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• W2411367079 abstract "Trans‐Telephonic ECG Monitoring for the Detection of CA Introduction Diagnosis of infrequent cardiac arrhythmias (CA) is often unsuccessful using resting or Holter ECG. As early detection and treatment of CA, especially atrial fibrillation (AF), has implications on patients’ treatment and outcome, we investigated, whether self‐guided, trans‐telephonic event‐recorder monitoring (Tele‐ECG) improves diagnosis and influences treatment options. Methods Between 2009 and 2014, 790 patients (54 ± 18 years, 40% male; no history of CA: 582, known AF: 179, other CA: 29) presented with recurrent symptoms suggestive of CA and were screened by Tele‐ECG (17.3 ± 26.9 days). A total of 11,775 ECGs were transmitted via a 24‐hour telephone hotline including documentation of the respective symptoms. Results In 73% of patients, CA was documented at the time of symptoms: sinus tachycardia 23%, premature ventricular beats 19%, AF 14%, supraventricular tachycardia 9%, sinus bradycardia 5%, sinus arrhythmia 2%, and AV block II 1%. The mean time until the first symptomatic episode occurred was 6.9 ± 15.3 days (median 2.5 days). The first documented arrhythmia occurred on average after 7.7 ± 14.1 days (median 3 days). In patients with AF (n = 110), 44% was newly diagnosed. According to the Tele‐ECG diagnosis, AF ablation was performed in 27% of these patients, 7% electrical cardioversion, and in 30% antiarrhythmic therapy was initiated. In 65% of the patients with recurrence of known AF, (re‐)ablation was performed or recommended and in 16% antiarrhythmic therapy was modified. Conclusions Tele‐ECG monitoring is effective in the diagnosis of suspected symptomatic CA. A diagnosis can usually be achieved within 1 week and has implications on patients’ care." @default.
• W2411367079 created "2016-06-24" @default.
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• W2411367079 date "2016-06-30" @default.
• W2411367079 modified "2023-10-05" @default.
• W2411367079 title "Early Detection of Symptomatic Paroxysmal Cardiac Arrhythmias by Trans-Telephonic ECG Monitoring: Impact on Diagnosis and Treatment of Atrial Fibrillation" @default.
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• W2411367079 doi "https://doi.org/10.1111/jce.13025" @default.
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