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Record W4410330025 · doi:10.1177/20552076241287269

Management of a heart failure patient during a pandemic: A telemedicine success story <i>A ventricular cardiac arrhythmia detected by a mobile phone application</i>

2025· article· en· W4410330025 on OpenAlexaff
Jean-Dominic Rioux, Stéphanie Béchard, Fadi Mansour, Emmanuel Marier-Tétrault, François Tournoux

Bibliographic record

VenueDigital Health · 2025
Typearticle
Languageen
FieldMedicine
TopicECG Monitoring and Analysis
Canadian institutionsUniversité de MontréalCentre Hospitalier de l’Université de Montréal
Fundersnot available
KeywordsCardiologyMedicineInternal medicineVentricular tachycardiaHeart failureTelemedicineImplantable cardioverter-defibrillatorMedical emergencyAdverse effectCardiomyopathyMobile phoneHealth careTelecommunicationsComputer science

Abstract

fetched live from OpenAlex

Remote patient monitoring (RPM) is rapidly gaining popularity for the management of heart failure (HF) patients. We present a case involving a 63-year-old male with ischemic cardiomyopathy, in which an RPM application on a mobile phone successfully identified slow ventricular tachycardia (VT). Patient's implanted defibrillator failed to detect the VT event due to the heart rate falling below its VT detection threshold. The rapid detection of VT by the RPM system triggered an immediate response from the HF team. This case underlines the multiple roles that RPM can take in identifying major adverse events in HF patients.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.006
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.008
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.006
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0010.000
Science and technology studies0.0030.002
Scholarly communication0.0020.003
Open science0.0010.001
Research integrity0.0080.007
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.003
GPT teacher head0.255
Teacher spread0.251 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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