Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device
Abstract Objective Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods Twenty-five patients were monitored after an AF ablation pro...
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| Veröffentlicht in: | Journal of electrocardiology 2012-03, Vol.45 (2), p.129-135 |
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| creator | Gussak, Ihor, MD Vukajlovic, Dejan, MD Vukcevic, Vladan, MD, PhD George, Samuel, MD Bojovic, Bosko, PhD Hadzievski, Ljupco, PhD Simic, Goran, MS Stojanovic, Bojan, MD Angelkov, Lazar, MD, PhD Panescu, Dorin, PhD |
| description | Abstract Objective Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 ( P < .01) in 15 of 23 patients. Holter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively ( P < .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holter detection by an average of 24 days. Conclusions Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring. |
| doi_str_mv | 10.1016/j.jelectrocard.2011.09.003 |
| format | Article |
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Methods Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 ( P < .01) in 15 of 23 patients. Holter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively ( P < .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holter detection by an average of 24 days. Conclusions Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring.</description><identifier>ISSN: 0022-0736</identifier><identifier>EISSN: 1532-8430</identifier><identifier>DOI: 10.1016/j.jelectrocard.2011.09.003</identifier><identifier>PMID: 22074743</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>12-lead ECG ; Ablation ; Atrial fibrillation ; Atrial Fibrillation - physiopathology ; Atrial Fibrillation - surgery ; Cardiovascular ; Catheter Ablation ; Chi-Square Distribution ; Electrocardiography - instrumentation ; Electrocardiography, Ambulatory ; Female ; Hand-held monitor ; Holter monitoring ; Humans ; Male ; Middle Aged ; Sensitivity and Specificity ; Statistics, Nonparametric ; Wireless remote monitoring</subject><ispartof>Journal of electrocardiology, 2012-03, Vol.45 (2), p.129-135</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-40b8ffa6276474ceea562cebd9877af3c5c646aa5a49287a75c2c4d2a94d459a3</citedby><cites>FETCH-LOGICAL-c434t-40b8ffa6276474ceea562cebd9877af3c5c646aa5a49287a75c2c4d2a94d459a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jelectrocard.2011.09.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22074743$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gussak, Ihor, MD</creatorcontrib><creatorcontrib>Vukajlovic, Dejan, MD</creatorcontrib><creatorcontrib>Vukcevic, Vladan, MD, PhD</creatorcontrib><creatorcontrib>George, Samuel, MD</creatorcontrib><creatorcontrib>Bojovic, Bosko, PhD</creatorcontrib><creatorcontrib>Hadzievski, Ljupco, PhD</creatorcontrib><creatorcontrib>Simic, Goran, MS</creatorcontrib><creatorcontrib>Stojanovic, Bojan, MD</creatorcontrib><creatorcontrib>Angelkov, Lazar, MD, PhD</creatorcontrib><creatorcontrib>Panescu, Dorin, PhD</creatorcontrib><title>Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device</title><title>Journal of electrocardiology</title><addtitle>J Electrocardiol</addtitle><description>Abstract Objective Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 ( P < .01) in 15 of 23 patients. Holter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively ( P < .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holter detection by an average of 24 days. Conclusions Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring.</description><subject>12-lead ECG</subject><subject>Ablation</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Cardiovascular</subject><subject>Catheter Ablation</subject><subject>Chi-Square Distribution</subject><subject>Electrocardiography - instrumentation</subject><subject>Electrocardiography, Ambulatory</subject><subject>Female</subject><subject>Hand-held monitor</subject><subject>Holter monitoring</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Sensitivity and Specificity</subject><subject>Statistics, Nonparametric</subject><subject>Wireless remote