Heart failure & cardiomyopathiesDiagnostic or prognostic study

Smartphone-Based Recognition of Heart Failure by Means of Microelectromechanical Sensors

JACC Heart FailPublished

  • Diagnostic accuracy study
  • multicentre
  • prespecified pooled data analysis
  • bootstrap aggregation validation

Authors' conclusion

Smartphone-based assessment of cardiac function using seismocardiography is feasible and differentiates patients with HF from control subjects with high diagnostic accuracy.

Study context

Population
Inpatients and outpatients with stage C heart failure (HF) and control subjects, Finland and US174 inpatients · 172 outpatients
Participants
217 vs 786
Comparison
Smartphone seismocardiography for detection of HF vs control subjects
  • HFn = 217
  • Controln = 786reference
Outcome
Diagnostic accuracy of smartphone seismocardiography algorithms for detection of HF

Performance

As reported in the abstract

Detection of HF (both HF cohorts, decision threshold 0.5)
AUC
0.95
Sensitivity
85%
Specificity
90%
Accuracy
89%
Positive likelihood ratio
8.50
Negative likelihood ratio
0.17

Further findings

Accuracy by subgroups (age, sex, BMI, AF)

Accuracy not significantly different in subgroups based on age, sex, BMI and AF

Original publication

Smartphone-Based Recognition of Heart Failure by Means of Microelectromechanical Sensors. JACC Heart Fail. Published 3 April 2024. doi:10.1016/j.jchf.2024.01.022

Summarised from the published abstract; every number is checked against it