June 3, 2016Journal of Cardiovascular Electrophysiology
Early Detection of Symptomatic Paroxysmal Cardiac Arrhythmias by Trans‐Telephonic ECG Monitoring: Impact on Diagnosis and Treatment of Atrial Fibrillation
Key result
Trans-telephonic event-recorder monitoring documented cardiac arrhythmias at the time of symptoms in 73% of patients, with the first arrhythmia documented on average after 7.7 days.
Why the study?
Does trans-telephonic ECG monitoring improve diagnosis and influence treatment in patients with recurrent symptoms suggestive of cardiac arrhythmias?
Population
790 patients with recurrent symptoms suggestive of cardiac arrhythmias, mean age 54 ± 18 years, 40% male.
Design
Cohort
Follow-up
17.3 ± 26.9 days
Authors
Discussion
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Implication
Enables symptom-rhythm correlation via event monitoring in most patients; leaves open whether this alters management or outcomes.
Study Design
Type
Observational (n=790)
Structured PICO
Does trans-telephonic ECG monitoring improve diagnosis and influence treatment in patients with recurrent symptoms suggestive of cardiac arrhythmias?
P
Population
790 patients (mean age 54, 60% female) with recurrent symptoms suggestive of cardiac arrhythmias screened by Tele-ECG for an average of 17.3 days.
E
Exposure
Self-guided, trans-telephonic event-recorder monitoring (Tele-ECG) for a mean of 17.3 ± 26.9 days.
O
Outcome
Documentation of cardiac arrhythmias at the time of symptoms and impact on treatment options.surrogate
Trans-telephonic ECG monitoring effectively diagnoses suspected symptomatic cardiac arrhythmias, usually within one week, and significantly impacts subsequent patient care and treatment.
Cite This Study
ANCZYKOWSKI et al. (2016) conducted an observational in Recurrent symptoms suggestive of cardiac arrhythmias (n=790). Trans-telephonic event-recorder monitoring (Tele-ECG) was evaluated on Documentation of cardiac arrhythmia at the time of symptoms. Trans-telephonic event-recorder monitoring documented cardiac arrhythmias at the time of symptoms in 73% of patients, with the first arrhythmia documented on average after 7.7 days.