{ "id": "AIBD-0292", "title": "Consumer wearable rhythm strips let a 59-year-old man skip repeat 30-day monitoring and go straight to pulmonary vein isolation for paroxysmal atrial fibrillation", "summary": "Virginia family physicians report that AF episodes a 59-year-old recorded on a consumer wearable, confirmed by a cardiologist, expedited referral and ablation; AF-free off drugs at follow-up.", "date_observed": "2026-07-24", "date_basis": "source publication", "date_precision": "day", "benefit_status": null, "source_collection": null, "source_entry": null, "account": "Joy S. Elliott of Riverside Family Medicine Medical Center, Newport News, Virginia, and Andrew H. Hagen of Edward Via College of Osteopathic Medicine, Blacksburg, Virginia, reported a case. It appeared in Osteopathic Family Physician (volume 18, number 3, Summer 2026, pages 56–59), published 24 July 2026. The event dates are not given. The patient is a 59-year-old man with two years of weekly episodes of fast heart rate, palpitations and fatigue, lasting up to 24 hours. He had documented several episodes through his smartphone using a consumer wearable device. A cardiologist friend had judged them paroxysmal atrial fibrillation (AF), but he had not sought formal evaluation. At the family medicine clinic his examination and bloods were normal. Initial management used the wearable for ambulatory rhythm monitoring to separate AF from premature beats. A confirmed episode lasting several hours prompted laboratory work-up and cardiology referral. Echocardiography showed a 4.1 cm aortic root and ascending aorta with normal ventricular function. Thirty-day monitoring was recommended. Because the wearable's rhythm strips already documented paroxysmal AF, his care went straight to treatment options. He chose pulmonary vein isolation ablation and reported dramatic improvement. He had one recurrence while skiing that responded to flecainide. At follow-up he was asymptomatic and AF-free without antiarrhythmic drugs, declining anticoagulation at a CHA2DS2-VASc score of 1. The device's brand is not named. The PDF was downloadable from the ACOFP site, although the article page says membership is required.", "category": "benefit created", "unexpected": false, "purpose": "Consumer wearables with electrocardiogram (ECG) recording are built to let wearers capture their rhythm during symptoms. Using those strips to document paroxysmal AF and shorten the path to ablation was that purpose.", "system": "Consumer wearable device with smartphone-linked rhythm-strip recording (brand and model not stated)", "model_version": null, "developer": "Not stated (the report does not name the device's maker)", "deployer": null, "location": "Newport News, Virginia, United States (corresponding author's clinic; the case text does not name the clinic)", "domain": "Healthcare (cardiology; primary care)", "segment": "Consumer wearables", "benefit_type": "Improved Physical Health", "taxonomy_note": null, "registry_ids": {}, "ratings": [ { "group": "personal", "depth": 2, "reason": "The patient's own recordings replaced repeat 30-day monitoring and took him directly to ablation. After it he was asymptomatic and AF-free off antiarrhythmics. That is material relief of a two-year symptom burden, with the authors' note that ablation is not curative." }, { "group": "organizational", "depth": 1, "reason": "The authors say the approach minimized the burden and costs of redundant diagnostic processes by avoiding repeat ambulatory monitoring. No figure is given." } ], "ai_role": { "status": "assessed", "statement": "The device recorded rhythm strips during symptomatic episodes. The AF determination is attributed to a cardiologist friend and later to clinical confirmation. The report does not say whether the device's own algorithm classified any episode. The device's contribution was therefore the documentation that let clinicians forgo further monitoring, not an automated diagnosis. The brand is unknown. Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care." }, "evidence": [ { "kind": "case report", "citation": "Elliott JS, Hagen AH (2026). Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation. Osteopathic Family Physician 18(3):56-59. doi:10.33181/18308. Case presentation, p. 57; discussion and limitations, pp. 58–59.", "title": "Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation", "url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "date": "2026-07-24", "written_by": "independent", "quote": null } ], "replication": { "produced_by": [ "A wearer who records rhythm strips on a consumer wearable during symptomatic episodes over an extended period", "A clinician (here a cardiologist friend, then the clinic) willing to accept those strips as documentation of paroxysmal AF", "A referral pathway that treats the documentation as sufficient to proceed to ablation without repeat 30-day monitoring" ], "must_hold": [ "The episodes are frequent and long enough to be captured on a user-triggered device", "The wearer has the device, the smartphone and the skills to record and share the strips (the authors list these as barriers for other patients)" ], "echoes": [ { "date": null, "setting": "Apple Heart Study and Fitbit Heart Study, cited in the report's introduction: 34% of Apple irregular-pulse notifications and about one-third of Fitbit irregular-rhythm detections were confirmed as AF on ECG patch", "model_version": null, "outcome": "recurred", "source": "Elliott JS, Hagen AH (2026), Osteopathic Family Physician 18(3):56-59, introduction, citing Perez et al. 2019 and Lubitz et al. 2022" } ] }, "paired_incident": null, "headline": "Wearable