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August 21, 2025Frontiers in Cardiovascular MedicineOpen Access

Evaluation of ambulatory electrocardiographic monitoring of patients after high-risk acute coronary syndrome: the MONITOR ACS-Epic 13 randomized trial

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Authors

JHJosé M. de la Torre HernándezVEVíctor ExpósitoSESusana González Enríquez

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Overview

Randomized controlled trial shows ambulatory monitoring increases ECG abnormalities in patients after ACS, suggesting potential for improved care.

Key Points

  • Monitoring revealed electrocardiographic abnormalities in 21.3% of patients, compared to only 2.7% in the control group.
  • The study's primary endpoint, detection of atrial fibrillation/flutter was significantly more frequent in 10.6% of patients in the monitoring group.
  • Randomized controlled trial involving high-risk patients after acute coronary syndrome assessed 12-month monitoring outcomes.
  • While increased detection rates were observed, the one-year MACE rates were similar in both groups, indicating further research is necessary.

Cite This Study

Hernández et al. (2025) studied this question.

synapsesocial.com/papers/68a6fb955502675167ba9306https://doi.org/10.3389/fcvm.2025.1646175
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