{"id":"https://openalex.org/W4389957346","doi":"https://doi.org/10.1161/circ.148.suppl_1.15268","title":"Abstract 15268: Abnormal Single-Lead Electrocardiograms Predict Future Atrial Fibrillation Risk: The VITAL-AF Trial","display_name":"Abstract 15268: Abnormal Single-Lead Electrocardiograms Predict Future Atrial Fibrillation Risk: The VITAL-AF Trial","publication_year":2023,"publication_date":"2023-11-07","ids":{"openalex":"https://openalex.org/W4389957346","doi":"https://doi.org/10.1161/circ.148.suppl_1.15268"},"language":"en","primary_location":{"id":"doi:10.1161/circ.148.suppl_1.15268","doi":"https://doi.org/10.1161/circ.148.suppl_1.15268","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.15268","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083722286","display_name":"Daniel C. Pipilas","orcid":"https://orcid.org/0000-0001-9577-2801","observed_orcids":["https://orcid.org/0000-0001-9577-2801"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Pipilas","raw_affiliation_strings":["Cardiology, Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041028758","display_name":"Shaan S. Khurshid","orcid":"https://orcid.org/0000-0002-2840-4539","observed_orcids":["https://orcid.org/0000-0002-2840-4539"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shaan Khurshid","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046469598","display_name":"Mostafa A. Al\u2010Alusi","orcid":"https://orcid.org/0000-0002-9359-1641","observed_orcids":["https://orcid.org/0000-0002-9359-1641"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mostafa Al-Alusi","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061398003","display_name":"Steven J. Atlas","orcid":"https://orcid.org/0000-0002-2297-9614","observed_orcids":["https://orcid.org/0000-0002-2297-9614"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steven Atlas","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042245461","display_name":"Jeffrey M. Ashburner","orcid":"https://orcid.org/0000-0002-5600-3492","observed_orcids":["https://orcid.org/0000-0002-5600-3492"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeffrey M Ashburner","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024099354","display_name":"Leila H. Borowsky","orcid":"https://orcid.org/0000-0001-7498-4450","observed_orcids":["https://orcid.org/0000-0001-7498-4450"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leila H Borowsky","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052539701","display_name":"David D. McManus","orcid":"https://orcid.org/0000-0002-9343-6203","observed_orcids":["https://orcid.org/0000-0002-9343-6203"]},"institutions":[{"id":"https://openalex.org/I166722992","display_name":"University of Massachusetts Chan Medical School","ror":"https://ror.org/0464eyp60","country_code":"US","type":"education","lineage":["https://openalex.org/I166722992"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David D McManus","raw_affiliation_strings":["UMMS, Worcester, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"UMMS, Worcester, MA","institution_ids":["https://openalex.org/I166722992"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020290782","display_name":"Daniel E. Singer","orcid":"https://orcid.org/0000-0001-6145-4848","observed_orcids":["https://orcid.org/0000-0001-6145-4848"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel E Singer","raw_affiliation_strings":["Mass General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mass General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042984133","display_name":"Steven A. Lubitz","orcid":"https://orcid.org/0000-0002-9599-4866","observed_orcids":["https://orcid.org/0000-0002-9599-4866"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Steven A Lubitz","raw_affiliation_strings":["NIBR, Cambridge, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NIBR, Cambridge, MA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050981927","display_name":"Yuchiao Chang","orcid":"https://orcid.org/0000-0003-1093-3755","observed_orcids":["https://orcid.org/0000-0003-1093-3755"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yuchiao Chang","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069822855","display_name":"Patrick T. Ellinor","orcid":"https://orcid.org/0000-0002-2067-0533","observed_orcids":["https://orcid.org/0000-0002-2067-0533"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Patrick T Ellinor","raw_affiliation_strings":["Massachusetts General Hosp, Boston, MA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hosp, Boston, MA","institution_ids":["https://openalex.org/I4210087915"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"148","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.8895999789237976,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10065","display_name":"Atrial Fibrillation Management and Outcomes","score":0.8895999789237976,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11021","display_name":"ECG Monitoring and Analysis","score":0.08630000054836273,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10217","display_name":"Cardiac electrophysiology and arrhythmias","score":0.007499999832361937,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/single-lead-ecg","display_name":"single-lead ECG","score":0.9459999799728394},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.8769999742507935},{"id":"https://openalex.org/keywords/incident-atrial-fibrillation-risk","display_name":"incident atrial fibrillation risk","score":0.8899999856948853},{"id":"https://openalex.org/keywords/automatic-ecg-analysis","display_name":"automated