rhythm strips let a 59-year-old go straight to ablation", "metric": null, "comparator": { "against": "repeat 30-day ambulatory cardiac monitoring", "before": "it was recommended that the patient undergo continued cardiac monitoring for 30 days to attempt to document the arrhythmia", "after": "his care was able to be expedited straight to discussing treatment options", "basis": "assumed", "quote": "Given continued symptomatic episodes, it was recommended that the patient undergo continued cardiac monitoring for 30 days to attempt to document the arrhythmia. However, given the patient had documented paroxysmal AF from the rhythm strips produced by his consumer-wearable device, his care was able to be expedited straight to discussing treatment options.", "url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf" }, "later": { "status": "unknown", "date": null, "note": "The July 2026 report is the only account; its follow-up (asymptomatic and AF-free without antiarrhythmic therapy) is undated and nothing published later was found.", "quote": null, "url": null }, "value": null, "developer_country": null, "deployer_country": null, "unrated_because": null, "brief_notes": null, "brief": null, "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "source": null, "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf?sfvrsn=913e1e01_1", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" }, { "date": "2026-10-24", "change": "Consolidated four excerpts and formats into one original clinical case report. Read the full four-page PDF, its tables and references. The case attributes AF identification to clinicians and never identifies the wearable's brand or an algorithmic contribution. Preserved the documented clinical benefit and flagged the unresolved AI qualification for review.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Clarified that an AI contribution is unconfirmed. Retained the case and its depth assessment, but withheld it from homepage highlights.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" } ], "confidence": "studied", "shade": "high", "claim_status": "Independently studied", "claim_basis": "Sources: one independent case report. The cited evidence includes no finding by a regulator or court.", "profile": { "case_id": "AIBD-0292", "catalog_version": "1.0.0", "source_fingerprint": "f89aa5f70b0c588b2cc259050fae432822cc1fdf3cbf60d8a0c25eaae1079a51", "collection_refs": [ { "collection_id": "aibd", "version": "snapshot-8bf7cfec9cb185aa" }, { "collection_id": "aibd", "version": "2026-10-25" } ], "source_ids": [ "AIBD-0292-source-0001" ], "families": { "strategic assessments": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "evaluations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "monetary observations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "institutional decisions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] } }, "fields": { "actors[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "developer": "Not stated (the report does not name the device's maker)" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "developer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "actors[].ownership_control": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "ai_contribution": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ai_role": { "status": "assessed", "statement": "The device recorded rhythm strips during symptomatic episodes. The AF determination is attributed to a cardiologist friend and later to clinical confirmation. The report does not say whether the device's own algorithm classified any episode. The device's contribution was therefore the documentation that let clinicians forgo further monitoring, not an automated diagnosis. The brand is unknown. Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care." } } }, "provenance": { "kind": "source_review", "basis": "Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care.", "record_fields": [ "ai_role" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial", "display": { "answer": "The wearable recorded heart rhythms that clinicians interpreted as atrial fibrillation. Those recordings let them proceed without further monitoring. The report does not establish that an automated classifier contributed.", "editor_note": "" } }, "ai_relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "category": "benefit created", "ai_role": { "status": "assessed", "statement": "The device recorded rhythm strips during symptomatic episodes. The AF determination is attributed to a cardiologist friend and later to clinical confirmation. The report does not say whether the device's own algorithm classified any episode. The device's contribution was therefore the documentation that let clinicians forgo further monitoring, not an automated diagnosis. The brand is unknown. Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care." } } }, "provenance": { "kind": "source_review", "basis": "Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care.", "record_fields": [ "ai_role" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial", "display": { "answer": "The documented benefit came from wearable recordings and clinical interpretation. An AI contribution is unconfirmed.", "editor_note": "" } }, "assessments[].alternatives": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].assessor_date": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "assessments[].depth": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 2, "reason": "The patient's own recordings replaced repeat 30-day monitoring and took him directly to ablation. After it he was asymptomatic and AF-free off antiarrhythmics. 