The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Utility of Patient-Activated Cardiac Event Recorders in the Detection of Cardiac Arrhythmias
Abstract
Background Patient-activated event recorders are useful for the diagnosis of arrhythmia in patients with palpitation and presyncope. However, the utility of event recorders in patients suspected of arrhythmia but presenting with other symptoms is not clear. Furthermore, the factors influencing their utility have not been evaluated.Methods Event recorder reports of six hundred and sixty consecutive patients referred due to clinical suspicion of cardiac arrhythmia were reviewed. We divided symptoms into four groups: palpitation, presyncope, chest tightness, and dyspnea. We calculated the diagnostic yield according to patients' symptoms reported on the record, and analyzed the factors affecting the utility of event recorders.Results The overall diagnostic yield was 64%, and those of palpitation, presyncope, chest tightness, and dyspnea were 66%, 57%, 51% and 60%, respectively. The most common five findings in our patients were sinus rhythm (36%), sinus tachycardia (30%), atrial premature complex (14%), ventricular premature complex (12%), and atrial fibrillation/atrial flutter (7%). The recording duration (8 +/- 4 days) was short in the present study, but the overall diagnostic yield was similar to those of previous ones. Women had lower diagnostic yields than men, especially in atrial flutter-fibrillation. The diagnostic yield was not influenced by age, ordered doctors, or history of cardiovascular disease. CONCLUSIONS; Patient-activated event recorders provided a good diagnostic yield in patients with different presentations of cardiac arrhythmia, and women had lower diagnostic yield in atrial flutter-fibrillation.
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“Nevertheless, clinically significant arrhythmias such as atrial fibrillation/flutter or paroxysmal supraventricular tachycardias are also a frequent finding.45,46”
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Metadata
- Authors
- Wu, C.-C., Hsieh, M.-H., Tai, C.-T., Chiang, C.-E., Yu, W.-C., Lin, Y.-K., Tsao, H.-M., Ding, P. Y.-A., & Chen, S.-A.
- Affiliations
- Taipei Veterans General Hospital (TW)
- Corresponding author
- Hsieh, Ming-Hsiung
- ORCID
- Wu, Chih-Cheng
- Venue
- Journal of Interventional Cardiac Electrophysiology
- Published
- 2003-04
- Volume
- 8
- Issue
- 2
- Pages
- 117-120
- ISSN
- 1383-875X (ISSN-L)
- 1572-8595
- OpenAlex
- W1522788271
- Cited by
- 27
- References
- 12
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 1 · 2012: 2
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springernature.com/gp/researchers/text-and-data-mining (tdm)
- www.springernature.com/gp/researchers/text-and-data-mining (vor)
- Locations
- Journal of Interventional Cardiac Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Keywords
- cardiac arrhythmias, diagnostic yield, palpitations, presyncope, chest tightness, dyspnea, atrial fibrillation, atrial flutter, sinus tachycardia, premature atrial contractions, premature ventricular contractions, sex differences, recording duration
- MeSH terms
- Arrhythmias, Cardiac, Dyspnea, Female, Heart Rate, Humans, Male, Middle Aged, Sex Factors, Syncope, Electrocardiography, Ambulatory
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