Yield and consistency of arrhythmia detection with patch electrocardiographic monitoring: The Multi-Ethnic Study of Atherosclerosis
Yield and consistency of arrhythmia detection with patch electrocardiographic monitoring: The Multi-Ethnic Study of Atherosclerosis
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DOI：
10.1016/j.jelectrocard.2018.07.027
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发表时间：
2018-11-01
影响因子：
1.3
通讯作者：
Kronmal, Richard A.
中科院分区：
文献类型：
--
作者：
Heckbert, Susan R.;Austin, Thomas R.;Kronmal, Richard A.
背景：贴片心电图（ECG）监护仪允许扩展的非侵入性动态监测。为了指导这些设备的使用，需要有关其性能的信息。我们试图确定在一个大的一般人群样本的可接受性的补丁心电图监测，心律失常检测的产量，并在参与者监测twice.Methods的一致性的结果：在多种族研究Atherosclerosis，1122名参与者完成了一个或两个监测事件使用的Zio补丁XT，单通道心电图补丁监测器能够记录14天。记录进行了分析，房颤（AF），房扑，房室传导阻滞，暂停，和室上性和室性异位。结果：平均（SD）的监测时的年龄为75（8）岁，52%是男性，15%有临床公认的AF/扑动的历史。中位监测时间为13.8天。在804例既往无房颤/房扑临床病史且使用单一器械监测至少12天的受试者中，32例（4.0%）检测到房颤/房扑;其中38%的受试者在监测的第3天至第12天首次检测到房颤/房扑。在参与者监测两次，从两个设备的结果显示出良好的协议室上性和室性异位搏动每小时，但只有公平的协议，高级房室传导阻滞和暂停>3 s的duration.Conclusions：在一般人群中的老年人，新的诊断AF/扑动在4.0%的参与者没有以前的历史。单次监测可准确估计室上性和室性异位的发生率。(C)2018爱思唯尔公司All rights reserved.
Background: Patch electrocardiographic (ECG) monitors permit extended noninvasive ambulatory monitoring. To guide use of these devices, information is needed about their performance. We sought to determine in a large general population sample the acceptability of patch ECG monitors, the yield of arrhythmia detection, and the consistency of findings in participants monitored twice.Methods: In the Multi-Ethnic Study of Atherosclerosis, 1122 participants completed one or two monitoring episodes using the Zio Patch XT, a single-channel ECG patch monitor capable of recording for 14 days. Recordings were analyzed for atrial fibrillation (AF), atrial flutter, atrioventricular block, pauses, and supraventricular and ventricular ectopy.Results: The mean(SD) age at the time of monitoring was 75(8) years, 52% were men, and 15% had a prior history of clinically-recognized AF/flutter. The median monitoring duration was 13.8 days. Among 804 participants with no prior clinical history of AF/flutter and at least 12 days of monitoring on a single device, AF/flutter was detected in 32 (4.0%); in 38% of these, AF/flutter was first detected during days 3 through 12 of monitoring. In participants monitored twice, findings from the two devices showed excellent agreement for supraventricular and ventricular ectopic beats per hour, but only fair agreement for high-grade atrioventricular block and pauses of >3 s duration.Conclusions: In a general population of older individuals, new diagnoses of AF/flutter were made in 4.0% of participants without a prior history. A single monitoring episode accurately estimated rates of supraventricular and ventricular ectopy. (C) 2018 Elsevier Inc. All rights reserved.