skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

75 Detection of atrial fibrillation with ambulatory ecg recording -- a retrospective service evaluation of 24 hours holter monitor and cardiac memo results in a large district general hospital

Heart (British Cardiac Society), 2020-07, Vol.106 (Suppl 2), p.A58-A58 [Peer Reviewed Journal]

Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. ;ISSN: 1355-6037 ;EISSN: 1468-201X ;DOI: 10.1136/heartjnl-2020-BCS.75

Full text available

Citations Cited by
  • Title:
    75 Detection of atrial fibrillation with ambulatory ecg recording -- a retrospective service evaluation of 24 hours holter monitor and cardiac memo results in a large district general hospital
  • Author: Mackie, Montague ; Birkhoelzer, Sarah ; Cowan, Elena ; Kirubakaran, Senthil
  • Subjects: Cardiac arrhythmia ; Investigations
  • Is Part Of: Heart (British Cardiac Society), 2020-07, Vol.106 (Suppl 2), p.A58-A58
  • Description: IntroductionAtrial fibrillation (AF) is a global public health priority. An unsolved problem is how to detect paroxysmal AF. Patients presenting with palpitations are usually monitored for a short period of time with conventional 24 hour Holter monitor or 72 hours cardiac memo. As a result, it is likely that AF is being routinely underdiagnosed and undertreated. This service evaluation reviewed the proportion of patients amongst those who are investigated for palpitations/pre-syncope/syncope by the Cardiology Department in Queen Alexandra hospital (CQAH) with a 24 hours Holter monitor or cardiac memo who have evidence of AF.MethodsRetrospective review of all patients who were investigated with either a 24 hours Holter monitor or 72 hours cardiac memo during August 2019. Clinic letters and discharge summaries were reviewed to assess reason for investigations, findings and outcomes. If a diagnosis of AF, paroxysmal AF or atrial flutter was made, management decision and subsequent anticoagulation was reviewed.ResultsA total of 232 patients were assessed with 24 hours Holter (n=122) monitor and Cardiac memo (n=108). Average age 65 years (5-94). In 5% of cases (12/232) no documentation of results was found. 5% (10/220) had new diagnosis of AF.60% (72/122) of patients investigated with a 24 hours Holter monitor for palpitation (18/122), pre-syncope (5/122) and syncope (15/122) were in sinus rhythm (SR) +/- ectopics. No patients with palpitation or pre-syncope had AF. 4/15 patients with syncope had a new diagnosis of AF (2) or supraventricular tachycardia (2). 34% (42/122) of Holter monitor were done as a result of a documented arrhythmia, 18/42 of which had known AF. 21% (26/122) of Holter monitor were used to investigate TIA/Stroke, 3/26 had new diagnosis of AF.70% (75/108) of patients investigated with a Cardiac Memo for palpitations (28/108), pre-syncope (13/108) and syncope (15/108) were in SR +/- ectopics. 3/28 with palpitations, 1/13 with pre-syncope, 1/15 with syncope group had new AF. 2/15 with syncope who were in SR had a reveal device implanted subsequently. 34% (37/108) were investigated due to TIA/Stroke, all of which were in SR.ConclusionThe number of patients diagnosed with significant cardiac arrhythmia, for example AF, as a result of conventional 24 hours tape and cardiac memo is low even if patients present with symptoms of palpitations, pre-syncope and syncope.As a result of this service evaluation we have applied for a £20.000 grant as part of a ‘NHS Joint Working Project’ to introduce novel, prolonged and home-based ECG monitoring to the department. Patients who are referred to CQAH and require investigation of symptoms of palpitation, pre-syncope and syncope will be offered ECG monitoring over up to 3 months with a KardiaMobile 6 lead ECG (by AliveCor) as an alternative to conventional methods described above. A comparison of identification of cardiac arrhythmia, in particularly AF and subsequent management change, will be made.Conflict of InterestNil
  • Publisher: London: BMJ Publishing Group LTD
  • Language: English
  • Identifier: ISSN: 1355-6037
    EISSN: 1468-201X
    DOI: 10.1136/heartjnl-2020-BCS.75
  • Source: ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait