured":"73. Lubitz SA, Faranesh AZ, Selvaggi C, Atlas SJ, McManus DD, Singer DE, et al. Detection of atrial fibrillation in a large population using wearable devices: The Fitbit Heart Study. <i>Circulation<\/i> 2022; 146: 1415\u20131424, doi:10.1161\/CIRCULATIONAHA.122.060291.","DOI":"10.1161\/CIRCULATIONAHA.122.060291"},{"key":"74","doi-asserted-by":"publisher","unstructured":"74. Turakhia MP, Desai M, Hedlin H, Rajmane A, Talati N, Ferris T, et al. Rationale and design of a large-scale, app-based study to identify cardiac arrhythmias using a smartwatch: The Apple Heart Study. <i>Am Heart J<\/i> 2019; 207: 66\u201375, doi:10.1016\/j.ahj.2018.09.002.","DOI":"10.1016\/j.ahj.2018.09.002"},{"key":"75","doi-asserted-by":"publisher","unstructured":"75. Petek BJ, Al-Alusi MA, Moulson N, Grant AJ, Besson C, Guseh JS, et al. Consumer wearable health and fitness technology in cardiovascular medicine: JACC state-of-the-art review. <i>J Am Coll Cardiol<\/i> 2023; 82: 245\u2013264, doi:10.1016\/j.jacc.2023.04.054.","DOI":"10.1016\/j.jacc.2023.04.054"},{"key":"76","doi-asserted-by":"publisher","unstructured":"76. Kinlay S, Leitch JW, Neil A, Chapman BL, Hardy DB, Fletcher PJ. Cardiac event recorders yield more diagnoses and are more cost-effective than 48-hour Holter monitoring in patients with palpitations: A controlled clinical trial. <i>Ann Intern Med<\/i> 1996; 124: 16\u201320, doi:10.7326\/0003-4819-124-1_part_1-199601010-00003.","DOI":"10.7326\/0003-4819-124-1_Part_1-199601010-00003"},{"key":"77","doi-asserted-by":"publisher","unstructured":"77. Benezet-Mazuecos J, Ibanez B, Rubio JM, Navarro F, Martin E, Romero J, et al. Utility of in-hospital cardiac remote telemetry in patients with unexplained syncope. <i>Europace<\/i> 2007; 9: 1196\u20131201, doi:10.1093\/europace\/eum239.","DOI":"10.1093\/europace\/eum239"},{"key":"78","doi-asserted-by":"crossref","unstructured":"78. Bass EB, Curtiss EI, Arena VC, Hanusa BH, Cecchetti A, Karpf M, et al. The duration of Holter monitoring in patients with syncope. <i>Arch Intern Med<\/i> 1990; 150: 1073\u20131078.","DOI":"10.1001\/archinte.1990.00390170103022"},{"key":"79","doi-asserted-by":"publisher","unstructured":"79. Simson MB. Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction. <i>Circulation<\/i> 1981; 64: 235\u2013242, doi:10.1161\/01.cir.64.2.235.","DOI":"10.1161\/01.CIR.64.2.235"},{"key":"80","doi-asserted-by":"publisher","unstructured":"80. Breithardt G, Cain ME, el-Sherif N, Flowers NC, Hombach V, Janse M, et al. Standards for analysis of ventricular late potentials using high-resolution or signal-averaged electrocardiography: A statement by a Task Force Committee of the European Society of Cardiology, the American Heart Association, and the American College of Cardiology. <i>Circulation<\/i> 1991; 83: 1481\u20131488, doi:10.1161\/01.cir.83.4.1481.","DOI":"10.1161\/01.CIR.83.4.1481"},{"key":"81","doi-asserted-by":"publisher","unstructured":"81. Kinoshita T, Hashimoto K, Yoshioka K, Miwa Y, Yodogawa K, Watanabe E, et al. Risk stratification for cardiac mortality using electrocardiographic markers based on 24-hour Holter recordings: The JANIES-SHD study. <i>J Cardiol<\/i> 2020; 75: 155\u2013163, doi:10.1016\/j.jjcc.2019.07.012.","DOI":"10.1016\/j.jjcc.2019.07.012"},{"key":"82","doi-asserted-by":"crossref","unstructured":"82. Hashimoto K, Amino M, Yoshioka K, Kasamaki Y, Kinoshita T, Ikeda T. Combined evaluation of ambulatory-based late potentials and nonsustained ventricular tachycardia to predict arrhythmic events in patients with previous myocardial infarction: A Japanese noninvasive electrocardiographic risk stratification of sudden cardiac death (JANIES) substudy. <i>Ann Noninvasive Electrocardiol<\/i> 2021; 26: e12803, doi:10.1111\/anec.12803.","DOI":"10.1111\/anec.12803"},{"key":"83","doi-asserted-by":"crossref","unstructured":"83. Hashimoto K, Kinoshita T, Miwa Y, Amino M, Yoshioka K, Yodogawa K, et al. Ambulatory electrocardiographic markers predict serious cardiac events in patients with chronic kidney disease: The Japanese Noninvasive Electrocardiographic Risk Stratification of Sudden Cardiac Death in Chronic Kidney Disease (JANIES-CKD) study. <i>Ann NoninvasiveElectrocardiol<\/i> 2022; 27: e12923, doi:10.1111\/anec.12923.","DOI":"10.1111\/anec.12923"},{"key":"84","doi-asserted-by":"crossref","unstructured":"84. Tsimos KP, Korantzopoulos P, Arsenos P, Doundoulakis I, Tsiachris D, Antoniou CK, et al. Association of non-invasive electrocardiographic risk factors with left ventricular systolic function in post-myocardial infarction patients with mildly reduced or preserved ejection fraction: Insights from the PRESERVE-EF study. <i>Ann Noninvasive Electrocardiol<\/i> 2022; 27: e12946, doi:10.1111\/anec.12946.","DOI":"10.1111\/anec.12946"},{"key":"85","doi-asserted-by":"crossref","unstructured":"85. Trachanas K, Sideris S, Arsenos P, Tsiachris D, Antoniou CK, Dilaveris P, et al. Noninvasive risk factors for the prediction of inducibility on programmed ventricular stimulation in post-myocardial infarction patients with an ejection fraction \u226540% at risk for sudden cardiac arrest: Insights from the PRESERVE-EF study. <i>Ann Noninvasive Electrocardiol<\/i> 2022; 27: e12908, doi:10.1111\/anec.12908.","DOI":"10.1111\/anec.12908"},{"key":"86","doi-asserted-by":"crossref","unstructured":"86. Marcus FI, McKenna WJ, Sherrill D, Basso C, Bauce B, Bluemke DA, et al. Diagnosis of arrhythmogenic right ventricular cardiomyopathy\/dysplasia: Proposed modification of the Task Force Criteria. <i>Eur Heart J<\/i> 2010; 31: 806\u2013814, doi:10.1093\/eurheartj\/ehq025.","DOI":"10.1093\/eurheartj\/ehq025"},{"key":"87","doi-asserted-by":"crossref","unstructured":"87. Ikeda T, Sakurada H, Sakabe K, Sakata T, Takami M, Tezuka N, et al. Assessment of noninvasive markers in identifying patients at risk in the Brugada syndrome: Insight into risk stratification. <i>J Am Coll Cardiol<\/i> 2001; 37: 1628\u20131634, doi:10.1016\/s0735-1097(01)01197-4.","DOI":"10.1016\/S0735-1097(01)01197-4"},{"key":"88","doi-asserted-by":"publisher","unstructured":"88. Ciconte G, Santinelli V, Vicedomini G, Borrelli V, Monasky MM, Micaglio E, et al. Non-invasive assessment of the arrhythmogenic substrate in Brugada syndrome using signal-averaged electrocardiogram: Clinical implications from a prospective clinical trial. <i>Europace<\/i> 2019; 21: 1900\u20131910, doi:10.1093\/europace\/euz295.","DOI":"10.1093\/europace\/euz295"},{"key":"89","doi-asserted-by":"crossref","unstructured":"89. Rosenbaum DS, Jackson LE, Smith JM, Garan H, Ruskin JN, Cohen RJ. Electrical alternans and vulnerability to ventricular arrhythmias. <i>N Engl J Med<\/i> 1994; 330: 235\u2013241, doi:10.1056\/NEJM199401273300402.","DOI":"10.1056\/NEJM199401273300402"},{"key":"90","doi-asserted-by":"publisher","unstructured":"90. Verrier RL, Klingenheben T, Malik M, El-Sherif N, Exner DV, Hohnloser SH, et al. Microvolt T-wave alternans physiological basis, methods of measurement, and clinical utility--consensus guideline by International Society for Holter and Noninvasive Electrocardiology. <i>J Am Coll Cardiol<\/i> 2011; 58: 1309\u20131324, doi:10.1016\/j.jacc.2011.06.029.","DOI":"10.1016\/j.jacc.2011.06.029"},{"key":"91","doi-asserted-by":"publisher","unstructured":"91. Ikeda T, Saito H, Tanno K, Shimizu H, Watanabe J, Ohnishi Y, et al. T-wave alternans as a predictor for sudden cardiac death after myocardial infarction. <i>Am J Cardiol<\/i> 2002; 89: 79\u201382, doi:10.1016\/s0002-9149(01)02171-3.","DOI":"10.1016\/S0002-9149(01)02171-3"},{"key":"92","doi-asserted-by":"publisher","unstructured":"92. Ikeda T, Yoshino H, Sugi K, Tanno K, Shimizu H, Watanabe J, et al. Predictive value of microvolt T-wave alternans for sudden cardiac death in patients with preserved cardiac function after acute myocardial infarction: Results of a collaborative cohort study. <i>J Am Coll Cardiol<\/i> 2006; 48: 2268\u20132274, doi:10.1016\/j.jacc.2006.06.075.","DOI":"10.1016\/j.jacc.2006.06.075"},{"key":"93","doi-asserted-by":"crossref","unstructured":"93. Hohnloser SH, Ikeda T, Bloomfield DM, Dabbous OH, Cohen RJ. T-wave alternans negative coronary patients with low ejection and benefit from defibrillator implantation. <i>Lancet<\/i> 2003; 362: 125\u2013126, doi:10.1016\/s0140-6736(03)13865-2.","DOI":"10.1016\/S0140-6736(03)13865-2"},{"key":"94","doi-asserted-by":"publisher","unstructured":"94. Hohnloser SH, Ikeda T, Cohen RJ. Evidence regarding clinical use of microvolt T-wave alternans. <i>Heart Rhythm<\/i> 2009; 6(Suppl): S36\u2013S44, doi:10.1016\/j.hrthm.2008.10.011.","DOI":"10.1016\/j.hrthm.2008.10.011"},{"key":"95","doi-asserted-by":"publisher","unstructured":"95. Gatzoulis KA, Tsiachris D, Arsenos P, Antoniou CK, Dilaveris P, Sideris S, et al. Arrhythmic risk stratification in postmyocardial infarction patients with preserved ejection fraction: The PRESERVE EF study. <i>Eur Heart J<\/i> 2019; 40: 2940\u20132949, doi:10.1093\/eurheartj\/ehz260.","DOI":"10.1093\/eurheartj\/ehz260"},{"key":"96","doi-asserted-by":"crossref","unstructured":"96. Task Force of the European Society of Cardiology, the North American Society of Pacing and Electrophysiology. Heart rate variability: Standards of measurement, physiological interpretation and clinical use. <i>Circulation<\/i> 1996; 93: 1043\u20131465, doi:10.1161\/01.CIR.93.5.1043.","DOI":"10.1161\/01.CIR.93.5.1043"},{"key":"97","doi-asserted-by":"publisher","unstructured":"97. La Rovere MT, Bigger JT Jr, Marcus FI, Mortara A, Schwartz PJ. Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators. <i>Lancet<\/i> 1998; 351: 478\u2013484, doi:10.1016\/s0140-6736(97)11144-8.","DOI":"10.1016\/S0140-6736(97)11144-8"},{"key":"98","doi-asserted-by":"publisher","unstructured":"98. Schmidt G, Malik M, Barthel P, Schneider R, Ulm K, Rolnitzky L, et al. Heart-rate turbulence after ventricular premature beats as a predictor of mortality after acute myocardial infarction. <i>Lancet<\/i> 1999; 353: 1390\u20131396, doi:10.1016\/S0140-6736(98)08428-1.","DOI":"10.1016\/S0140-6736(98)08428-1"},{"key":"99","doi-asserted-by":"crossref","unstructured":"99. Exner DV, Kavanagh KM, Slawnych MP, Mitchell LB, Ramadan D, Aggarwal SG, et al. Noninvasive risk assessment early after a myocardial infarction the REFINE study. <i>J Am Coll Cardiol<\/i> 2007; 50: 2275\u20132284, doi:10.1016\/j.jacc.2007.08.042.","DOI":"10.1016\/j.jacc.2007.08.042"},{"key":"100","doi-asserted-by":"publisher","unstructured":"100. Hoshida K, Miwa Y, Miyakoshi M, Tsukada T, Yusu S, Yoshino H, et al. Simultaneous assessment of T-wave alternans and heart rate turbulence on Holter electrocardiograms as predictors for serious cardiac events in patients after myocardial infarction. <i>Circ J<\/i> 2013; 77: 432\u2013438, doi:10.1253\/circj.CJ-12-0789.","DOI":"10.1253\/circj.CJ-12-0789"},{"key":"101","doi-asserted-by":"publisher","unstructured":"101. Yamada S, Yoshihisa A, Sato Y, Sato T, Kamioka M, Kaneshiro T, et al. Utility of heart rate turbulence and T-wave alternans to assess risk for readmission and cardiac death in hospitalized heart failure patients. <i>J Cardiovasc Electrophysiol<\/i> 2018; 29: 1257\u20131264, doi:10.1111\/jce.13639.","DOI":"10.1111\/jce.13639"},{"key":"102","doi-asserted-by":"publisher","unstructured":"102. Verrier RL. Assessing risk for rehospitalization and cardiac death in patients with heart failure: Can the dynamic duo of heart rate turbulence and T-wave alternans help? <i>J Cardiovasc Electrophysiol<\/i> 2018; 29: 1265\u20131267, doi:10.1111\/jce.13660.","DOI":"10.1111\/jce.13660"},{"key":"103","unstructured":"103. Pharmaceuticals and Medical Devices Agency. Notification No.0929-1 of PSEHB. https:\/\/www.pmda.go.jp\/files\/000243109.pdf (accessed March 5, 2025) [in Japanese]."},{"key":"104","doi-asserted-by":"publisher","unstructured":"104. P\u00fcrerfellner H, Sanders P, Sarkar S, Reisfeld E, Reiland J, Koehler J, et al. Adapting detection sensitivity based on evidence of irregular sinus arrhythmia to improve atrial fibrillation detection in insertable cardiac monitors. <i>Europace<\/i> 2018; 20(FI_3): f321\u2013f328, doi:10.1093\/europace\/eux272.","DOI":"10.1093\/europace\/eux272"},{"key":"105","doi-asserted-by":"publisher","unstructured":"105. Gopinathannair R, Lakkireddy DR, Badie N, Qu F, Ryu K, Afzal MR, et al. Improving the specificity of atrial fibrillation and tachycardia detection in an insertable cardiac monitor. <i>Heart Rhythm<\/i> 2022; 19: S351\u2013S352, doi:10.1016\/j.hrthm.2022.03.480.","DOI":"10.1016\/j.hrthm.2022.03.480"},{"key":"106","doi-asserted-by":"publisher","unstructured":"106. Manyam H, Afzal MR, Gopinathannair R, Qu F, Ryu P, Lakkireddy DR. Evaluation of a novel premature ventricular contraction detection algorithm in an insertable cardiac monitor. <i>Heart Rhythm<\/i> 2022; 19: S178\u2013S179, doi:10.1016\/j.hrthm.2022.03.924","DOI":"10.1016\/j.hrthm.2022.03.924"}],"container-title":["Circulation Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circj\/89\/6\/89_CJ-24-0960\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T03:47:20Z","timestamp":1748058440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/circj\/89\/6\/89_CJ-24-0960\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,23]]},"references-count":106,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1253\/circj.cj-24-0960","relation":{},"ISSN":["1346-9843","1347-4820"],"issn-type":[{"value":"1346-9843","type":"print"},{"value":"1347-4820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,23]]},"article-number":"CJ-24-0960"}}