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"record_fields", "fields": { "account": "Joy S. Elliott of Riverside Family Medicine Medical Center, Newport News, Virginia, and Andrew H. Hagen of Edward Via College of Osteopathic Medicine, Blacksburg, Virginia, reported a case. It appeared in Osteopathic Family Physician (volume 18, number 3, Summer 2026, pages 56–59), published 24 July 2026. The event dates are not given. The patient is a 59-year-old man with two years of weekly episodes of fast heart rate, palpitations and fatigue, lasting up to 24 hours. He had documented several episodes through his smartphone using a consumer wearable device. A cardiologist friend had judged them paroxysmal atrial fibrillation (AF), but he had not sought formal evaluation. At the family medicine clinic his examination and bloods were normal. Initial management used the wearable for ambulatory rhythm monitoring to separate AF from premature beats. A confirmed episode lasting several hours prompted laboratory work-up and cardiology referral. Echocardiography showed a 4.1 cm aortic root and ascending aorta with normal ventricular function. Thirty-day monitoring was recommended. Because the wearable's rhythm strips already documented paroxysmal AF, his care went straight to treatment options. He chose pulmonary vein isolation ablation and reported dramatic improvement. He had one recurrence while skiing that responded to flecainide. At follow-up he was asymptomatic and AF-free without antiarrhythmic drugs, declining anticoagulation at a CHA2DS2-VASc score of 1. The device's brand is not named. The PDF was downloadable from the ACOFP site, although the article page says membership is required.", "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].distribution": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].duration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].stakeholder_group": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 2, "reason": "The patient's own recordings replaced repeat 30-day monitoring and took him directly to ablation. After it he was asymptomatic and AF-free off antiarrhythmics. That is material relief of a two-year symptom burden, with the authors' note that ablation is not curative." }, { "group": "organizational", "depth": 1, "reason": "The authors say the approach minimized the burden and costs of redundant diagnostic processes by avoiding repeat ambulatory monitoring. No figure is given." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].status": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].tradeoffs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].unexpected": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "unexpected": false, "purpose": "Consumer wearables with electrocardiogram (ECG) recording are built to let wearers capture their rhythm during symptoms. Using those strips to document paroxysmal AF and shorten the path to ablation was that purpose." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "unexpected", "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "places[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "location": "Newport News, Virginia, United States (corresponding author's clinic; the case text does not name the clinic)" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "location" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "purpose": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "purpose": "Consumer wearables with electrocardiogram (ECG) recording are built to let wearers capture their rhythm during symptoms. Using those strips to document paroxysmal AF and shorten the path to ablation was that purpose." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "record_dates": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "date_observed": "2026-07-24", "date_basis": "source publication", "date_precision": "day", "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf?sfvrsn=913e1e01_1", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Consolidated four excerpts and formats into one original clinical case report. Read the full four-page PDF, its tables and references. The case attributes AF identification to clinicians and never identifies the wearable's brand or an algorithmic contribution. Preserved the documented clinical benefit and flagged the unresolved AI qualification for review.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Clarified that an AI contribution is unconfirmed. Retained the case and its depth assessment, but withheld it from homepage highlights.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" } ] } }, "provenance": { "kind": "source_review", "basis": "Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care.", "record_fields": [ "revisions" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "replication.attempts[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "A wearer who records rhythm strips on a consumer wearable during symptomatic episodes over an extended period", "A clinician (here a cardiologist friend, then the clinic) willing to accept those strips as documentation of paroxysmal AF", "A referral pathway that treats the documentation as sufficient to proceed to ablation without repeat 30-day monitoring" ], "must_hold": [ "The episodes are frequent and long enough to be captured on a user-triggered device", "The wearer has the device, the smartphone and the skills to record and share the strips (the authors list these as barriers for other patients)" ], "echoes": [ { "setting": "Apple Heart Study and Fitbit Heart Study, cited in the report's