Diagnostic features of ECG event monitoring in patients with cardiac arrhythmias
https://doi.org/10.25694/URMJ.2019.02.17
Abstract
The data about the use of external ECG event recorders are few and contradictory, which makes it relevant to the present study. We evaluated the clinical efficacy of fragmentary ECG monitoring in patients with palpitation and/or dizziness. The study involved 83 patients, mean age 46,5±13,6 years, with complaints of palpitation (group 1, n=65) and dizziness/syncope (group 2, n=18). All patients underwent 24-h holter monitoring and event recording. Comparative analysis showed that the diagnostic value of event recording was higher: 50,6% versus 24.1%. Therefore, the fragmentary ECG monitoring is an effective method to detect arrhythmic events and its diagnostic value 2 times higher than the traditional Holter monitoring.
About the Authors
V. V. Todosiychuk
Тюменский кардиологический научный центр, Томский национальный исследовательский медицинский центр РАН
Russian Federation
Russian Federation
E. A. Lykasova
Тюменский кардиологический научный центр, Томский национальный исследовательский медицинский центр РАН
Russian Federation
Russian Federation
References
1. ACC/AHA Guidelines for Ambulatory Electrocardiography: Executive Summary and Recommendations A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Circulation 1999; 100: 886-893.
2. Zeldis S.M., Levine B.J., Michelson EL., Morganroth J. Cardiovascular complaints: correlation with cardiac arrhythmias on 24-hour ECG monitoring. Chest 1980; 78: 456-462.
3. Lombardi F., Calosso E., Mascioli G. et al. Utility of implantable loop recorder (RevealPlus) in the diagnosis of unexplained syncope. Europace 2005; 7: 19-24.
4. Rockx M.A., Hoch J.S., Klein G.J. at al. Is ambulatory monitoring for ‘community-acquired’ syncope economically attractive? A costeffectiveness analysis of a randomized trial of external loop recorders versus Holter monitoring. Am Heart J 2005; 150: 1065.
5. Hoefman E., van Weert H.C., Boer K.R. et al. Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice. Fam Pract 2007; 24(1): 11-3.
6. de Asmundis C., Conte G., Sieira J. et al. Comparison of the patient-activated event recording system vs traditional 24 h Holter electrocardiography in individuals with paroxysmal palpitations or dizziness. Europace 2014; 16(8): 1231-1235.
7. Fitzmaurice D.A., Mc Cahon D., BakerJ. et al. Is screening for AF worthwhile? Stroke risk in a screened population from the SAFE study. Fam Pract 2014; 31(3): 298-302.
8. Pokushalov E., Romanov A., Corbucci G. Does atrial fibrillation burden measured by continuous monitoring during the blanking period predict the response to ablation at 12-month follow-up? Heart Rhythm 2012; 9(9): 1375-9.
9. Sciaraffia E., Chen J., Hocini M. et al. Use of event recorders and loop recorders in clinical practice: results of the European Heart Rhythm Association Survey. Europace 2014; 16(9): 1384-6.
10. ESC Guidelines for the diagnosis and management of syncope. Eur Heart J 2018; 39: 1883-1948.
11. Kühne M., Schaer B., Sticherling C., Osswald S. Holter monitoring in syncope: diagnostic yield in octogenarians. J Am Geriatr Soc 2011; 59(7): 1293-8.
12. Olson J.A., Fouts A.M., Padanilam B.J., Prystowsky E.N. Utility of mobile cardiac outpatient telemetry for the diagnosis of palpitations, presyncope, syncope, and the assessment of therapy efficacy. J Cardiovasc Electrophysiol 2007; 18: 473-7.
13. Бокерия О.Л., Заварина О.Ю. Амбулаторный мониторинг ЭКГ: холтеровское мониторирование, регистраторы событий, наружные и имплантируемые кардиомониторы. Анналы аритмологии 2009; 4:34-40.
14. Kaleschke G., Hoffmann B., Drewitz I. et al. Prospective, multicentre validation of a simple, patient-operated electrocardiographic system for the detection of arrhythmias and electrocardiographic changes. Europace 2009; 11: 1362-1368.
15. Locati E., Moya A., Oliveira M. et al. External prolonged electrocardiogram monitoring in unexplained syncope and palpitations: results of the SYNARR-Flash study. Europace 2016; 18(8): 1265-1272.
Review
For citations:
Todosiychuk VV, Lykasova EA. Diagnostic features of ECG event monitoring in patients with cardiac arrhythmias. Ural Medical Journal. 2019;(2):5-8. (In Russ.) https://doi.org/10.25694/URMJ.2019.02.17
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