Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device
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Gussak, IhorVukajlovic, Dejan
Vukcevic, Vladan
George, Samuel
Bojović, Boško
Hadžievski, Ljupčo
Simic, Goran
Stojanovic, Bojan
Angelkov, Lazar
Panescu, Dorin
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Objective: Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods: Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results: During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 (P LT .01) in 15 of 23 patients. Hotter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively (P LT .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holler detection by an average of 24 days. Conclusi...ons: Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring. (C) 2012 Elsevier Inc. All rights reserved.
Keywords:
Wireless remote monitoring / 12-lead ECG / ablation / Atrial fibrillation / Hand-held monitor / Holter monitoringSource:
Journal of Electrocardiology, 2012, 45, 2, 129-135
DOI: 10.1016/j.jelectrocard.2011.09.003
ISSN: 0022-0736
PubMed: 22074743
WoS: 000300814800006
Scopus: 2-s2.0-84857111180
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VinčaTY - JOUR AU - Gussak, Ihor AU - Vukajlovic, Dejan AU - Vukcevic, Vladan AU - George, Samuel AU - Bojović, Boško AU - Hadžievski, Ljupčo AU - Simic, Goran AU - Stojanovic, Bojan AU - Angelkov, Lazar AU - Panescu, Dorin PY - 2012 UR - https://vinar.vin.bg.ac.rs/handle/123456789/4713 AB - Objective: Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods: Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results: During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 (P LT .01) in 15 of 23 patients. Hotter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively (P LT .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holler detection by an average of 24 days. Conclusions: Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring. (C) 2012 Elsevier Inc. All rights reserved. T2 - Journal of Electrocardiology T1 - Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device VL - 45 IS - 2 SP - 129 EP - 135 DO - 10.1016/j.jelectrocard.2011.09.003 ER -
@article{ author = "Gussak, Ihor and Vukajlovic, Dejan and Vukcevic, Vladan and George, Samuel and Bojović, Boško and Hadžievski, Ljupčo and Simic, Goran and Stojanovic, Bojan and Angelkov, Lazar and Panescu, Dorin", year = "2012", abstract = "Objective: Atrial fibrillation (AF) surveillance using a wireless handheld monitor capable of 12-lead electrocardiogram reconstruction was performed, and arrhythmia detection rate was compared with serial Holter monitoring. Methods: Twenty-five patients were monitored after an AF ablation procedure using the hand-held monitor for 2 months immediately after and then for 1 month approximately 6 months postablation. All patients underwent 12-lead 24-hour Holter monitoring at 1, 2, and 6 months postablation. Results: During months 1-2, 425 of 2942 hand-held monitor transmissions from 21 of 25 patients showed AF/atrial flutter (Afl). The frequency of detected arrhythmias decreased by month 6 to 85/1128 (P LT .01) in 15 of 23 patients. Hotter monitoring diagnosed AF/Afl in 8 of 25 and 7 of 23 patients at months 1-2 and month 6, respectively (P LT .01 compared with wireless hand-held monitor). Af/Afl diagnosis by wireless monitoring preceded Holler detection by an average of 24 days. Conclusions: Wireless monitoring with 12-lead electrocardiogram reconstruction demonstrated reliable AF/Afl detection that was more sensitive than serial 12-lead 24-hour Holter monitoring. (C) 2012 Elsevier Inc. All rights reserved.", journal = "Journal of Electrocardiology", title = "Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device", volume = "45", number = "2", pages = "129-135", doi = "10.1016/j.jelectrocard.2011.09.003" }
Gussak, I., Vukajlovic, D., Vukcevic, V., George, S., Bojović, B., Hadžievski, L., Simic, G., Stojanovic, B., Angelkov, L.,& Panescu, D.. (2012). Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device. in Journal of Electrocardiology, 45(2), 129-135. https://doi.org/10.1016/j.jelectrocard.2011.09.003
Gussak I, Vukajlovic D, Vukcevic V, George S, Bojović B, Hadžievski L, Simic G, Stojanovic B, Angelkov L, Panescu D. Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device. in Journal of Electrocardiology. 2012;45(2):129-135. doi:10.1016/j.jelectrocard.2011.09.003 .
Gussak, Ihor, Vukajlovic, Dejan, Vukcevic, Vladan, George, Samuel, Bojović, Boško, Hadžievski, Ljupčo, Simic, Goran, Stojanovic, Bojan, Angelkov, Lazar, Panescu, Dorin, "Wireless remote monitoring of reconstructed 12-lead ECGs after ablation for atrial fibrillation using a hand-held device" in Journal of Electrocardiology, 45, no. 2 (2012):129-135, https://doi.org/10.1016/j.jelectrocard.2011.09.003 . .