Cardiac Monitoring in Patients with Syncope: Making that Elusive Diagnosis

Subbiah, Rajesh N.; Chia, Puey Ling; Gula, Lorne J.; Klein, George J.; Skanes, Allan C.; Yee, Raymond; Krahn, Andrew D.

doi:10.2174/1573403x10666140214120056

Cited by 15 publications

(7 citation statements)

References 43 publications

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“…At-home telemonitoring is a validated method for monitoring disease states across multiple specialties including cardiology, pulmonology, obstetrics, and ophthalmology. 37 , 38 , 39 , 40 , 41 , 42 , 43 , 34 , 35 Despite this, real-world usage of home monitoring devices can be challenging as evidenced by the current dataset.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, the results of the current study highlight some of the challenges accompanying home monitoring. 37 , 38 , 39 , 40 , 41 , 42 , 43 Telemonitoring strategies range from simple phone calls with health professionals to complex devices like ForeseeHome. Some monitors, like the Holter device and other cardiac monitors, collect data automatically and over short periods of time.…”

Section: Discussionmentioning

confidence: 99%

“…Some monitors, like the Holter device and other cardiac monitors, collect data automatically and over short periods of time. 37 , 39 , 42 These devices do not have some of the inherent compliance issues associated with long-term monitoring devices such as ForeseeHome, as patients do not have to manually input data for the monitoring to be effective, nor do they have to continue monitoring indefinitely. For devices in which patients are required to manually test themselves or input data periodically, ongoing self-motivation is required.…”

Section: Discussionmentioning

confidence: 99%

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Home Monitoring of Age-Related Macular Degeneration

Kiernan

Eichenbaum

et al. 2021

Ophthalmology Retina

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Purpose To evaluate real-world utility of the ForeseeHome monitoring device for the detection of conversion from intermediate age-related macular degeneration (iAMD) to neovascular AMD (nAMD) and compare with results published by the HOME study. Design Retrospective analysis of electronic health records. Subjects Eyes prescribed use of the ForeseeHome device across 4 retinal practices in the USA. Methods Usage information was collected from the online ForeseeHome portal for all eyes prescribed. For a pre-determined subset of eyes, additional clinical information was collected through chart review and analyzed for clinical utility. Main Outcome Measures Outcome measures include frequency and length of use, number of eyes that used the device, established baseline and converted to nAMD, and number of alerts. Results 775 eyes of 448 patients were prescribed use of the ForeseeHome device. 649 eyes (83.7%) used the device at least once; among this population, 478 (73.7%) established baseline. Patients who established baseline were significantly younger than those who did not establish baseline (p<0.001). Among eyes that established baseline, 126 (26.4%) had an overall inadequate frequency of use (≥2 tests per week), and 250 (52.3%) did not use the device as frequently as instructed by the manufacturer (≥3 tests per week); 112 (24.7%) discontinued use within one year. Over a mean of 20.35 months, 106 patients had 152 alerts, indicating possible conversions to nAMD. Out of the 136 eyes that established baseline among 211 eyes prescribed the device at one clinical site, 52 alerts were recorded, 3 (6.8%) correctly identified conversion to nAMD and 47 (93.2%) represented false-positive alerts. Conclusions Compared to the prospective HOME study, utility of the ForeseeHome device in the current analysis of real-world clinical-practice application was limited. A meaningful proportion of eyes never used the device or could not establish baseline. Overall frequency of use was low and continuous usage of the device decreased over time. There is a need for improvement in home monitoring technology for eyes with iAMD at risk of conversion to nAMD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Home Monitoring of Age-Related Macular Degeneration

Kiernan

Eichenbaum

et al. 2021

Ophthalmology Retina

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“…Their selection and usefulness are highly dependent on patient characteristics with regard to the frequency of syncope and the likelihood of an arrhythmic cause of syncope. 148 IIa B-NR To evaluate selected ambulatory patients with syncope of suspected arrhythmic etiology, the following external cardiac monitoring approaches can be useful: 1. Holter monitor [149][150][151][152][153] 2.…”

Section: N/amentioning

confidence: 99%

2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope

Shen¹,

Sheldon²,

et al. 2017

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“…And there is no option for autosending the recorded data or analysed data to the doctor. The comparison among Holter, ILR, and ELR is given [8] in Table 1.…”

Section: Introductionmentioning

confidence: 99%

An Engineering Perspective of External Cardiac Loop Recorder: A Systematic Review

Srinivasulu

Sriraam

2016

Journal of Medical Engineering

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External cardiac loop recorder (ELR) is a kind of ECG monitoring system that records cardiac activities of a subject continuously for a long time. When the heart palpitations are not the frequent and nonspecific character, it is difficult to diagnose the disease. In such a case, ELR is used for long-term monitoring of heart signal of the patient. But the cost of ELR is very high. Therefore, it is not prominently available in developing countries like India. Since the design of ELR includes the ECG electrodes, instrumentation amplifier, analog to digital converter, and signal processing unit, a comparative review of each part of the ELR is presented in this paper in order to design a cost effective, low power, and compact kind of ELR. This review will also give different choices available for selecting and designing each part of the ELR system. Finally, the review will suggest the better choice for designing a cost effective external cardiac loop recorder that helps to make it available even for rural people in India.

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Cardiac Monitoring in Patients with Syncope: Making that Elusive Diagnosis

Cited by 15 publications

References 43 publications

Home Monitoring of Age-Related Macular Degeneration

Home Monitoring of Age-Related Macular Degeneration

2017 ACC/AHA/HRS guideline for the evaluation and management of patients with syncope

An Engineering Perspective of External Cardiac Loop Recorder: A Systematic Review

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