Comparison of arrhythmia detection by 24-hour holter and 14-day continuous electrocardiography patch monitoring

Su Kiat Chua, Lung Ching Chen, Li Ming Lien, Huey Ming Lo, Zhen Yu Liao, Shu Ping Chao, Cheng Yen Chuang, Chiung Zuan Chiu

研究成果: 雜誌貢獻文章同行評審

4 引文 斯高帕斯(Scopus)

摘要

Background: Although 24-hour Holter monitoring is routinely used for patients with suspected paroxysmal arrhythmia, its sensitivity in detecting such arrhythmias is insufficient. Methods: We compared a 14-day electrocardiography (ECG) monitor patch — a single-use, noninvasive, waterproof, continuous monitoring patch — with a 24-hour Holter monitor in 32 consecutive patients with suspected arrhythmia. Results: The 14-day ECG patch was well tolerated, and its rates of detection of relevant arrhythmias on days 1, 3, 7, and 14 were 13%, 28%, 47%, and 66%, respectively. The detection rate of paroxysmal arrhythmias was significantly higher for the 14-day ECG patch than for the 24-hour Holter monitor (66% vs. 9%, p < 0.001). Among the 32 patients, 202 atrial fibrillation or atrial flutter episodes were detected in 6 patients (22%) with the 14-day ECG patch; however, only 1 atrial fibrillation episode was detected in a patient (3%, p < 0.05) with the 24-hour Holter monitor. Other clinically relevant arrhythmias recorded on the 14-day ECG patch included 21 (65.5%) episodes of supraventricular tachycardia, 2 (6.3%) long pause, and 2 (6.3%) ventricular arrhythmias. The mean dermal response score immediately after removal of the 14-day ECG patch from the patients was 0.64, which indicated minimal erythema. Conclusions: The 14-day ECG patch was well tolerated and allowed for longer continuous monitoring than the 24-hour Holter monitor, thus resulting in improved clinical accuracy in the detection of paroxysmal arrhythmias. Future studies should examine the long-term effectiveness of 14-day ECG patches for managing selected patients.
原文英語
頁(從 - 到)251-259
頁數9
期刊Acta Cardiologica Sinica
36
發行號3
DOIs
出版狀態已發佈 - 2020

ASJC Scopus subject areas

  • 心臟病學與心血管醫學

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