The use of smart watch technology to improve the management of patients presenting with fast irregular heart rates in the Emergency department - a pilot study

Not Applicable

• Conditions: Atrial Fibrillation; Cardiovascular - Other cardiovascular diseases; Emergency medicine - Other emergency care

• Registration Number: ACTRN12620001374954
• Lead Sponsor: Eastern Health

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2020-12-22
• Last Update Posted: 5 January 2021

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

50 patients with AF onset less than 24 hours presenting to ED who are able to have delayed cardioversion.
•Age: 18 years or greater
•Residing within the Eastern Health catchment during the initial intervention period (48 hours from time of ED presentation)
•Haemodynamically stable
•Recent onset AF : <24 hours of symptomatic first episode or recurrent AF
•Have compatible smart phone or tablet to use the Alivecor device

Exclusion Criteria

•AF onset time unclear.
•History of long-standing persistent AF (continuous AF for more than 1 year)
•Patients with haemodynamically unstable AF who require emergent cardioversion
•Have a cardiac pacemaker or implantable cardioverter defribrillator or other implanted electronic device
•Unable to provide informed consent

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Total number of emergency department time spent per visit for enrolled participants compared with historical age matched controls. [Four weeks after initial presentation to hospital with AF as assessed by hospital records.]

Secondary Outcome Measures

Name	Time	Method
Results of readings during remote monitoring period and need for repeat ED review. Results of readings are classified as follows:<br>oReversion to sinus rhythm. ED review not required<br>oPossible AF, requiring ED review<br>oUninterpretable, requiring ED review<br>oUnclassified, requiring ED review<br>The ECG's will be reviewed manually by the study physician.<br>[First 48 hours];Proportion of participants subsequently requiring ED cardioversion as assessed by hospital records.[First 4 weeks];Presence of AF at 4-week cardiology outpatient review, assessed as the presence of AF on ECG.[First 4 weeks ]