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...
| Publicado en: | Clinical Medicine Insights: Cardiology Vol. 14; pp. 1 - 8 |
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| Autores principales: | , , , , , , , , , |
| Formato: | pictorial research tables/charts tracings Journal Article |
| Publicado: |
Sage Publications Inc.
Jan-Dec2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147854103&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147854103 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11795468 B3KL jtl: Clinical Medicine Insights: Cardiology issn: 11795468 maglogo: Y pubinfo: dt: Jan-Dec2020 vid: 14 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 147854103 147854103 147854103 10.1177/1179546820901508 147854103 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Smartphone ECG Monitoring System Helps Lower Emergency Room and Clinic Visits in Post–Atrial Fibrillation Ablation Patients. aug: au: Aljuaid, Mossab Marashly, Qussay AlDanaf, Jad Tawhari, Ibrahim Barakat, Michel Barakat, Rody Zobell, Brittany Cho, William Chelu, Mihail G Marrouche, Nassir F affil: Comprehensive Arrhythmia and Research Management (CARMA) Center, Salt Lake City, UT, USA sug: subj: Atrial Fibrillation Surgery Postoperative Period Electrocardiography, Ambulatory Methods Telehealth Utilization Emergency Service Utilization Office Visits Utilization Human Male Female Middle Age Aged Catheter Ablation Validity Mobile Applications Utilization Tachycardia, Sinus Diagnosis Atrial Flutter Diagnosis Health Resource Utilization Evaluation Scales Middle Aged: 45-64 years Aged: 65+ years Male Female ab: 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 CHA2DS2-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. pubtype: Academic Journal doctype: pictorial research tables/charts tracings Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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