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Atrial FibrillationNCT06907264

Wearable ECG for AF Screening and Stroke Risk Assessment

An observational study of Atrial Fibrillation and Stroke, run by Beijing Tsinghua Chang Gung Hospital at 2 sites in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to evaluate the application of wearable ECG garments in atrial fibrillation (AF) screening and stroke risk assessment. Using a prospective, multicenter, observational design, the study will recruit high-risk stroke patients aged 40 and above to undergo 24-hour continuous ECG monitoring with wearable… Read more about this study

Who is it for?
Ages 40 years and olderHealthy volunteers can take part
Conditions the study is for
Atrial Fibrillation, Stroke
What is being tested?
Wearable ECG Garment for Continuous Atrial Fibrillation Screening and Stroke Risk Assessment
Type of treatment
Medical device
How many people
243 participants
Where
2 sitesChina
Study dates
1 Apr 2025to 31 Dec 2027
How long will I take part?
12 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population consists of individuals aged 40 years and above who are identified as high-risk for stroke based on the "8+2" stroke risk score. This population includes individuals with elevated stroke risk factors such as hypertension, diabetes, smoking history, and family history of stroke. Participants must be able to operate the wearable ECG garment independently or with assistance from family members and must provide informed consent to participate in the study. The study aims to enroll 243 participants to ensure sufficient statistical power for evaluating the accuracy of the wearable ECG garment in detecting atrial fibrillation (AF) and assessing stroke risk.

Who may be able to join

  • Age ≥ 40 years.
  • High-risk stroke population identified by the "8+2" risk score in stroke screening.
  • Ability to operate the device independently or with assistance from family members.
  • Willingness to participate in the study and provide signed informed consent.

Who cannot join

  • Patients with severe diseases that limit device wear (e.g., advanced malignant tumors, severe infections, Class IV heart failure) or those receiving hospice care.
  • Patients unable to operate the device or understand the study procedures due to cognitive impairment, mental illness, or language communication barriers.
  • Patients who may experience severe discomfort or allergic reactions from wearing the device.
  • Patients already using implanted cardiac monitoring devices.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Yating Wu, MD. contact

+86 56119526

wuyating926@163.com

China2 sites
  • Beijing Tsinghua Changgung Hospital

    Beijing, Beijing Municipality, 102218

    Yating Wu, MD., +86 56119526, wuyating926@163.com

  • Pinggu District Hospital

    Beijing, 101200

    Yifei Chen, MD., 13264334052, 13264334052@wo.cn

Other trials in China

About this study

Official title: Application of Wearable ECG Garments in Atrial Fibrillation Screening and Stroke Risk Assessment

This study aims to evaluate the application of wearable ECG garments in atrial fibrillation (AF) screening and stroke risk assessment. Using a prospective, multicenter, observational design, the study will recruit high-risk stroke patients aged 40 and above to undergo 24-hour continuous ECG monitoring with wearable ECG garments. The study will assess the detection rate of AF and explore the correlation between heart rate variability (HRV) parameters and stroke risk. Additionally, the study will analyze the association between P-wave indices and AF, and evaluate the acceptability of the device among patients and healthcare providers. The primary goal is to validate the accuracy of wearable ECG garments in AF detection and explore their predictive value for stroke risk in high-risk populations.

Read the detailed description

This study is a prospective, multicenter, observational study designed to evaluate the application of wearable ECG garments in atrial fibrillation (AF) screening and stroke risk assessment. The study will be conducted at two centers: the Tsinghua Community under the jurisdiction of Tsinghua University Hospital and the Pinggu District under the jurisdiction of Pinggu District Hospital. The study design includes the following key components:

Study Population:

The study population consists of individuals aged 40 and above who are at high risk of stroke, as determined by the "8+2" stroke risk score.

Participants must be able to operate the wearable ECG garment independently or with the assistance of family members and must provide informed consent.

