Occurrence of arrhythmias in general practice

Zwietering, Paul; Knottnerus, André; Gorgels, Ton; Rinkens, Paula E L M

doi:10.3109/02813439608997092

Cited by 21 publications

(12 citation statements)

References 9 publications

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“…atients frequently visit their primary care physician with symptoms that may be due to cardiac arrhythmias. 1 Manifestations include palpitations, light-headedness, and (near) fainting and account for 0.8% to 16% of symptoms that prompt patients to visit their primary care physician. 1,2 Some heart rhythm abnormalities, such as ectopic beats, are common electrocardiography (ECG) findings that generally do not require action.…”

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confidence: 99%

Diagnostic Accuracy of a Smartphone-Operated, Single-Lead Electrocardiography Device for Detection of Rhythm and Conduction Abnormalities in Primary Care

et al. 2019

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PURPOSE To validate a smartphone-operated, single-lead electrocardiography (1L-ECG) device (AliveCor KardiaMobile) with an integrated algorithm for atrial fibrillation (AF) against 12-lead ECG (12L-ECG) in a primary care population. METHODS We recruited consecutive patients who underwent 12L-ECG for any nonacute indication. Patients held a smartphone with connected 1L-ECG while local personnel simultaneously performed 12L-ECG. All 1L-ECG recordings were assessed by blinded cardiologists as well as by the smartphone-integrated algorithm. The study cardiologists also assessed all 12L-recordings in random order as the reference standard. We determined the diagnostic accuracy of the 1L-ECG in detecting AF or atrial flutter (AFL) as well as any rhythm abnormality and any conduction abnormality with the simultaneously performed 12L-ECG as the reference standard. RESULTS We included 214 patients from 10 Dutch general practices. Mean ± SD age was 64.1 ± 14.7 years, and 53.7% of the patients were male. The 12L-ECG diagnosed AF/AFL, any rhythm abnormality, and any conduction abnormality in 23, 44, and 28 patients, respectively. The 1L-ECG as assessed by cardiologists had a sensitivity and specificity for AF/AFL of 100% (95% CI, 85.2%-100%) and 100% (95% CI, 98.1%-100%). The AF detection algorithm had a sensitivity and specificity of 87.0% (95% CI, 66.4%-97.2%) and 97.9% (95% CI, 94.7%-99.4%). The 1L-ECG as assessed by cardiologists had a sensitivity and specificity for any rhythm abnormality of 90.9% (95% CI, 78.3%-97.5%) and 93.5% (95% CI, 88.7%-96.7%) and for any conduction abnormality of 46.4% (95% CI, 27.5%-66.1%) and 100% (95% CI, 98.0%-100%). CONCLUSIONS In a primary care population, a smartphone-operated, 1L-ECG device showed excellent diagnostic accuracy for AF/AFL and good diagnostic accuracy for other rhythm abnormalities. The 1L-ECG device was less sensitive for conduction abnormalities.

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confidence: 99%

Diagnostic Accuracy of a Smartphone-Operated, Single-Lead Electrocardiography Device for Detection of Rhythm and Conduction Abnormalities in Primary Care

et al. 2019

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“…We have tried to answer three questions: (1) To what extent do patients with palpitations report problems with anxiety and HR-QoL at baseline, compared to a healthy reference population? This allows us to understand to what extent palpitations decrease HR-QoL or increase anxiety before diagnosis and/or subsequent treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Yearly, approximately 18 per 1,000 patients visit their general practitioner (GP) with complaints of palpitations [1]. The continuous event recorder (CER) is increasingly used by GPs in the diagnostic workup of these patients because of its high diagnostic yield [2,3].…”

Section: Introductionmentioning

confidence: 99%

Continuous event recorders did not affect anxiety or quality of life in patients with palpitations

Hoefman

Boer

Weert

et al. 2007

Journal of Clinical Epidemiology

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“…Birinci basamak hekimlerine başvuran her 1000 hastadan yaklaşık 18'inin ana yakınması çarpın-tıdır (1). Çarpıntı, göğüs ağrısı ile birlikte kalp hastalıkları ile en sık ilişkili olan yakınmalar-dandır.…”

Section: Introductionunclassified

The psychiatric view of the patient with palpitations

Yıldırım¹

2013

Turk J Bioch

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AbstractÇarpıntı birinci basamakta sık karşılaşılan bir belirtidir. Çar-pıntılı hastaların çoğunluğunda çarpıntının nedeni bir hastalıktan çok psikiyatrik bir bozukluktur. Çarpıntı ile en sık ilişkili olan psikiyatrik bozukluk grubu kaygı bozuklarıdır. Ayrıca duygudurum bozukluklarına, somatoform bozukluklara ve psikotik bozukluklara sahip hastalarda da çarpıntı yakınma-sına daha fazla rastlanır. Bu makalede çarpıntılı hastaya psikiyatrik bakış açısı tartışılacaktır.Palpitations are the frequently reported symptoms in primary settings. Underlying reason of palpitations in many patients is a psychiatric disorder rather than a physical illness. Anxiety disorders are the most frequently seen psychiatric disorder in patients with palpitations. Patients with mood disorders, somatoform disorders, or psychotic disorders also exhibit increased levels of palpitations. This review, psychiatric view of palpitations will be discussed.Anahtar Kelimeler: Çarpıntı, psikiyatri.

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Occurrence of arrhythmias in general practice

Cited by 21 publications

References 9 publications

Diagnostic Accuracy of a Smartphone-Operated, Single-Lead Electrocardiography Device for Detection of Rhythm and Conduction Abnormalities in Primary Care

Diagnostic Accuracy of a Smartphone-Operated, Single-Lead Electrocardiography Device for Detection of Rhythm and Conduction Abnormalities in Primary Care

Continuous event recorders did not affect anxiety or quality of life in patients with palpitations

The psychiatric view of the patient with palpitations

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