ECG analysis","score":0.9020000100135803},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.5370000004768372}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9478449821472168},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.7503209114074707},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.7158167958259583},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.6662347316741943},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.6477605700492859},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.6393886804580688},{"id":"https://openalex.org/C2778198053","wikidata":"https://www.wikidata.org/wiki/Q181754","display_name":"Heart failure","level":2,"score":0.6053541898727417},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.5811299085617065},{"id":"https://openalex.org/C500558357","wikidata":"https://www.wikidata.org/wiki/Q12152","display_name":"Myocardial infarction","level":2,"score":0.5622713565826416},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.45679476857185364},{"id":"https://openalex.org/C2777632338","wikidata":"https://www.wikidata.org/wiki/Q7240236","display_name":"Premature atrial contraction","level":3,"score":0.4441899061203003},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/circ.148.suppl_1.15268","doi":"https://doi.org/10.1161/circ.148.suppl_1.15268","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1161/circ.148.suppl_1.15268","pdf_url":null,"source":{"id":"https://openalex.org/S116251202","display_name":"Circulation","issn_l":"0009-7322","issn":["0009-7322","1524-4539"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Circulation","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9922999739646912,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4396217603","https://openalex.org/W4416691671","https://openalex.org/W4404302312","https://openalex.org/W4386880995","https://openalex.org/W3119793206","https://openalex.org/W7223565481","https://openalex.org/W7214473721","https://openalex.org/W3043895559","https://openalex.org/W4403814404","https://openalex.org/W4384009041"],"abstract_inverted_index":{"Introduction:":[0],"The":[1,193],"use":[2],"of":[3,14,42,48,68,85,132,213,235,252,262,287],"single-lead":[4],"electrocardiograms":[5],"(1L":[6],"ECG)":[7],"is":[8,33],"increasing":[9],"due":[10],"to":[11,17,124,160,172,239,291],"the":[12,27,46,76,89,130,133,141,151,155,217],"proliferation":[13],"devices":[15],"available":[16],"consumers.":[18],"Automated":[19],"software":[20],"algorithms":[21],"provide":[22],"real":[23],"time":[24],"analyses":[25],"using":[26],"1L":[28,53,70,86,96,143,274,301],"ECG":[29,54,71],"signal,":[30],"yet":[31],"it":[32],"unclear":[34],"whether":[35],"these":[36],"interpretations":[37],"confer":[38],"a":[39,211,250,258],"future":[40,49,288],"risk":[41,47,234,261],"AF.":[43],"Aim:":[44],"Investigate":[45],"AF":[50,63,103,126,163,206,215,219,237,264,278,289],"by":[51,88,150],"automated":[52,83],"interpretation":[55,84],"in":[56,75],"patients":[57,197],"who":[58],"did":[59],"not":[60,148,279],"receive":[61],"an":[62],"diagnosis":[64,251],"within":[65,281],"60":[66,138,282],"days":[67,139,283],"screening":[69],"Methods:":[72],"Patients":[73],"enrolled":[74],"VITAL-AF":[77],"trial":[78,152],"were":[79,98,170,284],"categorized":[80],"based":[81],"on":[82],"ECGs":[87,97,275],"AliveCor":[90],"KardiaMobile":[91],"device:":[92],"Normal":[93,199,240],"=":[94,104,111,201],"all":[95],"interpreted":[99],"as":[100,137],"\u201cNormal\u201d,":[101],"Possible":[102,205,214],"at":[105,112],"least":[106,113],"one":[107,114],"\u201cPossible":[108,121],"AF\u201d,":[109],"Other":[110,203,253],"\u201cNo":[115],"Analysis\u201d":[116],"or":[117],"\u201cUnclassified\u201d":[118],"but":[119],"no":[120],"AF\u201d.":[122],"Time":[123],"incident":[125,236,263,277],"was":[127,147,158,230,254],"calculated":[128],"with":[129,232,257,276],"beginning":[131],"at-risk":[134,156],"period":[135,157],"defined":[136],"after":[140],"latest":[142],"ECG.":[144],"Confirmatory":[145],"testing":[146],"required":[149],"protocol,":[153],"so":[154],"designed":[159],"exclude":[161],"delayed":[162],"diagnoses.":[164],"Cox":[165],"proportional":[166],"hazard":[167],"regression":[168],"models":[169],"used":[171],"compare":[173],"groups":[174],"adjusting":[175],"for":[176],"age,":[177],"body":[178],"mass":[179],"index,":[180],"hypertension,":[181],"myocardial":[182],"infarction,":[183],"diabetes":[184],"mellitus,":[185],"congestive":[186],"heart":[187],"failure":[188],"and":[189,229],"smoking":[190],"status.":[191],"Results:":[192],"study":[194],"included":[195],"14,181":[196],"(":[198,269],"n":[200],"10,930,":[202],"n=2,689,":[204],"n=":[207],"562).":[208],"As":[209],"expected,":[210],"report":[212],"had":[216],"highest":[218],"incidence":[220],"(5.75%":[221],"per":[222],"year,":[223],"95%":[224,246,266],"Confidence":[225],"Interval":[226],"[CI]":[227],"4.12-8.00)":[228],"associated":[231,256],"greater":[233],"compared":[238,290],"(adjusted":[241],"Hazard":[242],"Ratio":[243],"[aHR]":[244],"2.73,":[245],"CI":[247,267],"1.87-3.98).":[248],"Interestingly,":[249],"also":[255],"marked":[259],"increased":[260],"(2.37,":[265],"1.88-2.99)":[268],"Figure)":[270],".":[271],"Conclusions:":[272],"Abnormal":[273],"confirmed":[280],"still":[285],"predictive":[286],"\u201cNormal\u201d":[292],"tracings.":[293],"Further":[294],"monitoring":[295],"may":[296],"be":[297],"warranted":[298],"following":[299],"abnormal":[300],"ECGs.":[302]},"counts_by_year":[],"updated_date":"2026-10-11T09:32:39.932853","created_date":"2023-12-20T00:00:00"}
