Key result
A mobile portable event monitor successfully documented a fast wide QRS complex tachycardia in a young patient, leading to clarification of the mechanism and permanent elimination via catheter ablation.
Why the study?
Diagnosing paroxysmal tachycardia is challenging because 24 h Holter monitoring frequently fails to document the tachycardia despite typical clinical symptoms.
Case Report (n=1)
Mobile portable event monitors are useful for documenting elusive paroxysmal tachycardias when standard 24-hour Holter monitoring fails, facilitating definitive treatment with ablation.
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Mobile event monitors may capture paroxysmal tachycardias missed by Holter; leaves open their diagnostic role pending prospective studies.
The diagnosis of paroxysmal tachycardia can be challenging in clinical practice because even with a typical patient history including palpitations, tachycardia, and an on/off phenomenon, 24 h Holter monitoring frequently fails to document the tachycardia. After unsuccessful 24 h Holter monitoring, we managed to document a very fast wide QRS complex tachycardia in a young patient by a mobile portable event monitor. Subsequent invasive electrophysiologic diagnostics followed by catheter ablation clarified the tachycardia mechanism and led to permanent elimination of the tachycardia.
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Obergassel et al. (2021) conducted a case report in Paroxysmal tachycardia (n=1). Mobile portable event monitor and catheter ablation was evaluated on Diagnosis and elimination of tachycardia. A mobile portable event monitor successfully documented a fast wide QRS complex tachycardia in a young patient, leading to clarification of the mechanism and permanent elimination via catheter ablation.
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