protocolSection identificationModule nctId: NCT06359132, orgStudyIdInfo id: TeleConvert-AF, briefTitle: mHealth Rhythm Management in Terms of Cancelling Unnecessary Scheduled ECVs in Presumed Persistent AFpatients., acronym: TeleConvert-AF, statusModule overallStatus: RECRUITING, startDateStruct date: 2022-01-01, primaryCompletionDateStruct date: 2025-01-01, completionDateStruct date: 2025-01-01, studyFirstPostDateStruct date: 2024-04-11, lastUpdatePostDateStruct date: 2024-04-11, sponsorCollaboratorsModule leadSponsor name: Maastricht University Medical Center, class: OTHER, descriptionModule briefSummary: Despite a clear definition in the European Society of Cardiology (ESC) guidelines, the differentiation between paroxysmal (self-terminating) and persistent (nonself- terminating) atrial fibrillation (AF) remains challenging in clinical practice. Some patients with presumed persistent AF are planned for electrical cardioversion (ECV) but appear to have a paroxysmal pattern or present in sinus rhythm (SR) at the scheduled ECV appointment. This results in unnecessary visits or interventions for patients, and costs and burden for the hospitals and health insurances. Based on the feasibility of the TeleCheck-AF approach, which is an on-demand mobile health (mHealth) infrastructure incorporating app-based heart rate and rhythm monitoring to support remote AF management through teleconsultation, the investigators aim to extend this mHealth approach to the management of presumed persistent AF patients planned for ECV., conditionsModule conditions: Atrial Fibrillation, conditions: Arrhythmia, conditions: Mobile Health, conditions: Electrical Cardioversion, designModule studyType: OBSERVATIONAL, designInfo observationalModel: COHORT, timePerspective: PROSPECTIVE, enrollmentInfo count: 264, type: ESTIMATED, armsInterventionsModule, outcomesModule primaryOutcomes measure: The number of cancelled unnecessary scheduled ECV appointments in patients with presumed persistent AF scheduled for ECV unnecessary scheduled ECV appointments, secondaryOutcomes measure: Number of patients that agreed the refined TeleCheck-AF approach is usable and userfriendly as assessed by the System Usability Scale questionnaire extended with additional questions, secondaryOutcomes measure: Number of patients that agreed the refined TeleCheck-AF approach is anxious as assessed by the HADS-A scale questionnaire, secondaryOutcomes measure: Amount of saved costs for the hospitals and health insurances by using the TeleCheck-AF approach preceding ECV in terms of cancelling unnecessary scheduled ECV appointments, secondaryOutcomes measure: Number of patients with paroxysmal AF, secondaryOutcomes measure: Time to recurrence of AF, secondaryOutcomes measure: Time period of monitoring heart rate and rhythm using the mHealth-based application, secondaryOutcomes measure: Amount of burden for the hospitals and health insurances by using the TeleCheck-AF approach preceding ECV in terms of cancelling unnecessary scheduled ECV appointments, eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Maastricht University Medical Center, status: RECRUITING, city: Maastricht, state: Limburg, country: Netherlands, contacts name: Dominik Linz, role: CONTACT, phone: 043-3877098, email: dominik.linz@mumc.nl, contacts name: Astrid Hermans, role: CONTACT, phone: 043-3871613, email: astrid.hermans@mumc.nl, geoPoint lat: 50.84833, lon: 5.68889, locations facility: Viecuri Medical Center, status: RECRUITING, city: Venlo, state: Limburg, country: Netherlands, contacts name: Wilfred Heesen, role: CONTACT, phone: (077) 320 56 04, email: wheesen@viecuri.nl, geoPoint lat: 51.37, lon: 6.16806, hasResults: False