monitoring</subject><issn>0022-0736</issn><issn>1532-8430</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkk9v1DAQxS0EokvhKyCLC6cE_0u84YCEtqUgVeIAiKM1sSfUIYmL7VT02-NoF4Q4cbI8eu_N-Och5AVnNWe8fTXWI05ocwwWoqsF47xmXc2YfEB2vJGi2ivJHpIdY0JUTMv2jDxJaWSMdUKLx-RMCKaVVnJHfn71sYSlRCPOISOdw-JziH75RsNQijYsKcfVZnSUi2pCcPTycJUoDBkjhX6C7MNCh1AuOXqY6OD76KdTfU1bFNAbWFx1g5OjDu-8xafk0QBTwmen85x8eXf5-fC-uv549eHw9rqySqpcKdbvhwFaodsysEWEphUWe9fttYZB2sa2qgVoQHVir0E3VljlBHTKqaYDeU5eHnNvY_ixYspm9sliGW_BsCbTCaE6zRQvytdHpY0hpYiDuY1-hnhvODMbeDOav8GbDbxhnSngi_n5qc3az-j-WH-TLoKLowDLY-88RpOsx8WiKx9gs3HB_1-fN__E2Mkv3sL0He8xjWGNS8FpuEnCMPNpW4FtAzjf3ELKX0fcsbQ</recordid><startdate>20120301</startdate><enddate>20120301</enddate><creator>Gussak, Ihor, MD</creator><creator>Vukajlovic, Dejan, MD</creator><creator>Vukcevic, Vladan, MD, PhD</creator><creator>George, Samuel, MD</creator><creator>Bojovic, Bosko, PhD</creator><creator>Hadzievski, Ljupco, PhD</creator><creator>Simic, Goran, MS</creator><creator>Stojanovic, Bojan, MD</creator><creator>Angelkov, Lazar, MD, PhD</creator><creator>Panescu, Dorin, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120301</creationdate><title>Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device</title><author>Gussak, Ihor, MD ; Vukajlovic, Dejan, MD ; Vukcevic, Vladan, MD, PhD ; George, Samuel, MD ; Bojovic, Bosko, PhD ; Hadzievski, Ljupco, PhD ; Simic, Goran, MS ; Stojanovic, Bojan, MD ; Angelkov, Lazar, MD, PhD ; Panescu, Dorin, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-40b8ffa6276474ceea562cebd9877af3c5c646aa5a49287a75c2c4d2a94d459a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>12-lead ECG</topic><topic>Ablation</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Atrial Fibrillation - surgery</topic><topic>Cardiovascular</topic><topic>Catheter Ablation</topic><topic>Chi-Square Distribution</topic><topic>Electrocardiography - instrumentation</topic><topic>Electrocardiography, Ambulatory</topic><topic>Female</topic><topic>Hand-held monitor</topic><topic>Holter monitoring</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Sensitivity and Specificity</topic><topic>Statistics, Nonparametric</topic><topic>Wireless remote monitoring</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gussak, Ihor, MD</creatorcontrib><creatorcontrib>Vukajlovic, Dejan, MD</creatorcontrib><creatorcontrib>Vukcevic, Vladan, MD, PhD</creatorcontrib><creatorcontrib>George, Samuel, MD</creatorcontrib><creatorcontrib>Bojovic, Bosko, PhD</creatorcontrib><creatorcontrib>Hadzievski, Ljupco, PhD</creatorcontrib><creatorcontrib>Simic, Goran, MS</creatorcontrib><creatorcontrib>Stojanovic, Bojan, MD</creatorcontrib><creatorcontrib>Angelkov, Lazar, MD, PhD</creatorcontrib><creatorcontrib>Panescu, Dorin, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gussak, Ihor, MD</au><au>Vukajlovic, Dejan, MD</au><au>Vukcevic, Vladan, MD, PhD</au><au>George, Samuel, MD</au><au>Bojovic, Bosko, PhD</au><au>Hadzievski, Ljupco, PhD</au><au>Simic, Goran, MS</au><au>Stojanovic, Bojan, MD</au><au>Angelkov, Lazar, MD, PhD</au><au>Panescu, Dorin, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device</atitle><jtitle>Journal of electrocardiology</jtitle><addtitle>J Electrocardiol</addtitle><date>2012-03-01</date><risdate>2012</risdate><volume>45</volume><issue>2</issue><spage>129</spage><epage>135</epage><pages>129-135</pages><issn>0022-0736</issn><eissn>1532-8430</eissn><abstract>Abstract Objective Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 ( P < .01) in 15 of 23 patients. Holter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively ( P < .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holter detection by an average of 24 days. Conclusions Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22074743</pmid><doi>10.1016/j.jelectrocard.2011.09.003</doi><tpages>7</tpages></addata></record> |
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| subjects | 12-lead ECG Ablation Atrial fibrillation Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Cardiovascular Catheter Ablation Chi-Square Distribution Electrocardiography - instrumentation Electrocardiography, Ambulatory Female Hand-held monitor Holter monitoring Humans Male Middle Aged Sensitivity and Specificity Statistics, Nonparametric Wireless remote monitoring |
| title | Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device |
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