July 24, 2012Telemedicine Journal and e-Health
Mobile Telemonitoring for Arrhythmias in Outpatients in the Republic of Georgia: A Brief Report of a Pilot Study
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Key result
Mobile telemonitoring of arrhythmias was feasible and successfully identified previously undiagnosed arrhythmias in 3 outpatients and 1 healthy control.
Why the study?
Does mobile telemonitoring using a 3-lead ECG loop recorder accurately detect arrhythmias in outpatients?
Population
35 outpatients with different types of arrhythmia and 7 healthy male sportsmen as controls.
Comparison
Mobile telemonitoring using a three-lead ECG… vs Healthy sportsmen undergoing a 30-min velo…
Design
Cohort
Follow-up
7-68 hours
Authors
Discussion
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Implication
Small-sample feasibility does not support routine use; leaves open diagnostic yield and accuracy in larger prospective studies.
Study Design
Type
Observational (n=42)
Structured PICO
Does mobile telemonitoring using a 3-lead ECG loop recorder accurately detect arrhythmias in outpatients?
P
Population
42 participants, comprising 35 outpatients with arrhythmias and 7 healthy controls, underwent mobile ECG telemonitoring for 7 to 68 hours to assess feasibility.
I
Intervention
Mobile telemonitoring using a three-lead ECG loop recorder (Vitaphone BT 3300) with automatic arrhythmia recognition, transmitting data via Bluetooth and 3G to a remote server for physician review, monitored for 7-68 hours.
C
Comparator
Healthy sportsmen undergoing a 30-min velo ergometer stress test (for the control group).
O
Outcome
Detection and correct automatic recognition of arrhythmia events (ECG events per observation).surrogate
Mobile telemonitoring using a 3-lead ECG loop recorder and smartphone transmission is a feasible and reliable method for detecting arrhythmias in outpatients.
Limitations
- Small sample size
- Short observation period
- Device-related anxiety or agitation in some elderly patients leading to premature cessation
Cite This Study
Kirtava et al. (2012) conducted an observational in Arrhythmia (n=42). Mobile telemonitoring (ECG loop recorder with Bluetooth and 3G transmission) vs. Healthy controls (sportsmen) was evaluated on Feasibility and detection of arrhythmias (number of automatically recorded ECG events). Mobile telemonitoring of arrhythmias was feasible and successfully identified previously undiagnosed arrhythmias in 3 outpatients and 1 healthy control.
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