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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EThis article presents results of the prospective, single-center Smartphone Pediatric Electrocardiogram trial [SPEAR] demonstrating that smartphone-enabled electrocardiogram (ECG) devices can produce accurate tracings of diagnostic and therapeutic quality in children in the remote setting.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EArrhythmias\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EImaging Modalities\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiac Imaging Techniques\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003ECardiology \u0026amp; Cardiovascular Medicine\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EHoang H. Nguyen, MD, Washington University School of Medicine, St. Louis, Missouri, USA, presented results of the prospective, single-center Smartphone Pediatric Electrocardiogram trial [SPEAR] demonstrating that smartphone-enabled electrocardiogram (ECG) devices can produce accurate tracings of diagnostic and therapeutic quality in children in the remote setting.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003E\n         \u003Cstrong\u003ES\u003C\/strong\u003Emartphone-enabled ECG recorders have the ability to enhance physician reach and patient care by facilitating ECG assessment in patients in remote areas. One such example is the AliveCor 1-lead ECG device, which consists of 2 exposed electrodes on the back of a smartphone case. This device generates an ECG when a finger of each hand is placed on each of the electrodes, and the electrical signal is processed and transmitted to the phone\u0027s AliveCor application.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EDr. Nguyen and colleagues are conducting a prospective trial throughout a 1-year period to investigate the usefulness of ECG tracings generated by the AliveCor device in pediatric patients, and to evaluate user satisfaction.\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003ETo be included in the trial, patients were required to be aged \u226421 years, have documented paroxysmal arrhythmia, and own an iPhone 4 or 5. Users were instructed to email ECG tracings of concern directly from the application for review by pediatric cardiac electrophysiologists. Following interpretation, patients were contacted with results and further care instructions. They were also required to complete online surveys regarding their experience and satisfaction with the device and cardiac care team.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EIn total, 30 patients (aged 2 months to 18 years; median age 12.5 years) were enrolled in the study. To date, 144 ECG tracings have been received from 20 patients, and the highest number of tracings received from a single patient during a 1-month period was 15. Users deemed ECGs as concerning 45% of the time. Signal quality allowed unequivocal rhythm diagnosis in 141 of 144 (98%) tracings; motion artifact prevented evaluation of the remaining three tracings. The most frequent diagnosis was supraventricular tachycardia (n=15; 50%), followed by ventricular tachycardia (n=8; 27%), atrial fibrillation (n=4; 13%), and ectopic atrial tachycardia (n=3; 10%; \u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E).\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/9\/22.2\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Rhythm Diagnosis From Smartphone ECG Tracings\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-2055618326\u0022 data-figure-caption=\u0022Rhythm Diagnosis From Smartphone ECG Tracings\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/9\/22.2\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/9\/22.2\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/9\/22.2\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15900\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption attrib\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \n            \u003Cp id=\u0022p-7\u0022 class=\u0022first-child\u0022\u003ERhythm Diagnosis From Smartphone ECG Tracings\u003C\/p\u003E\n         \u003Cq class=\u0022attrib\u0022 id=\u0022attrib-1\u0022\u003EAF=atrial fibrillation; EAT=ectopic atrial tachycardia; SVT=supraventricular tachycardia; VT=ventricular tachycardia.\u003C\/q\u003E\u003Cq class=\u0022attrib\u0022 id=\u0022attrib-2\u0022\u003EReproduced with permission from HH Nguyen, MD.\u003C\/q\u003E\u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cp id=\u0022p-8\u0022\u003EForty-four surveys have also been received to date, 68% of which are from parents. The results of the user survey thus far have been positive, with 98% of users indicating that the device is very easy to use and 93% indicating the ease at which it transmits tracings. Of users, 98% expressed a high level of comfort in using the device for arrhythmia management, and 99% indicated continued interest in using it after the study ends.\u003C\/p\u003E\u003Cp id=\u0022p-9\u0022\u003EThe parents of younger patients also provided feedback noting that the device can record their child\u0027s heart rhythm for prompt diagnosis without the need to visit the emergency room (ER) or pediatrician\u0027s office. They did, however, indicate the difficulty of device placement on small children. In addition, some noted that because the device was on the parental phone, it was not with the child at all times.\u003C\/p\u003E\u003Cp id=\u0022p-10\u0022\u003EThese preliminary data demonstrate that smartphone-enabled ECG devices can produce diagnostic tracings in children, with high use and user satisfaction. Such devices can help pediatric electrophysiologists better manage chronic arrhythmia by optimizing pediatric outpatient care, limiting ER use, and thereby reducing health care costs, concluded Dr. Nguyen.\u003C\/p\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2014 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/9\/22.2.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzp6mp\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzp6mp\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}