Sample Size:

Based on preliminary data, the AF detection rate in the local community population aged 40 and above is 3.68%. Using a two-sided test with a significance level of α=0.05 and an allowable error of d=2.5%, the calculated sample size is 218. Considering a 10% dropout rate, the final sample size is 243.

Intervention Methods:

Baseline Assessment: Collect demographic information (e.g., age, gender, height, weight) and clinical information (e.g., hypertension, diabetes, smoking history) from participants.

Device Wear and Monitoring: Participants will wear the wearable ECG garment for 24-hour continuous ECG monitoring. The device will record ECG signals in real time, including heart rate, rhythm, HRV parameters (e.g., SDNN, RMSSD, LF/HF), and P-wave indices.

Data Processing: Daily review of uploaded ECG data to analyze AF events. For participants with suspected AF, further evaluation with a 12-lead ECG or 24-hour Holter monitoring is recommended. HRV parameters will be extracted and analyzed for their correlation with stroke risk.

Acceptability Assessment: The acceptability of the device among participants and healthcare providers will be assessed through quantitative and qualitative methods. Quantitative data include device wear time and interruption rates, while qualitative data are collected through questionnaires and semi-structured interviews.

Outcome Measures:

Primary Outcomes: AF detection rate of the wearable ECG garment; correlation between HRV parameters (e.g., SDNN, RMSSD, LF/HF) and stroke risk.

Secondary Outcomes: Correlation between P-wave indices and AF; acceptability of the device among patients and healthcare providers; incidence of stroke and composite vascular events (e.g., myocardial infarction, heart failure, vascular death) during long-term follow-up.

Follow-up Plan:

Participants will be followed up at 6 and 12 months after enrollment to record the occurrence of stroke, AF, and other cardiovascular events.

Statistical Analysis:

Data will be analyzed using SPSS 25.0. Normally distributed continuous variables will be expressed as mean ± standard deviation, while non-normally distributed variables will be expressed as median and interquartile range. Group comparisons will be made using t-tests or chi-square tests, and correlation analyses will be performed using Pearson or Spearman rank correlation. Predictive factors for AF events and other outcomes will be determined through multivariate competing risk analysis.

Data Management:

All data will be entered into an electronic case report form (eCRF) and uploaded to a cloud database in real time. The research team will regularly review the completeness and accuracy of the data to ensure data quality.

Safety Assessment:

The safety of device use will be assessed, including the comfort of long-term wear and the incidence of adverse reactions (e.g., skin allergies or local irritation). The impact of false positives or false negatives on medical decision-making will also be evaluated.

Being tested
Wearable ECG Garment for Continuous Atrial Fibrillation Screening and Stroke Risk Assessment
Keywords
Wearable ECG garment, Atrial fibrillation, Stroke, Heart rate variability, Observational study, High-risk stroke population
Medical subject headings
Atrial Fibrillation, Stroke

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Wearable ECG Garment for Continuous Atrial Fibrillation Screening and Stroke Risk AssessmentDevice

    This intervention utilizes a wearable ECG garment, a non-invasive, textile-based device for continuous 24-hour ECG monitoring. The garment features embedded electrodes to capture heart rate, rhythm, HRV parameters (e.g., SDNN, RMSSD, LF/HF), and P-wave indices (e.g., P-wave duration, PtfV1), enabling comprehensive assessment of atrial fibrillation (AF) and stroke risk. The device is lightweight, comfortable, and supports wireless data transmission to the cloud for real-time analysis. The study incorporates machine learning algorithms to identify AF patterns and explore stroke risk predictors, targeting individuals aged 40+ at high stroke risk. It also evaluates device acceptability and usability, aiming to improve AF detection rates, enable early intervention, and reduce stroke risk.

