Cited by 52ECG Monitoring and AnalysisCardiac electrophysiology and arrhythmiasCardiac Arrhythmias and Treatments

Comparison of the patient-activated event recording system vs. traditional 24 h Holter electrocardiography in individuals with paroxysmal palpitations or dizziness

de Asmundis, C., Conte, G., Sieira, J., Chierchia, G.-B., Rodriguez-Manero, M., Di Giovanni, G., Ciconte, G., Levinstein, M. +4 more·2014·Europace

Abstract

AIMS: Electrocardiographic documentation of symptomatic episodes of palpitations by means of traditional methods such as 24 h Holter monitoring (HM) or loop recorders is challenging. Patient-activated electrocardiography (ECG) recorders have been proved to be a useful tool in the diagnosis of arrhythmias in these patients. However, no comparison studies between the two techniques have been conducted. The aim of this study was to compare the diagnostic value of Holter ECG and a patient-activated event recorder (OMRON portable HeartScan ECG Monitor(®)) (HeartScan) in the detection of arrhythmias in patients with paroxysmal palpitations or dizziness suggestive of cardiac arrhythmias. METHODS AND RESULTS: Patients with paroxysmal palpitations or dizziness were eligible for this study. All patients underwent an HM for 24 h and a 15-day HeartScan after the HM. Six hundred and twenty-five patients (48% male, mean age: 37 ± 11 years) were included in the study. All patients present with normal heart structure, normal baseline 12-lead ECG, and normal echocardiogram. Indications for ECG monitoring were palpitations in 577 patients (92.3%) and dizziness in 48 (7.7%). Holter monitoring offered a clinical diagnosis in 11 patients (1.8%). Conversely, HeartScan diagnosed the clinical arrhythmia in 558 individuals (89%). Detection of symptoms-related arrhythmias by means of HeartScan was significantly higher when compared with HM (P < 0.01). CONCLUSION: The studied system proved to be an efficient event recorder providing the diagnosis of the clinical arrhythmia in 89% of patients with paroxysmal palpitations or dizziness. Further studies are needed to confirm our results.

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Crossref · 10.1093/europace/eut411

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14 of 14 references verified0 citation errors · 0 not checkable

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  • In de Asmundis et al., Omron HeartScan detected significantly more symptom-related arrhythmias than Holter monitor (P < .01).

    “A study by de Asmundis C et al17 revealed significantly higher detection of symptom‐related arrhythmias with Omron HeartScan compared with Holter monitor (P < .01).”

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Authors
de Asmundis, C., Conte, G., Sieira, J., Chierchia, G.-B., Rodriguez-Manero, M., Di Giovanni, G., Ciconte, G., Levinstein, M., Baltogiannis, G., Saitoh, Y., Casado-Arroyo, R., & Brugada, P.
Affiliations
Vrije Universiteit Brussel (BE)
Venue
Europace
Published
2014-02-26
Volume
16
Issue
8
Pages
1231-1235
ISSN
  • 1099-5129 (ISSN-L)
  • 1532-2092
OpenAlex
W2126686994
Cited by
52
References
14
Citations by year
2026: 4 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 4 · 2019: 2 · 2018: 7 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 1
FWCI
5.03
Type
journal article
Language
en
Open access
closed
Locations
  • EP Europace (publishedVersion)
  • PubMed (publishedVersion)
  • Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
  • VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Funders
Omron Healthcare
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Keywords
Holter monitoring, paroxysmal palpitations, dizziness, arrhythmia detection, arrhythmia diagnosis, diagnostic accuracy comparison
MeSH terms
Adult, Arrhythmias, Cardiac, Dizziness, Electrocardiography, Equipment Design, Female, Heart Rate, Humans, Male, Middle Aged, Predictive Value of Tests, Time Factors, Electrocardiography, Ambulatory, Catheter Ablation

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