Arrhythmias & electrophysiology

PPG-based smartphone application vs usual care for atrial fibrillation screening: A European multicenter randomized trial

Heart RhythmPublished Randomised controlled trial

Authors' conclusion

In this multicenter trial, application usage in combination with early intervention did not significantly increase overall AF detection rates.

Study context

Population
Patients with no prior atrial fibrillation (AF)
Participants
1,021 patients8 centres
Comparison
PPG-based smartphone application with early intervention vs sham
Primary endpoint
AF detection rate
Methodological detailsinternational, multicentre, prospective, sham-controlled, double-blind, Conducted October 2019 to May 2024, Randomised 1:1
  • International
  • Multicentre
  • Prospective
  • Sham-controlled
  • Double-blind
  • Conducted October 2019 to May 2024
  • Randomised 1:1

Primary result

As reported in the abstract

AF detection

P = 0.094

Further findings

Asymptomatic AF detection

P = 0.13

Arrhythmia detected

Mean

OutcomeInterventionSham
CHA2DS2-VASc score3.4 (SD 0.92)3.5 (SD 1.02)
Arrhythmia detected — Arrhythmia detected overall
32 (3.1%)
Arrhythmia detected — AF diagnosed overall
13 (1.3%)

Stroke, TIA or systemic embolism · 6 months

No difference between groups

Original publication

PPG-based smartphone application vs usual care for atrial fibrillation screening: A European multicenter randomized trial. Heart Rhythm. Published 16 September 2025. doi:10.1016/j.hrthm.2025.07.060

Composed by AI from the published abstract and checked against it. How Briefs are made →

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