Enhanced detection of cardiac arrhythmias utilizing 14-day continuous ECG patch monitoring

Liu, Chih-Min; Chang, Shih Lin; Yeh, Yu Min; Hu, Yu Feng; Chou, Chung Chuan; Hung, Kuo Chun; Chang, Po Cheng; Liao, Jo Nan; Chan, Yi‐Hsin; Lo, Li Wei; Wu, Lung Sheng; Lin, Yenn Jiang; Wen, Ming; Chen, Shih Ann

doi:10.1016/j.ijcard.2021.03.015

Cited by 31 publications

(30 citation statements)

References 33 publications

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“…The possibility of non-detected asymptomatic arrhythmic event might occur during the follow-up period. By using 14-day continuous electrocardiogram patch monitoring or loop recorder, asymptomatic arrhythmia could be more effective detected [ 24 ].…”

Section: Limitationmentioning

confidence: 99%

Comparison of lesion characteristics between conventional and high-power short-duration ablation using contact force-sensing catheter in patients with paroxysmal atrial fibrillation

Chen

Lee

et al. 2021

BMC Cardiovasc Disord

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Background Transmural lesion creation is essential for effective atrial fibrillation (AF) ablation. Lesion characteristics between conventional energy and high-power short-duration (HPSD) setting in contact force-guided (CF) ablation for AF remained unclear. Methods Eighty consecutive AF patients who received CF with conventional energy setting (power control: 25–30 W, force–time integral = 400 g s, n = 40) or with HPSD (power control: 40–50 W, 10 s, n = 40) ablation were analyzed. Of them, 15 patients in each conventional and HPSD group were matched by age and gender respectively for ablation lesions analysis. Type A and B lesions were defined as a lesion with and without significant voltage reduction after ablation, respectively. The anatomical distribution of these lesions and ablation outcomes among the 2 groups were analyzed. Results 1615 and 1724 ablation lesions were analyzed in the conventional and HPSD groups, respectively. HPSD group had a higher proportion of type A lesion compared to conventional group (P < 0.01). In the conventional group, most type A lesions were at the right pulmonary vein (RPV) posterior wall (50.2%) whereas in the HPSD group, most type A lesions were at the RPV anterior wall (44.0%) (P = 0.04). The procedure time and ablation time were significantly shorter in the HPSD group than that in the conventional group (91.0 ± 12.1 vs. 124 ± 14.2 min, P = 0.03; 30.7 ± 19.2 vs. 57.8 ± 21 min, P = 0.02, respectively). At a mean follow-up period of 11 ± 1.4 months, there were 13 and 7 patients with recurrence in conventional and HPSD group respectively (P = 0.03). Conclusion Optimal ablation lesion characteristics and distribution after conventional and HPSD ablation differed significantly. HPSD ablation had shorter ablation time and lower recurrence rate than did conventional ablation.

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Section: Limitationmentioning

confidence: 99%

Comparison of lesion characteristics between conventional and high-power short-duration ablation using contact force-sensing catheter in patients with paroxysmal atrial fibrillation

Chen

Lee

et al. 2021

BMC Cardiovasc Disord

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“…We used the McNemar test to estimate the sample size. Based on previous reports [ 5 , 8 ], we assumed that 14% of patients would be negative for the Holter test but positive for the APD due to the extended monitoring period, while 4% of patients would be positive for the Holter test but negative for the APD due to potential disadvantages of single-lead ECG monitoring. To achieve a power of 80% and a two-sided significance of 5%, the study required 194 participants.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, the diagnostic performance of single-lead ECG monitoring could be suboptimal due to noisy tracings, frequent ectopic beats, or the coexistence of other tachyarrhythmias [ 7 ]. Although multiple studies have validated the diagnostic performance of single-lead ECG monitoring with APDs for various cardiac arrhythmias [ 6 , 8 - 11 ], evidence of direct comparisons between the Holter test and single-lead ECG monitoring with an APD for AF detection remains limited [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison Between the 24-hour Holter Test and 72-hour Single-Lead Electrocardiogram Monitoring With an Adhesive Patch-Type Device for Atrial Fibrillation Detection: Prospective Cohort Study

