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NCT05795842Recruiting

DELTA (Detecting and Predicting Atrial Fibrillation in Post-Stroke Patients)

Develop and Validate Machine-Learning Algorithm to Detect Atrial Fibrillation With Wearable Devices

Source: ClinicalTrials.gov · Last updated 21 Jan 2026

Brief summary (registry, in English)

Atrial Fibrillation (AF) is an abnormal heart rhythm. Because AF is often asymptomatic, it often remains undiagnosed in the early stages. Anticoagulant therapy greatly reduces the risks of stroke in patients diagnosed with AF. However, diagnosis of AF requires long-term ambulatory monitoring procedures that are burdensome and/or expensive. Smart devices (such as Apple or Fitbit) use light sensors (called "photoplethysmography" or PPG) and motion sensors (called "accelerometers") to continuously record biometric data, including heart rhythm. Smart devices are already widely adopted. This study seeks to validate an investigational machine-learning software (also called "algorithms") for the long-term monitoring and detection of abnormal cardiac rhythms using biometric data collected from consumer smart devices. The research team aims to enroll 500 subjects who are being followed after a stroke event of uncertain cause at the Emory Stroke Center. Subjects will undergo standard long-term cardiac monitoring (ECG), using FDA-approved wearable devices fitted with skin electrodes or implantable continuous recorders, and backed by FDA-approved software for abnormal rhythm detection. Patients will wear a study-provided consumer wrist device at home, for the 30 days of ECG monitoring, 23 hours a day. At the end of the 30 days, the device data will be uploaded to a secure cloud server and will be analyzed offline using proprietary software (called "algorithms") and artificial intelligence strategies. Detection of AF events using the investigational algorithms will be compared to the results from the standard monitoring to assess their reliability. Attention will be paid to recorded motion artifacts that can affect the quality and reliability of recorded signals. The ultimate aim is to establish that smart devices can potentially be used for monitoring purposes when used with specialized algorithms. Smart devices could offer an affordable alternative to standard-of-care cardiac monitoring.

Status (registry)
Recruiting
Study type
Observational
Enrollment
500 (estimated)
First submitted
21 Mar 2023
Start date
21 Mar 2023
Primary completion date
Dec 2027
Lead sponsor
Emory University
NCT number
NCT05795842

What you commit to

  • Study type: Observational
  • Planned participants: 500
  • From 21 Mar 2023 to the primary completion date, Dec 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • No indication for clinical extended cardiac monitoring.
  • Subject has a diagnosis of structural valve disease, endocarditis, aortic arch atheroma \>3 mm, hypercoagulability, on lifelong anticoagulation, or has an active neoplastic disease

Age

  • Subject is younger than 55 years of age at the time of consent.

Other

  • Subject, family proxy, or caregiver unable to understand English and unable to follow the instructions on how to manage and recharge the study wrist device.
  • Subject or LAR is not willing or able to provide informed consent.

Who the study is looking for

  • Adults 55 years of age or older.
  • Post-discharge with diagnostic of index ischemic stroke with uncertain cause.
  • Subject must be treated at the Emory Stroke Clinic for follow-up treatment.
  • Subject must be prescribed a clinical extended cardiac monitoring.
  • Subject or their Legal Authorized Representative (LAR) must be willing and able to provide informed consent.
  • Subject, family proxy, or caregiver must understand English and the instructions to manage and recharge the study wrist device.

Age in the registry: 55 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Emory Clinic
Coordinator of this site? Confirm its status
AtlantaUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.