Key result
Short-term daily temporally-optimized ECG monitoring detected a higher percentage of atrial fibrillation episodes than 1-day Holter monitoring and was at least as effective as 7-day monitoring.
Why the study?
Does short-term daily temporally-optimized ECG monitoring improve the detection of AF events compared to 1-day or 7-day Holter monitoring in patients with pacemakers for brady-tachy syndrome?
Does short-term daily temporally-optimized ECG monitoring improve the detection of AF events compared to 1-day or 7-day Holter monitoring in patients with pacemakers for brady-tachy syndrome?
Short-term daily temporally-optimized ECG monitoring may be more effective than 1-day Holter and comparable to 7-day monitoring for detecting atrial fibrillation.
May support optimized short-term ECG for AF detection in pacemaker patients; leaves open randomized confirmation before practice change.
INTRODUCTION: The current external monitoring strategies used to detect atrial fibrillation (AF) and atrial tachycardia (AT) episodes are based either on transient periods of shortterm ECG recordings or on infrequent period of long-term continuous monitoring. The aim of this study was to investigate the ability of short-term daily ECG monitoring strategies for the detection of AF events. METHODS AND MATERIALS: The investigation was based on simulations performed on data extracted from Burden II study (patients implanted with pacemaker for brady-tachy syndrome), reporting date, time and duration of each episodes. RESULTS AND CONCLUSIONS: We found that a short-term daily temporally-optimized ECG monitoring allows to detect a higher percentage of episodes than 1-day Holter monitoring and to be at least as effective as a 7-days monitoring.
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Censi et al. (2013) studied Atrial fibrillation and atrial tachycardia. Short-term daily temporally-optimized ECG monitoring vs. 1-day Holter monitoring and 7-days monitoring was evaluated on Detection of atrial fibrillation episodes. Short-term daily temporally-optimized ECG monitoring detected a higher percentage of atrial fibrillation episodes than 1-day Holter monitoring and was at least as effective as 7-day monitoring.
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