Long-term event-Holter monitoring in low-populated areas as a valuable diagnostic tool in the detection of arrhythmia
Journal Title: Current Research: Cardiology - Year 2017, Vol 4, Issue 4
Abstract
OBJECTIVES: The purpose of the present study was to implement event- Holter tele-ECG system in small-town area with poor access to healthcare. METHODS: One hundred patients aged over 55 with suspected arrhythmia were studied for one month, using 4-electrode event-Holter device. The study protocol included 3-times daily acquisition of ECG during complaints. For the period of observation patients were supported by a technical help-desk, psychologist, dietician and physicians. RESULTS: During this study patients recorded over 7000 ECGs, with pathology rate of 19%. Quality of recordings remained high (88% ECGs of good quality), and patient’s satisfaction was excellent. Clinical impact was reflected in change of treatment in 16 patients, referring to cardiology clinic in 4 patients or cardiac ambulatory treatment in 33 individuals. CONCLUSION: We found event-Holter monitoring as a valuable tool, that may be helpful in daily arrhythmia management. Prolonged time of acquisition may help to register arrhythmia otherwise remaining undetected.
Authors and Affiliations
Michał Harańczyk, Małgorzata Konieczyńska, Wojciech Płazak
Keywords
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