Detection of ventricular ectopy by a novel miniature electrocardiogram recorder

被引：6

作者：

Lemmert, Miguel E. ^{[1
]}

Janata, Andreas ^{[2
]}

Erkens, Petra ^{[1
]}

Russell, James K. ^{[3
]}

Gehman, Stacy ^{[3
]}

Nammi, Krishnakant ^{[3
]}

Crijns, Harry J. G. M. ^{[1
]}

Sterz, Fritz ^{[2
]}

Gorgels, Anton P. M. ^{[1
]}

机构：

[1] Maastricht Univ, Med Ctr, Dept Cardiol, NL-6202 AZ Maastricht, Netherlands

[2] Med Univ Vienna, Dept Emergency Med, Vienna, Austria

[3] Philips Healthcare, Seattle, WA USA

来源：

JOURNAL OF ELECTROCARDIOLOGY | 2011年 / 44卷 / 02期

关键词：

Arrhythmia monitoring; Electrocardiogram; New technology;

D O I：

10.1016/j.jelectrocard.2010.10.028

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: The ability of a miniaturized, skin-attached, 3-channel electrocardiogram (ECG) recorder prototype to detect ventricular ectopic beats (VEBs) and ventricular fibrillation (VF) was compared with that of standard Holter ECG. Methods: Concurrent 15-hour ECG recordings were made in 143 patients using an experimental device provided by Philips Healthcare (Seattle, WA) and a commercially available Holter recorder. In a consensus review process, 3 physicians (M.L., A.J., and A.G.), blinded for the recording device, analyzed 1804 seven-second strips for total number of VEBs, total number of their QRS configurations, and presence of VF. Agreement between the experimental and standard devices was calculated using Spearman correlation coefficients. Results: There was 100% agreement regarding VF recognition. Spearman correlation coefficients were 0.98 (P < .001) for the total number of VEBs and 0.91 (P < .001) for the total number of QRS configurations. Conclusions: The accuracy of the experimental miniaturized ECG recorder for detecting ventricular activity was found to be high. This finding could be of clinical importance. (C) 2011 Elsevier Inc. All rights reserved.

引用

页码：222 / 228

页数：7

共 15 条

[1] Database testing of a subcutaneous monitor with wireless alarm [J].

Arzbaecher, Robert ;

Jenkins, Janice ;

Burke, Martin ;

Song, Zhendong ;

Garrett, Michael .

JOURNAL OF ELECTROCARDIOLOGY, 2006, 39 (04) :S50-S53

[2] Diagnostic yield of automatic and patient-triggered ambulatory cardiac event recording in the evaluation of patients with palpitations, dizziness, or syncope [J].

Balmelli, N ;

Naegeli, B ;

Bertel, O .

CLINICAL CARDIOLOGY, 2003, 26 (04) :173-176

[3] ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias -: Executive summary a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) [J].

Blomström-Lundqvist, C ;

Scheinman, MM ;

Aliot, EM ;

Alpert, JS ;

Calkins, H ;

Camm, AJ ;

Campbell, WB ;

Haines, DE ;

Kuck, KH ;

Lerman, BB ;

Miller, DD ;

Shaeffer, CW ;

Stevenson, WG ;

Tomaselli, GF ;

Antman, EM ;

Smith, SC ;

Alpert, JS ;

Faxon, DP ;

Fuster, V ;

Gibbons, RJ ;

Gregoratos, G ;

Hiratzka, LF ;

Hunt, SA ;

Jacobs, AK ;

Russell, RO ;

Priori, SG ;

Blanc, JJ ;

Budaj, A ;

Burgos, EF ;

Cowie, M ;

Deckers, JW ;

Garcia, MAA ;

Klein, WW ;

Lekakis, J ;

Lindahl, B ;

Mazzotta, G ;

Morais, JCA ;

Oto, A ;

Smiseth, O ;

Trappe, HJ .

CIRCULATION, 2003, 108 (15) :1871-1909

[4] ACC/AHA guidelines for ambulatory electrocardiography: Executive summary and recommendations - A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to revise the guidelines for ambulatory electrocardiography) [J].

Crawford, MH ;

Berstein, SJ ;

Deedwania, PC ;

DiMarco, JP ;

Ferrick, KJ ;

Garson, A ;

Green, LA ;

Greene, HL ;

Silka, MJ ;

Stone, PH ;

Tracy, CM ;

Gibbons, RJ ;

Alpert, JS ;

Eagle, KA ;

Gardner, TJ ;

Garson, A ;

Gregoratos, G ;

Russell, RO ;

Ryan, TJ ;

Smith, SC .

CIRCULATION, 1999, 100 (08) :886-893

[5] Long-term continuous external electrocardiographic recording: a review [J].

Enseleit, Frank ;

Duru, Firat .

EUROPACE, 2006, 8 (04) :255-266

[6] AN ACCURATE, CLINICALLY PRACTICAL SYSTEM FOR SPATIAL VECTORCARDIOGRAPHY [J].

FRANK, E .

CIRCULATION, 1956, 13 (05) :737-749

[7]

FUSTER V, 2001, CIRCULATION, V17, P2118

[8]

JANATA A, 2008, PACING CLIN ELECTROP, V6, P676

[9]

KENNEDY LB, 2004, J LA STATE MED SOC, V3, P159

[10] Detection of asymptomatic arrhythmias in unexplained syncope [J].

Krahn, AD ;

Klein, GJ ;

Yee, R ;

Skanes, AC .

AMERICAN HEART JOURNAL, 2004, 148 (02) :326-332

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