Evidence map›Paper›PMID 40984986›Full record

ArticleEuropean heart journal. Digital health2025

Gender specific aspects of digital screening for atrial fibrillation: insights from the randomized eBRAVE-AF trial.

Luisa Freyer, Peter Spielbichler, Lukas von Stülpnagel, Konstantinos Mourouzis, Lukas Tenbrink, Laura Elisa Villegas Sierra, Maria F Vogl, Lauren E Sams, Annika Schneidewind, Mathias Klemm and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in European heart journal. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04250220 (eHealth-based Bavarian Alternative Detection of Atrial Fibrillation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04250220 naunknown statusnot on this map

eHealth-based Bavarian Alternative Detection of Atrial Fibrillation: A Randomized Controlled Trial (eBRAVE-AF)

TypeinterventionalSponsorLMU KlinikumRan2020 to 2021Enrolled4,400ConditionsAtrial FibrillationArmse-Health based strategy: PPG-based screening using a smartphone and ECG patch
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Luisa FreyerMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0009-0009-6302-8266
Peter SpielbichlerMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Lukas von StülpnagelMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0000-0003-2238-2815
Konstantinos MourouzisMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0000-0001-8702-7369
Lukas TenbrinkMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Laura Elisa Villegas SierraMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Maria F VoglMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Lauren E SamsMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Annika SchneidewindMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.
Mathias KlemmMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0009-0005-4617-3446
Steffen MassbergMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0000-0001-7387-3986
Axel BauerUniversity Hospital for Internal Medicine III, Medical University of Innsbruck, Innsbruck, Austria.
Konstantinos D RizasMedizinische Klinik und Poliklinik I, University Hospital Munich, Ludwig-Maximilians University, Munich  Ziemssenstrasse 5, Munich 80336, Germany.ORCID https://orcid.org/0000-0002-5993-0339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Smartphone-based digital screening was shown to increase the detection rate of atrial fibrillation (AF) requiring oral anticoagulation (OAC) compared with usual care. In this pre-specified subgroup analysis of the eBRAVE-AF trial, we explored sex-specific differences in digital AF-screening. Methods and results: In eBRAVE-AF (NCT04250220), participating policyholders of a German health insurance company were randomly assigned to a 6-month digital or conventional AF-screening strategy. For digital screening, participants used smartphone-based photoplethysmography (PPG) to detect pulse wave irregularities, which were confirmed using 14-day external ECG-recorders. The primary endpoint was newly diagnosed AF treated with OAC. After 6 months, participants were assigned to a second, cross-over study-phase. The efficacy of AF-screening in women and men was assessed by Cox-regression analysis. 5551 (31% females; 55% ≥ 65 years) of 67 488 invited policyholders free of AF participated in the study and were randomly assigned to digital screening ( Conclusion: Men showed higher willingness to participate in this digital study and digital AF-screening was effective for them. While digital screening increased the detection rate of AF with OAC in women, the effect was not statistically significant, likely due to limited power.

Indexed as

Atrial fibrillationDigital screeningeBRAVE-AFOral anticoagulationPhotoplethysmographySex-differences

Identifiers

PMID40984986
PMCPMC12450515

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.