2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T760,Recent onset atrial fibrillation is common in emergency departments and treated with resource- and time-intensive electrical cardioversion despite most patients spontaneously reverting to sinus rhythm within 48 h. We investigated whether discharging patients with a portable electrocardiograph to monitor rhythm was feasible and could improve emergency department workflow. This single-centre proof-of-concept study recruited adults presenting to the emergency department with recent onset, haemodynamically stable, sustained atrial fibrillation, with a clear onset time within 24 h and who owned a smartphone able to pair with the AliveCor single-lead electrocardiograph. Patients were discharged on rate-control and anticoagulant medication where appropriate. Portable electrocardiograph transmissions were sent six-hourly to assess spontaneous reversion to sinus rhythm. If patients remained in atrial fibrillation by 48 h, they represented to the emergency department for direct current cardioversion. Patients continued to send electrocardiograph transmissions for 4 weeks to monitor rhythm. Most (91%; n = 21/23) patients spontaneously reverted from atrial fibrillation to sinus rhythm within 48 h of symptom-onset, with only two patients returning for direct current cardioversion. All patients remained in sinus rhythm at 4-week follow-up. Patients found the device easy to use and appreciated not returning for cardioversion. Selected patients presenting to emergency departments with recent onset atrial fibrillation can be discharged home with an expectation that they will revert spontaneously to sinus rhythm, potentially reducing unnecessary electrical cardioversion. Remote electrocardiograph monitoring was feasible for identifying patients who failed to revert to sinus rhythm, allowing timely recall to the emergency department for scheduled cardioversion.31:Ta66,ABSTRACT Objective Recent onset atrial fibrillation is common in emergency departments and treated with resource‐ and time‐intensive electrical cardioversion despite most patients spontaneously reverting to sinus rhythm within 48 h. We investigated whether discharging patients with a portable electrocardiograph to monitor rhythm was feasible and could improve emergency department workflow. Methods This single‐centre proof‐of‐concept study recruited adults presenting to the emergency department with recent onset, haemodynamically stable, sustained atrial fibrillation, with a clear onset time within 24 h and who owned a smartphone able to pair with the AliveCor single‐lead electrocardiograph. Patients were discharged on rate‐control and anticoagulant medication where appropriate. Portable electrocardiograph transmissions were sent six‐hourly to assess spontaneous reversion to sinus rhythm. If patients remained in atrial fibrillation by 48 h, they represented to the emergency department for direct current cardioversion. Patients continued to send electrocardiograph transmissions for 4 weeks to monitor rhythm. Results Most (91%; n = 21/23) patients spontaneously reverted from atrial fibrillation to sinus rhythm within 48 h of symptom‐onset, with only two patients returning for direct current cardioversion. All patients remained in sinus rhythm at 4‐week follow‐up. Patients found the device easy to use and appreciated not returning for cardioversion. Conclusions Selected patients presenting to emergency departments with recent onset atrial fibrillation can be discharged home with an expectation that they will revert spontaneously to sinus rhythm, potentially reducing unnecessary electrical cardioversion. Remote electrocardiograph monitoring was feasible for identifying patients who failed to revert to sinus rhythm, allowing timely recall to the emergency department for scheduled cardioversion. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Remote ECG Monitoring: modality Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Remote ECG Monitoring (modality). Clinician-written summaries and actionable practice insights. 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All patients remained in sinus rhythm at 4-week follow-up. Patients found the device easy to use and appreciated not returning for cardioversion.","abstract":"$30","keywords":["atrial fibrillation","cardioversion","emergency department","rhythm control","single lead electrocardiograph"],"pubmed_id":"41395636","conclusions":"","publication_date":"2025-12-15T00:00:00"},"crossref":{"DOI":"10.1111/1742-6723.70190","URL":"https://doi.org/10.1111/1742-6723.70190","ISSN":["1742-6731","1742-6723"],"link":[{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/1742-6723.70190","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"6","score":1,"title":["Use of\n Single\n Lead\n ECG\n to Assist Cardioversion in\n Atrial\n Fibrillation in the Emergency Department (\n SELECTED\n ): Proof of Concept Study"],"author":[{"given":"Danlu","family":"Liang","sequence":"first","affiliation":[{"name":"Cardiology Department Eastern Health Box Hill Victoria Australia"},{"name":"University of Melbourne Parkville Victoria Australia"}]},{"given":"Paul","family":"Buntine","sequence":"additional","affiliation":[{"name":"Eastern Health Emergency Medicine Program Melbourne Victoria Australia"},{"name":"Eastern Health Clinical School, Monash University Melbourne Victoria Australia"}]},{"given":"Louise","family":"Roberts","sequence":"additional","affiliation":[{"name":"Cardiology Department Eastern Health Box Hill Victoria Australia"}]},{"given":"Liam","family":"Hackett","sequence":"additional","affiliation":[{"name":"Eastern Health Emergency Medicine Program Melbourne Victoria Australia"},{"name":"Eastern Health Clinical School, Monash University Melbourne Victoria Australia"}]},{"given":"Joseph","family":"Miller","sequence":"additional","affiliation":[{"name":"Eastern Health Emergency Medicine Program Melbourne Victoria Australia"},{"name":"Eastern Health Clinical School, Monash University Melbourne Victoria Australia"}]},{"given":"Patrick J.","family":"Owen","sequence":"additional","affiliation":[{"name":"Eastern Health Emergency Medicine Program Melbourne Victoria Australia"},{"name":"Eastern Health Clinical School, Monash University Melbourne Victoria Australia"}]},{"given":"Andrew W.","family":"Teh","sequence":"additional","affiliation":[{"name":"Cardiology Department Eastern Health Box Hill Victoria Australia"},{"name":"Eastern Health Clinical School, Monash University Melbourne Victoria Australia"},{"name":"Department of Cardiology The University of Melbourne, Austin Hospital Clinical School Melbourne Victoria 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outcome definitions may include additional details not captured here.","value_numeric":null}],"summaries":{"what_studied":"Single-centre proof-of-concept study of adults with recent-onset (≤24 h), haemodynamically stable atrial fibrillation discharged from the ED on rate control/anticoagulation as appropriate, using an AliveCor single‑lead ECG to transmit rhythms every 6 hours; if still in AF at 48 hours, patients returned for direct current cardioversion and continued monitoring for 4 weeks.","key_result":"Within 48 hours of symptom onset, 21/23 (91%) reverted to sinus rhythm, 2 required scheduled cardioversion, and all patients were in sinus rhythm at 4 weeks; patients reported the device was easy to use.","limitations":"Single-centre, single-arm feasibility design with small sample (n=23) and no comparator; requiring smartphone ownership and recent-onset, stable AF limits generalizability; outcomes depend on patient-operated device transmissions.","practice_takeaway":"In selected, 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