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Smartphone ECG Monitoring System Helps Lower Emergency Room and Clinic Visits in Post–Atrial Fibrillation Ablation Patients
AIM: To evaluate the effectiveness of using a smartphone-based electrocardiography (ECG) monitoring device (ECG Check) on the frequency of clinic or emergency room visits in patients who underwent ablation of atrial fibrillation (AF). METHODS: Two groups of patients were identified and compared: The...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974745/ https://www.ncbi.nlm.nih.gov/pubmed/32009826 http://dx.doi.org/10.1177/1179546820901508 |
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author | Aljuaid, Mossab Marashly, Qussay AlDanaf, Jad Tawhari, Ibrahim Barakat, Michel Barakat, Rody Zobell, Brittany Cho, William Chelu, Mihail G Marrouche, Nassir F |
author_facet | Aljuaid, Mossab Marashly, Qussay AlDanaf, Jad Tawhari, Ibrahim Barakat, Michel Barakat, Rody Zobell, Brittany Cho, William Chelu, Mihail G Marrouche, Nassir F |
author_sort | Aljuaid, Mossab |
collection | PubMed |
description | AIM: To evaluate the effectiveness of using a smartphone-based electrocardiography (ECG) monitoring device (ECG Check) on the frequency of clinic or emergency room visits in patients who underwent ablation of atrial fibrillation (AF). METHODS: Two groups of patients were identified and compared: The conventional monitoring group (CM group) included patients who were prescribed conventional event monitoring or Holter monitoring systems. The ECG Check group (EC group) included patients who were prescribed the ECG Check device for continuous monitoring in addition to conventional event monitoring. The primary outcome was the number of patient visits to clinic or emergency room. The feasibility, accuracy, and detection rate of mobile ECG Check were also evaluated. RESULTS: Ninety patients were studied (mean age: 66.2 ± 11 years, 64 males, mean CHA(2)DS(2)-VASc score: 2.6 ± 2). In the EC group, forty-five patients sent an average of 52.8 ± 6 ECG records for either routine monitoring or symptoms of potential AF during the follow-up period. The rhythm strips identified sinus rhythm (84.7%), sinus tachycardia (8.4%), AF (4.2%), and atrial flutter (0.9%). Forty-two EC transmissions (1.8%) were uninterpretable. Six patients (13%) in the EC group were seen in the clinic or emergency room over a 100-day study period versus 16 (33%) in the standard care arm (P value < 0.001). CONCLUSIONS: Use of smartphone-based ECG monitoring led to a significant reduction in AF-related visits to clinic or emergency department in the postablation period. |
format | Online Article Text |
id | pubmed-6974745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-69747452020-01-31 Smartphone ECG Monitoring System Helps Lower Emergency Room and Clinic Visits in Post–Atrial Fibrillation Ablation Patients Aljuaid, Mossab Marashly, Qussay AlDanaf, Jad Tawhari, Ibrahim Barakat, Michel Barakat, Rody Zobell, Brittany Cho, William Chelu, Mihail G Marrouche, Nassir F Clin Med Insights Cardiol Original Research AIM: To evaluate the effectiveness of using a smartphone-based electrocardiography (ECG) monitoring device (ECG Check) on the frequency of clinic or emergency room visits in patients who underwent ablation of atrial fibrillation (AF). METHODS: Two groups of patients were identified and compared: The conventional monitoring group (CM group) included patients who were prescribed conventional event monitoring or Holter monitoring systems. The ECG Check group (EC group) included patients who were prescribed the ECG Check device for continuous monitoring in addition to conventional event monitoring. The primary outcome was the number of patient visits to clinic or emergency room. The feasibility, accuracy, and detection rate of mobile ECG Check were also evaluated. RESULTS: Ninety patients were studied (mean age: 66.2 ± 11 years, 64 males, mean CHA(2)DS(2)-VASc score: 2.6 ± 2). In the EC group, forty-five patients sent an average of 52.8 ± 6 ECG records for either routine monitoring or symptoms of potential AF during the follow-up period. The rhythm strips identified sinus rhythm (84.7%), sinus tachycardia (8.4%), AF (4.2%), and atrial flutter (0.9%). Forty-two EC transmissions (1.8%) were uninterpretable. Six patients (13%) in the EC group were seen in the clinic or emergency room over a 100-day study period versus 16 (33%) in the standard care arm (P value < 0.001). CONCLUSIONS: Use of smartphone-based ECG monitoring led to a significant reduction in AF-related visits to clinic or emergency department in the postablation period. SAGE Publications 2020-01-20 /pmc/articles/PMC6974745/ /pubmed/32009826 http://dx.doi.org/10.1177/1179546820901508 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Aljuaid, Mossab Marashly, Qussay AlDanaf, Jad Tawhari, Ibrahim Barakat, Michel Barakat, Rody Zobell, Brittany Cho, William Chelu, Mihail G Marrouche, Nassir F Smartphone ECG Monitoring System Helps Lower Emergency Room and Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title | Smartphone ECG Monitoring System Helps Lower Emergency Room and
Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title_full | Smartphone ECG Monitoring System Helps Lower Emergency Room and
Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title_fullStr | Smartphone ECG Monitoring System Helps Lower Emergency Room and
Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title_full_unstemmed | Smartphone ECG Monitoring System Helps Lower Emergency Room and
Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title_short | Smartphone ECG Monitoring System Helps Lower Emergency Room and
Clinic Visits in Post–Atrial Fibrillation Ablation Patients |
title_sort | smartphone ecg monitoring system helps lower emergency room and
clinic visits in post–atrial fibrillation ablation patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974745/ https://www.ncbi.nlm.nih.gov/pubmed/32009826 http://dx.doi.org/10.1177/1179546820901508 |
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