Choi¹,

Lee²,

Choi³

et al. 2022

J Med Internet Res

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Background There is insufficient evidence for the use of single-lead electrocardiogram (ECG) monitoring with an adhesive patch-type device (APD) over an extended period compared to that of the 24-hour Holter test for atrial fibrillation (AF) detection. Objective In this paper, we aimed to compare AF detection by the 24-hour Holter test and 72-hour single-lead ECG monitoring using an APD among patients with AF. Methods This was a prospective, single-center cohort study. A total of 210 patients with AF with clinical indications for the Holter test at cardiology outpatient clinics were enrolled in the study. The study participants were equipped with both the Holter device and APD for the first 24 hours. Subsequently, only the APD continued ECG monitoring for an additional 48 hours. AF detection during the first 24 hours was compared between the two devices. The diagnostic benefits of extended monitoring using the APD were evaluated. Results A total of 200 patients (mean age 60 years; n=141, 70.5% male; and n=59, 29.5% female) completed 72-hour ECG monitoring with the APD. During the first 24 hours, both monitoring methods detected AF in the same 40/200 (20%) patients (including 20 patients each with paroxysmal and persistent AF). Compared to the 24-hour Holter test, the APD increased the AF detection rate by 1.5-fold (58/200; 29%) and 1.6-fold (64/200; 32%) with 48- and 72-hour monitoring, respectively. With the APD, the number of newly discovered patients with paroxysmal AF was 20/44 (45.5%), 18/44 (40.9%), and 6/44 (13.6%) at 24-, 48-, and 72-hour monitoring, respectively. Compared with 24-hour Holter monitoring, 72-hour monitoring with the APD increased the detection rate of paroxysmal AF by 2.2-fold (44/20). Conclusions Compared to the 24-hour Holter test, AF detection could be improved with 72-hour single-lead ECG monitoring with the APD.

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“…An ECG records the electrical activity produced by the heartbeat. ECG signal analysis is used to confirm a normal heart rate and for early diagnosis of various heart diseases, such as arrhythmias [ 95 ], myocardial infarction [ 96 ], and angina [ 97 ]. The ECG signals generated by a single heartbeat are classified in the following order: P-wave, QRS complex, and T-wave [ 98 ].…”

Section: Electrophysiological Signal Sensingmentioning

confidence: 99%

Biodegradable Polymer Composites for Electrophysiological Signal Sensing

2022

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Electrophysiological signals are collected to characterize human health and applied in various fields, such as medicine, engineering, and pharmaceuticals. Studies of electrophysiological signals have focused on accurate signal acquisition, real-time monitoring, and signal interpretation. Furthermore, the development of electronic devices consisting of biodegradable and biocompatible materials has been attracting attention over the last decade. In this regard, this review presents a timely overview of electrophysiological signals collected with biodegradable polymer electrodes. Candidate polymers that can constitute biodegradable polymer electrodes are systemically classified by their essential properties for collecting electrophysiological signals. Moreover, electrophysiological signals, such as electrocardiograms, electromyograms, and electroencephalograms subdivided with human organs, are discussed. In addition, the evaluation of the biodegradability of various electrodes with an electrophysiology signal collection purpose is comprehensively revisited.

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Enhanced detection of cardiac arrhythmias utilizing 14-day continuous ECG patch monitoring

Cited by 31 publications

References 33 publications

Comparison of lesion characteristics between conventional and high-power short-duration ablation using contact force-sensing catheter in patients with paroxysmal atrial fibrillation

Comparison of lesion characteristics between conventional and high-power short-duration ablation using contact force-sensing catheter in patients with paroxysmal atrial fibrillation

Comparison Between the 24-hour Holter Test and 72-hour Single-Lead Electrocardiogram Monitoring With an Adhesive Patch-Type Device for Atrial Fibrillation Detection: Prospective Cohort Study

Biodegradable Polymer Composites for Electrophysiological Signal Sensing

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