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The European TeleCheck-AF project on remote app-based management of atrial fibrillation during the COVID-19 pandemic: Centre and patient experiences

Gawa?ko, Monika; Duncker, David; Manninger, Martin; Van der Velden, Rachel M.J.; Hermans, Astrid N.L.; Verhaert, Dominique V.M.; Pison, Laurent; Pisters, Ron; Hemels, Martin; Sultan, Arian; Steven, Daniel; Gupta, Dhiraj; Heidbuchel, Hein; Sohaib, Afzal; Wijtvliet, Petra; Tieleman, Robert; Gruwez, Henri; Chun, Julian; Schmidt, Boris; Keaney, John J.; M�ller, Patrick; Lodzi?ski, Piotr; Svennberg, Emma; Hoekstra, Olga; Jansen, Ward P.J.; Desteghe, Lien; de Potter, Tom; Tomlinson, David R.; Neubeck, Lis; Crijns, Harry J.G.M.; Pluymaekers, Nikki A.H.A.; Hendriks, Jeroen M.; Linz, Dominik


Monika Gawa?ko

David Duncker

Martin Manninger

Rachel M.J. Van der Velden

Astrid N.L. Hermans

Dominique V.M. Verhaert

Laurent Pison

Ron Pisters

Martin Hemels

Arian Sultan

Daniel Steven

Dhiraj Gupta

Hein Heidbuchel

Afzal Sohaib

Petra Wijtvliet

Robert Tieleman

Henri Gruwez

Julian Chun

Boris Schmidt

John J. Keaney

Patrick M�ller

Piotr Lodzi?ski

Emma Svennberg

Olga Hoekstra

Ward P.J. Jansen

Lien Desteghe

Tom de Potter

David R. Tomlinson

Harry J.G.M. Crijns

Nikki A.H.A. Pluymaekers

Jeroen M. Hendriks

Dominik Linz


Aims: TeleCheck-AF is a multicentre international project initiated to maintain care delivery for patients with atrial fibrillation (AF) during COVID-19 through teleconsultations supported by an on-demand photoplethysmography-based heart rate and rhythm monitoring app (FibriCheck® ). We describe the characteristics, inclusion rates and experiences from participating centres according the TeleCheck-AF infrastructure as well as characteristics and experiences from recruited patients.

Methods: Three surveys exploring centre characteristics (n=25), centre experiences (n=23) and patient experiences (n=826) were completed. Self-reported patient characteristics were obtained from the app.

Results: Most centres were academic (64%) and specialized public cardiology/district hospitals (36%). Majority of centres had AF outpatient clinics (64%) and only 36% had AF ablation clinics. The time required to start patient inclusion and total number of included patients in the project was comparable for centres experienced (56%) or inexperienced in mHealth use. Within 28 weeks, 1930 AF patients were recruited, mainly for remote AF control (31% of patients) and AF ablation follow-up (42%). Average inclusion rate was highest during the lockdown restrictions and reached a steady state at a lower level after easing the restrictions (188 vs 52 weekly recruited patients). Majority (>80%) of the centres reported no problems during the implementation of the TeleCheck-AF approach. Recruited patients (median age 64 [55-71], 62% male) agreed that the FibriCheck® app was easy to use (94%).

Conclusions: Despite different health care settings and mHealth experiences, the TeleCheck-AF approach could be set up within an extremely short time and easily used in different European centres during COVID-19.

Journal Article Type Article
Acceptance Date Feb 3, 2021
Online Publication Date Apr 2, 2021
Publication Date 2021-07
Deposit Date Feb 8, 2021
Publicly Available Date Apr 3, 2022
Print ISSN 1099-5129
Publisher Oxford University Press
Peer Reviewed Peer Reviewed
Volume 23
Issue 7
Pages 1003-1015
Keywords Atrial fibrillation; eHealth; mHealth; remote monitoring; telemedicine; TeleCheck-AF; COVID-19
Public URL


The European TeleCheck-AF Project On Remote App-based Management Of Atrial Fibrillation During The COVID-19 Pandemic: Centre And Patient Experiences (published version) (2.1 Mb)

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Copyright Statement
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License.

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