Yield and consistency of arrhythmia detection with patch electrocardiographic monitoring: The Multi-Ethnic Study of Atherosclerosis

被引:54
作者
Heckbert, Susan R. [1 ,2 ]
Austin, Thomas R. [1 ,2 ]
Jensen, Paul N. [3 ]
Floyd, James S. [3 ]
Psaty, Bruce M. [3 ,4 ,5 ,6 ]
Soliman, Elsayed Z. [7 ]
Kronmal, Richard A. [8 ]
机构
[1] Univ Washington, Cardiovasc Hlth Res Unit, 1730 Minor Ave,Suite 1360, Seattle, WA 98101 USA
[2] Univ Washington, Dept Epidemiol, 1730 Minor Ave,Suite 1360, Seattle, WA 98101 USA
[3] Univ Washington, Dept Med, Cardiovasc Hlth Res Unit, 1730 Minor Ave,Suite 1360, Seattle, WA 98101 USA
[4] Univ Washington, Dept Epidemiol, 1959 NE Pacific Ave, Seattle, WA 98195 USA
[5] Univ Washington, Dept Hlth Serv, 1959 NE Pacific Ave, Seattle, WA 98195 USA
[6] Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA
[7] Wake Forest Univ, Bowman Gray Sch Med, Epidemiol Cardiol Res Ctr, Med Ctr Blvd, Winston Salem, NC 27157 USA
[8] Univ Washington, Dept Biostat, 1959 NE Pacific Ave, Seattle, WA 98195 USA
关键词
ECG screening; Atrial fibrillation; Atrial flutter; Supraventricular ectopy; Ventricular ectopy; ATRIAL-FIBRILLATION;
D O I
10.1016/j.jelectrocard.2018.07.027
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Patch electrocardiographic (ECG) monitors permit extended noninvasive ambulatory monitoring. To guide use of these devices, information is needed about their performance. We sought to determine in a large general population sample the acceptability of patch ECG monitors, the yield of arrhythmia detection, and the consistency of findings in participants monitored twice. Methods: In the Multi-Ethnic Study of Atherosclerosis, 1122 participants completed one or two monitoring episodes using the Zio Patch XT, a single-channel ECG patch monitor capable of recording for 14 days. Recordings were analyzed for atrial fibrillation (AF), atrial flutter, atrioventricular block, pauses, and supraventricular and ventricular ectopy. Results: The mean(SD) age at the time of monitoring was 75(8) years, 52% were men, and 15% had a prior history of clinically-recognized AF/flutter. The median monitoring duration was 13.8 days. Among 804 participants with no prior clinical history of AF/flutter and at least 12 days of monitoring on a single device, AF/flutter was detected in 32 (4.0%); in 38% of these, AF/flutter was first detected during days 3 through 12 of monitoring. In participants monitored twice, findings from the two devices showed excellent agreement for supraventricular and ventricular ectopic beats per hour, but only fair agreement for high-grade atrioventricular block and pauses of >3 s duration. Conclusions: In a general population of older individuals, new diagnoses of AF/flutter were made in 4.0% of participants without a prior history. A single monitoring episode accurately estimated rates of supraventricular and ventricular ectopy. (C) 2018 Elsevier Inc. All rights reserved.
引用
收藏
页码:997 / 1002
页数:6
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