Study groups in NCT06907264
Study groupRoleWhat they receive
High-Risk Stroke Cohort with Wearable ECG GarmentThis cohort consists of individuals aged 40 and above who are at high risk of stroke, as determined by the "8+2" stroke risk score. Participants will wear a wearable ECG garment for 24-hour continuous ECG monitoring to detect atrial fibrillation (AF) and assess stroke risk. The device will record heart rate, rhythm, HRV parameters (e.g., SDNN, RMSSD, LF/HF), and P-wave indices. The study aims to evaluate the accuracy of the wearable ECG garment in AF detection, explore the correlation between HRV parameters and stroke risk, and assess the acceptability of the device among patients and healthcare providers. Participants will undergo follow-up at 6 and 12 months to monitor the occurrence of stroke, AF, and other cardiovascular events.
Receives: Device: Wearable ECG Garment for Continuous Atrial Fibrillation Screening and Stroke Risk Assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Atrial Fibrillation Detection Rate in Stroke High-Risk Populations Using Wearable ECG Garment

    1.Atrial Fibrillation (AF) Detection Rate: The proportion of AF cases identified by the wearable ECG garment in the high-risk stroke population during 24-hour continuous monitoring.

    Measured: Baseline to 12 months: Continuous 24-hour ECG monitoring at baseline, with follow-up at 6 and 12 months to assess AF.

  2. Correlation Between HRV Parameters and Stroke Risk in High-Risk Populations Using Wearable ECG Garment

    Correlation Between HRV Parameters and Stroke Risk: Analysis of key HRV parameters (e.g., SDNN, RMSSD, LF/HF) to assess their association with AF and stroke risk in high-risk individuals.

    Measured: Baseline to 12 months: Continuous 24-hour ECG monitoring at baseline, with follow-up at 6 and 12 months to assess stroke.

Secondary outcomes (3)
  1. Development of an AF Risk Prediction Model Using P-Wave Indices in High-Risk Stroke Populations

    Development and validation of an AF risk prediction model incorporating P-wave indices (e.g., P-wave duration, PtfV1) to assess its predictive ability in high-risk stroke populations.

    Measured: P-wave indices collected during 24-hour ECG monitoring at baseline, with model validation using follow-up data at 6 and 12 months.

  2. Patient and Healthcare Provider Acceptability of Wearable ECG Garment

    Evaluation of patient and healthcare provider satisfaction, usability, and comfort with the wearable ECG garment through questionnaires and semi-structured interviews.

    Measured: Baseline to 12 months: Acceptability assessed at baseline (after initial use) and during follow-up visits at 6 and 12 months.

  3. Incidence of Stroke, AF, and Composite Vascular Events During Long-Term Follow-Up

    Occurrence of stroke、AF and Composite vascular events, including myocardial infarction, heart failure, and vascular death during the 12-month follow-up period.

    Measured: Baseline to 12 months: Continuous 24-hour ECG monitoring at baseline, with follow-up assessments at 6 and 12 months to track clinical outcomes.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Apr 2025
  2. Study start1 Apr 2025 (estimated)
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
243 participants (estimated)
Target duration
12 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT06907264
Sponsor's protocol ID
2023YFC2506600
Status last verified
Feb 2025
First submitted
26 Mar 2025
Last updated
2 Apr 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared to protect participant privacy and confidentiality. The data contain sensitive personal health information, and sharing it publicly could compromise participant anonymity. Additionally, the informed consent process did not include provisions for public data sharing, and releasing the data could violate participant consent agreements. The data are solely intended for use by the research team to achieve the study objectives."

Questions about this trial

What is this clinical trial studying?

An observational study of Atrial Fibrillation and Stroke, run by Beijing Tsinghua Chang Gung Hospital at 2 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 2 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yating Wu, MD. (+86 56119526, wuyating926@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Atrial Fibrillation Detection Rate in Stroke High-Risk Populations Using Wearable ECG Garment (time frame: Baseline to 12 months: Continuous 24-hour ECG monitoring at baseline, with follow-up at 6 and 12 months to assess AF.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2025.

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