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Scherr, D; Dalal, D; Henrikson, CA; Spragg, DD; Berger, RD; Calkins, H; Cheng, A.
Prospective comparison of the diagnostic utility of a standard event monitor versus a "leadless" portable ECG monitor in the evaluation of patients with palpitations.
J Interv Card Electrophysiol. 2008; 22(1):39-44 Doi: 10.1007/s10840-008-9251-0
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Leading authors Med Uni Graz: Scherr Daniel
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Abstract:: Current ambulatory ECG monitoring systems are limited in their ability to diagnose patients with palpitations. The aim of this prospective study was to compare a new "leadless" ambulatory monitor with a standard event monitor in the evaluation of patients with palpitations. Eighteen consecutive patients (11 female, 56 +/- 16 years) referred for evaluation of palpitations were provided with both a standard event monitor and a "leadless" monitor for 30 days. They were asked to record episodes of palpitations with both monitoring devices. All 18 individuals were compliant with the "leadless" monitor for the 30-day period while only 14 (78%) patients were compliant with the standard event monitor (p = 0.10). During a combined monitoring period of 563 days, 159 symptomatic episodes were recorded with the "leadless" ECG monitor (8.8 +/- 9.7 per patient, range 1-35) and 169 symptomatic episodes were recorded with the event monitor (12 +/- 8.3 per patient, range 1-33) (p = NS). The "leadless" ECG monitor recorded arrhythmias in 13 of 18 patients (72%) and the standard event monitor recorded arrhythmias in 8 of 14 patients (57%) (p = NS). The "leadless" ECG monitor is associated with high patient compliance and results in high quality ECG recordings. The diagnostic yield of this monitoring system is equivalent to a standard event monitor.
Find related publications in this database (using NLM MeSH Indexing): Adult -; Aged -; Arrhythmias, Cardiac - diagnosis; Electrocardiography, Ambulatory - instrumentation; Equipment Design -; Female -; Humans -; Male -; Middle Aged -; Patient Compliance -; Patient Satisfaction -
Find related publications in this database (Keywords): palpitations; ECG; ambulatory monitor; arrhythmias