Transtelephonic Monitoring in Pediatric Patients with Clinically Suspected Arrhythmias
Key result
Transtelephonic monitoring yields diagnostic transmissions in ~51% of pediatric patients with suspected arrhythmias.
- n=41
Why the study?
Evaluation of patients with symptoms suggestive of cardiac arrhythmias is difficult using standard studies if episodes are infrequent and short in duration.
Does transtelephonic monitoring improve the diagnosis of arrhythmias in pediatric patients with suspected infrequent and short-duration arrhythmic episodes?
Population
41 pediatric patients with suspected arrhythmic episodes and no previously documented arrhythmia
Comparison
Transtelephonic electrocardiographic monitoring vs no monitoring
Design
Observational case series
Follow-up
0.5 to 8 months (mean 2.5 months)
Authors
Discussion
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Implication
May aid diagnosis of infrequent pediatric arrhythmias; leaves open need for larger prospective validation before broader adoption.
Study Design
Type
Observational (n=41)
Structured PICO
Does transtelephonic monitoring improve the diagnosis of arrhythmias in pediatric patients with suspected infrequent and short-duration arrhythmic episodes?
P
Population
41 pediatric patients (mean age 10.9 years) with suspected arrhythmic episodes and no previously documented arrhythmia, monitored for up to 8 months.
E
Exposure
Transtelephonic electrocardiographic recorders
O
Outcome
Diagnostic transmission during a typical symptomatic episodesurrogate
Transtelephonic monitoring is an effective diagnostic tool for identifying or excluding infrequent, short-duration arrhythmias in pediatric patients.
Cite This Study
Fyfe et al. (1984) conducted an observational in Clinically suspected arrhythmias (n=41). Transtelephonic electrocardiographic recorders was evaluated on Diagnostic transmission during a typical episode. Transtelephonic monitoring yielded diagnostic transmissions in 51% (21 of 41) of pediatric patients with suspected arrhythmias, identifying abnormal rhythms in 9 patients.