This study evaluated the use KardiaMobile in the lead II position (right hand to left leg) to improve visualization of flutter waves and clinician diagnosis of atrial flutter (AFL), compared to traditional lead-I tracings. Fifty patients were recruited (25 in sinus rhythm, 14 in AF, 11 in AFL). Lead-I AFL sensitivity was 27% for both electrophysiologists (EP), which individually improved to 73% and 55% in lead-II. KardiaMobile appropriately diagnosed lead-I AFL as unclassified in 18% of cases, compared to 55% in lead-II. Overall clinician agreement (AF, sinus rhythm and AFL) was modest utilizing lead-I position (EP1: κ=0.71, EP2: κ=0.73, p<0.001), which improved with lead-II tracings (EP1: κ=0.87, EP2: κ=0.83, both p<0.001). In summary, lead II position of KardiaMobile improves clinician diagnosis of atrial flutter.
Rajakariar K, Koshy AN, Sajeev JK, Nair S, Roberts L, Teh AW. J Electrocardiol. 2018. 51(5): 884-88.