introduction: 34% of Apple irregular-pulse notifications and about one-third of Fitbit irregular-rhythm detections were confirmed as AF on ECG patch", "outcome": "recurred", "source": "Elliott JS, Hagen AH (2026), Osteopathic Family Physician 18(3):56-59, introduction, citing Perez et al. 2019 and Lubitz et al. 2022" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "replication.conditions": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "A wearer who records rhythm strips on a consumer wearable during symptomatic episodes over an extended period", "A clinician (here a cardiologist friend, then the clinic) willing to accept those strips as documentation of paroxysmal AF", "A referral pathway that treats the documentation as sufficient to proceed to ablation without repeat 30-day monitoring" ], "must_hold": [ "The episodes are frequent and long enough to be captured on a user-triggered device", "The wearer has the device, the smartphone and the skills to record and share the strips (the authors list these as barriers for other patients)" ], "echoes": [ { "setting": "Apple Heart Study and Fitbit Heart Study, cited in the report's introduction: 34% of Apple irregular-pulse notifications and about one-third of Fitbit irregular-rhythm detections were confirmed as AF on ECG patch", "outcome": "recurred", "source": "Elliott JS, Hagen AH (2026), Osteopathic Family Physician 18(3):56-59, introduction, citing Perez et al. 2019 and Lubitz et al. 2022" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "revision_history[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf?sfvrsn=913e1e01_1", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Consolidated four excerpts and formats into one original clinical case report. Read the full four-page PDF, its tables and references. The case attributes AF identification to clinicians and never identifies the wearable's brand or an algorithmic contribution. Preserved the documented clinical benefit and flagged the unresolved AI qualification for review.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Clarified that an AI contribution is unconfirmed. Retained the case and its depth assessment, but withheld it from homepage highlights.", "source": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "editor": "AIBD" } ] } }, "provenance": { "kind": "source_review", "basis": "Clinicians interpreted the wearable’s recordings. The report does not establish that AI contributed to the patient’s care.", "record_fields": [ "revisions" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sector": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "domain": "Healthcare (cardiology; primary care)", "segment": "Consumer wearables" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "domain", "segment" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].access_version": { "state": "value_present", "value": { "kind": "structured", "data": { "reviewed_on": "2026-10-24", "versions_and_access": [ { "source_url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "status": "Publisher-hosted four-page PDF read in full, including both tables and references." }, { "source_url": "https://acofp.org/news-and-publications/journal/article-detail/vol.-18-no.-3-(2026)--summer-2026/consumer-wearable-device-leads-to-expedited-diagnosis-andtreatment-of-paroxysmal-atrial-fibrillation", "status": "Article landing page gives the abstract and a membership notice. The linked publisher PDF was accessible." }, { "source_url": "https://acofp.org/news-and-publications/journal?publicationId=178&submissionId=286", "finding": "The publisher's issue listing explicitly gives July 24, 2026 as this case report's publication date." } ], "limitations": [ "The wearable brand, model, classification output and event date are unspecified.", "The report documents clinician interpretation, not a demonstrated AI contribution.", "The case has no controlled comparison and does not quantify the time or cost that was saved." ] } }, "provenance": { "kind": "source_review", "basis": "Read the available originals and relevant source chains, with unresolved access and evidentiary limits recorded explicitly.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete", "display": { "answer": "The clinical report describes physicians interpreting wearable recordings. It does not identify the device, report an algorithm’s classification, or quantify the time and cost saved.", "editor_note": "" } }, "sources[].citation_locator": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Elliott JS, Hagen AH (2026). Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation. Osteopathic Family Physician 18(3):56-59. doi:10.33181/18308. Case presentation, p. 57; discussion and limitations, pp. 58–59.", "title": "Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation", "url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "date": "2026-07-24", "written_by": "independent" } ] } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. Other mapped content and review decisions are preserved.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sources[].id": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "AIBD-0292-source-0001" ], "role": "Retained evidence sources in reviewed order" }, "provenance": { "kind": "curatorial", "basis": "Updated identifiers after consolidating duplicate excerpts and reviewing original sources.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete" }, "sources[].language": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Elliott JS, Hagen AH (2026). Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation. Osteopathic Family Physician 18(3):56-59. doi:10.33181/18308. Case presentation, p. 57; discussion and limitations, pp. 58–59.", "title": "Consumer Wearable Device Leads to Expedited Diagnosis and Treatment of Paroxysmal Atrial Fibrillation", "url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "date": "2026-07-24", "written_by": "independent" } ] } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. Other mapped content and review decisions are preserved.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sources[].upstream_sources": { "state": "value_present", "value": { "kind": "structured", "data": { "reviewed_on": "2026-10-24", "lead_source_ref": "AIBD-0292-source-0001", "retained_source_order": [ "AIBD-0292-source-0001" ], "origins": [ { "url": "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "contribution": "Original clinical account documents rhythm capture, expedited referral, ablation, recurrence and later symptom resolution.", "locator": "Printed p. 57, Case Presentation; pp. 58–59, Discussion, Tables 1–2 and references.", "relationship": "Clinical authors report their own case, independently of any named manufacturer. No AI classifier is identified.", "source_refs": [ "AIBD-0292-source-0001" ] } ], "claim_chains": [ { "claim": "Clinical benefit", "path": [ "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "Case Presentation, p. 57" ], "finding": "A cardiologist friend interpreted the recordings. The evidence supports wearable-assisted documentation and expedited care." }, { "claim": "AI contribution", "path": [ "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "Discussion and references 10–14" ], "finding": "General Apple/Fitbit studies and a review concern other devices and populations. They do not establish which device or algorithm, if any, contributed to this patient's care." }, { "claim": "Money or resource savings", "path": [ "https://www.acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf", "Table 2, p. 59; reference 14" ], "finding": "Table 2 contains general device-price comparisons, not measured expenditures or savings for this patient. Those figures are not imported as case benefits." } ], "limitations": [ "The wearable brand, model, classification output and event date are unspecified.", "The report documents clinician interpretation, not a demonstrated AI contribution.", "The case has no controlled comparison and does not quantify the time or cost that was saved." ], "excluded_or_consolidated_sources": [ { "url": "https://acofp.org/news-and-publications/journal/article-detail/vol.-18-no.-3-(2026)--summer-2026/consumer-wearable-device-leads-to-expedited-diagnosis-andtreatment-of-paroxysmal-atrial-fibrillation", "reason": "Another excerpt or format of the same Elliott and Hagen clinical report." }, { "url": "https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf?sfvrsn=913e1e01_1", "reason": "Another excerpt or format of the same Elliott and Hagen clinical report." }, { "url": "https://acofp.org/docs/default-source/ofp/vol-18-no-3-summer-2026/11_consumer-wearable-device-leads-to-expedited-diagnosis-and-treatment-of-paroxysmal-atrial-fibrillation.pdf?sfvrsn=913e1e01_1", "reason": "Another excerpt or format of the same Elliott and Hagen clinical report." } ], "review_scope": "Traced the claims in this case through accessible original publications and relevant embedded references, tables, appendices, corrections, and supplements. The stated access limits remain unresolved." } }, "provenance": { "kind": "source_review", "basis": "Read the available originals and relevant source chains, with unresolved access and evidentiary limits recorded explicitly.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0292-source-0001" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete", "display": { "answer": "The treating authors describe the wearable recordings, referral, ablation, recurrence, and later symptom resolution. Their clinical account is independent of any named manufacturer, but it does not establish an AI contribution.", "editor_note": "" } }, "strategic_assessments[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "strategic assessments" }, "summary": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "summary": "Virginia family physicians report that AF episodes a 59-year-old recorded on a consumer wearable, confirmed by a cardiologist, expedited referral and ablation; AF-free off drugs at follow-up.", "account": "Joy S. Elliott of Riverside Family Medicine Medical Center, Newport News, Virginia, and Andrew H. Hagen of Edward Via College of Osteopathic Medicine, Blacksburg, Virginia, reported a case. It appeared in Osteopathic Family Physician (volume 18, number 3, Summer 2026, pages 56–59), published 24 July 2026. The event dates are not given. The patient is a 59-year-old man with two years of weekly episodes of fast heart rate, palpitations and fatigue, lasting up to 24 hours. He had documented several episodes through his smartphone using a consumer wearable device. A cardiologist friend had judged them paroxysmal atrial fibrillation (AF), but he had not sought formal evaluation. At the family medicine clinic his examination and bloods were normal. Initial management used the wearable for ambulatory rhythm monitoring to separate AF from premature beats. A confirmed episode lasting several hours prompted laboratory work-up and cardiology referral. Echocardiography showed a 4.1 cm aortic root and ascending aorta with normal ventricular function. Thirty-day monitoring was recommended. Because the wearable's rhythm strips already documented paroxysmal AF, his care went straight to treatment options. He chose pulmonary vein isolation ablation and reported dramatic improvement. He had one recurrence while skiing that responded to flecainide. At follow-up he was asymptomatic and AF-free without antiarrhythmic drugs, declining anticoagulation at a CHA2DS2-VASc score of 1. The device's brand is not named. The PDF was downloadable from the ACOFP site, although the article page says membership is required." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "summary", "account" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].autonomy_permissions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].component_role": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].deployment_configuration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].inputs_outputs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_name": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_version": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].product_name": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "system": "Consumer wearable device with smartphone-linked rhythm-strip recording (brand and model not stated)" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "system" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].provider": { "state": "value_present", "value": { "kind": "structured", "data": { "application_developer": "Not stated (the report does not name the device's maker)" } }, "provenance": { "kind": "legacy_record", "basis": "Mapped from the existing case description without a new external source review.", "record_fields": [ "developer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "taxonomy_crosswalks[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "title": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "title": "Consumer wearable rhythm strips let a 59-year-old man skip repeat 30-day monitoring and go straight to pulmonary vein isolation for paroxysmal atrial fibrillation", "headline": "Wearable rhythm strips let a 59-year-old go straight to ablation" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "title", "headline" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "version": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "f89aa5f70b0c588b2cc259050fae432822cc1fdf3cbf60d8a0c25eaae1079a51" ], "role": "SHA-256 of normalized original case data" }, "provenance": { "kind": "curatorial", "basis": "Updated the fingerprint after this targeted source review.", "record_fields": [], "source_refs": [], "reviewed_on": "2026-10-24" }, "review_state": "record_mapped", "coverage": "complete" }, "workflow": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "Joy S. Elliott of Riverside Family Medicine Medical Center, Newport News, Virginia, and Andrew H. Hagen of Edward Via College of Osteopathic Medicine, Blacksburg, Virginia, reported a case. It appeared in Osteopathic Family Physician (volume 18, number 3, Summer 2026, pages 56–59), published 24 July 2026. The event dates are not given. The patient is a 59-year-old man with two years of weekly episodes of fast heart rate, palpitations and fatigue, lasting up to 24 hours. He had documented several episodes through his smartphone using a consumer wearable device. A cardiologist friend had judged them paroxysmal atrial fibrillation (AF), but he had not sought formal evaluation. At the family medicine clinic his examination and bloods were normal. Initial management used the wearable for ambulatory rhythm monitoring to separate AF from premature beats. A confirmed episode lasting several hours prompted laboratory work-up and cardiology referral. Echocardiography showed a 4.1 cm aortic root and ascending aorta with normal ventricular function. Thirty-day monitoring was recommended. Because the wearable's rhythm strips already documented paroxysmal AF, his care went straight to treatment options. He chose pulmonary vein isolation ablation and reported dramatic improvement. He had one recurrence while skiing that responded to flecainide. At follow-up he was asymptomatic and AF-free without antiarrhythmic drugs, declining anticoagulation at a CHA2DS2-VASc score of 1. The device's brand is not named. The PDF was downloadable from the ACOFP site, although the article page says membership is required.", "replication": { "produced_by": [ "A wearer who records rhythm strips on a consumer wearable during symptomatic episodes over an extended period", "A clinician (here a cardiologist friend, then the clinic) willing to accept those strips as documentation of paroxysmal AF", "A referral pathway that treats the documentation as sufficient to proceed to ablation without repeat 30-day monitoring" ], "must_hold": [ "The episodes are frequent and long enough to be captured on a user-triggered device", "The wearer has the device, the smartphone and the skills to record and share the strips (the authors list these as barriers for other patients)" ], "echoes": [ { "setting": "Apple Heart Study and Fitbit Heart Study, cited in the report's introduction: 34% of Apple irregular-pulse notifications and about one-third of Fitbit irregular-rhythm detections were confirmed as AF on ECG patch", "outcome": "recurred", "source": "Elliott JS, Hagen AH (2026), Osteopathic Family Physician 18(3):56-59, introduction, citing Perez et al. 2019 and Lubitz et al. 2022" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" } }, "summary": { "total": 91, "addressed": 91, "known": 31, "reviewed": 10, "record_mapped": 21, "not_assessed": 60, "complete": false, "by_state": { "value_present": 31, "not_reported": 0, "unresolved": 0, "not_assessed": 60, "not_applicable": 0, "withheld": 0, "source_unavailable": 0 } } } }