A Patch-Type Electrocardiography Is Superior to Holter Monitoring for Detecting Paroxysmal Cardiac Arrhythmias.

IF 2.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Yun Gi Kim, Jong-Il Choi, Il-Young Oh, Joo Hee Jeong, Hyoung Seok Lee, Yun Young Choi, Ji Hyun Lee, Youngjin Cho, Jaemin Shim, Ho Sung Son, Young-Hoon Kim
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引用次数: 0

Abstract

Background: Patch-electrocardiography (ECG) enables prolonged ECG monitoring beyond 24 hours. However, diagnostic yield between patch-ECG and Holter monitoring needs further validation. We aimed to compare diagnostic capabilities of 14-day patch-ECG and one day Holter monitoring to detect cardiac arrhythmias.

Methods: Patients with suspected cardiac arrhythmias but could not be diagnosed by 12-lead ECG were enrolled from two tertiary centers. Patch-ECG and Holter monitoring was attached simultaneously in enrolled patients. Primary endpoint was detection of major arrhythmias which was defined as atrial fibrillation (AF), atrial tachycardia, atrial flutter, paroxysmal supraventricular tachycardia (PSVT), ventricular tachycardia, 2nd or 3rd degree atrioventricular block, sick pause (> 2 seconds of pause), sick sinus syndrome, tachycardia-bradycardia syndrome, and Wolff-Parkinson-White syndrome.

Results: A total of 147 patients were analyzed. Major arrhythmias were detected in 75.5% and 48.3% in patch-ECG and Holter monitoring, respectively (P < 0.001). Detection rate between the first day of patch-ECG and Holter monitoring was identical. Detection rate for AF was significantly higher in patch-ECG (23.8% vs. 11.6%; P < 0.001). Substantial proportion of AF events were detected in the first day of monitoring (42.9%) but diagnosis rate increased steadily between day 2-14 of monitoring. Detection rate of supraventricular tachycardia (atrial tachycardia or PSVT), ventricular tachycardia, and brady-arrhythmias was higher in the patch-ECG. Four patients had to detach their patch-ECG due to skin side effects.

Conclusion: Patch-ECG has higher diagnostic capabilities compared to Holter monitoring for diagnosis of various cardiac arrhythmias.

Abstract Image

Abstract Image

Abstract Image

膜片型心电图在检测阵发性心律失常方面优于动态心电图监测。
背景:贴片心电图(ECG)可以延长心电图监测时间超过24小时。然而,贴片心电图和动态心电图之间的诊断率需要进一步验证。我们的目的是比较14天贴片心电图和1天动态心电图监测检测心律失常的诊断能力。方法:从两个三级中心选取12导联心电图不能诊断的疑似心律失常患者。在入组患者中同时进行贴片心电图和动态心电图监测。主要终点是检测主要心律失常,定义为房颤(AF)、房性心动过速、心房扑动、阵发性室上性心动过速(PSVT)、室性心动过速、二度或三度房室传导阻滞、病态暂停(>.2秒暂停)、病态窦性综合征、心动过速-心动过缓综合征和Wolff-Parkinson-White综合征。结果:共分析147例患者。贴片心电图和动态心电图检出率分别为75.5%和48.3% (P < 0.001)。第一天贴片心电图和动态心电图的检出率相同。贴片心电图对房颤的检出率明显高于贴片心电图(23.8% vs 11.6%;P < 0.001)。大部分房颤事件发生在监测的第一天(42.9%),但诊断率在监测的第2-14天稳步上升。贴片心电图对室上性心动过速(房性心动过速或PSVT)、室性心动过速和缓性心律失常检出率较高。由于皮肤副作用,四名患者不得不取下他们的贴片心电图。结论:与霍尔特监测相比,膜片心电图对各种心律失常的诊断能力更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Korean Medical Science
Journal of Korean Medical Science 医学-医学:内科
CiteScore
7.80
自引率
8.90%
发文量
320
审稿时长
3-6 weeks
期刊介绍: The Journal of Korean Medical Science (JKMS) is an international, peer-reviewed Open Access journal of medicine published weekly in English. The Journal’s publisher is the Korean Academy of Medical Sciences (KAMS), Korean Medical Association (KMA). JKMS aims to publish evidence-based, scientific research articles from various disciplines of the medical sciences. The Journal welcomes articles of general interest to medical researchers especially when they contain original information. Articles on the clinical evaluation of drugs and other therapies, epidemiologic studies of the general population, studies on pathogenic organisms and toxic materials, and the toxicities and adverse effects of therapeutics are welcome.
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