Evidence map›Paper›PMID 41849575›Full record

Observational studyJMIR cardio2026

Short-Term Arrhythmia Prediction Using AI Based on Daily Data From Implantable Devices: Multicenter Prospective Observational Study.

Ignacio Fernández Lozano, Joaquín Fernández de la Concha, Javier Ramos Maqueda, Nicasio Pérez Castellano, Rafael Salguero Bodes, F Javier García-Fernández, Juan Benezet Mazuecos, Javier Jiménez Candil, Tomás Datino, Sem Briongos Figuero and 5 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in JMIR cardio, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

15 authors.

Ignacio Fernández LozanoHeart Disease Institute, Hospital Universitario Puerta de Hierro Majadahonda, C. Joaquín Rodrigo, 1, Majadahonda, Madrid, 28222, Spain, 34 911 91 60 00.ORCID http://orcid.org/0000-0002-3092-8761
Joaquín Fernández de la ConchaHeart Disease Institute, Hospital Universitario de Badajoz, Badajoz, Spain.ORCID http://orcid.org/0000-0002-1004-5988
Javier Ramos MaquedaHeart Disease Institute, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.ORCID http://orcid.org/0000-0002-4959-9902
Nicasio Pérez CastellanoHeart Disease Institute, Hospital Clínico San Carlos, Madrid, Spain.ORCID http://orcid.org/0000-0003-0359-939X
Rafael Salguero BodesHeart Disease Institute, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID http://orcid.org/0000-0003-1038-9710
F Javier García-FernándezHeart Disease Institute, Hospital Universitario de Burgos, Burgos, Spain.ORCID http://orcid.org/0000-0002-0414-1332
Juan Benezet MazuecosHeart Disease Institute, Hospital La Luz, Madrid, Spain.ORCID http://orcid.org/0000-0003-3912-8901
Javier Jiménez CandilHeart Disease Institute, Complejo Hospitalario de Salamanca, Salamanca, Spain.ORCID http://orcid.org/0000-0003-1831-8730
Tomás DatinoHeart Disease Institute, Hospital Universitario Quirónsalud Madrid, Madrid, Spain.ORCID http://orcid.org/0000-0002-9509-5801
Sem Briongos FigueroHeart Disease Institute, Hospital Universitario Infanta Leonor, Madrid, Spain.ORCID http://orcid.org/0000-0002-7893-5581
Javier Paniagua OlmedillasHeart Disease Institute, Hospital Virgen de la Concha, Zamora, Spain.ORCID http://orcid.org/0009-0007-8860-7497
Miguel Nicolás Font de la FuenteMonitoring Life S.A, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0009-0008-6508-9137
Juan López-Dóriga CostalesMonitoring Life S.A, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0009-0003-8930-7649
Sarai Paz FernándezMonitoring Life S.A, Santa Cruz de Tenerife, Spain.ORCID http://orcid.org/0009-0000-0748-3939
Vicente Copoví LucasArrhythmia Network Technology SL, Madrid, Spain.ORCID http://orcid.org/0009-0008-7819-5334

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Predictive medicine relies on algorithms to determine clinical treatments tailored to each patient's individual characteristics. Predictive models based on artificial intelligence have shown promise in identifying atrial fibrillation episodes; however, they rarely focus on short-term dynamic prediction. Objective: This study aimed to evaluate the use of an artificial intelligence model and remote monitoring data extracted from pacemaker devices to predict the onset or worsening of arrhythmias in the short term. Methods: This was a multicenter prospective observational study in which data from 314 patients were analyzed. A total of 65,243 data sequences were collected, of which 55,532 (85.1%) were used to train the algorithm. This model used 31-day records to predict whether the number of arrhythmic episodes would increase, decrease, or remain the same in the following 14 days. Results: The sensitivity and specificity of the generated predictions were calculated from 9711 prediction-observation pairs. The global sensitivity was 66.4% (95% CI 64.3%-68.3%), and specificity was 77.4% (95% CI 76.4%-78.4%). For patients with baseline arrhythmia, sensitivity was 76.8% (95% CI 74.6%-78.8%), and specificity was 39.6% (95% CI 35.8%-43.5%). The prediction for patients with no baseline arrhythmia showed a sensitivity of 39% (95% CI 35.1%-43%) and a specificity of 81% (95% CI 80.0%-81.9%). The analysis for the patient subgroup without history of atrial fibrillation (232/314, 73.9%) yielded a 69% sensitivity (95% CI 66.5%-71.5%) and an 80% specificity (95% CI 79.3%-81.3%). Conclusions: This model was capable of predicting short-term increases or decreases in arrhythmic episodes with reasonable sensitivity and specificity using data collected through remote monitoring of implantable devices. The model's performance is expected to improve progressively as more data samples become available, including demographic data and clinical records.

Indexed as

Arrhythmias, CardiacArtificial IntelligencePacemaker, ArtificialAgedAtrial FibrillationFemaleHumansMaleMiddle AgedPrediction AlgorithmsPredictive Learning ModelsProspective StudiesAFAIarrhythmia predictionartificial intelligenceatrial fibrillationmachine learningpacemakerpredictive medicinetelemedicine

Identifiers

PMID41849575
PMCPMC12998600

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.