Surveillance of arrhythmia in post-myocardial infarction patients using wearable ECG patch devices: a prospective cohort study (Preprint)
JMIR cardio(2021)
摘要
BACKGROUND
Acute myocardial infarction may be associated with new-onset arrhythmias. Myocardial infarction patients may manifest with serious arrhythmias such as ventricular tachyarrhythmias or atrial fibrillation. Frequent, prolonged electrocardiogram (ECG) monitoring can prevent devastating outcomes by these arrhythmias.
OBJECTIVE
We investigated the incidence of arrhythmias in post-myocardial infarction patients using a patch-type device: ATP-C120.
METHODS
This study is a non-randomized, single-center, prospective cohort study. We evaluated 71 patients with post-myocardial infarction who had been admitted to our hospital. The ATP-C120 device was attached for 11 days and analyzed by two cardiologists for new-onset arrhythmic events.
RESULTS
One participant was concordantly diagnosed with atrial fibrillation. Atrial premature beats occurred in 91.5% and 84.5% of participants, and ventricular premature beats occurred in 53.5% and 62.0%, respectively. Interestingly, 56.3% of the patients showed less than 2 minutes of sustained paroxysmal atrial tachycardia. Among participants with atrial tachycardia, the use of beta blockers was significantly lower (70.0% vs. 90.3%, p=0.037). However, different dosages of beta blockers did not show significant differences.
CONCLUSIONS
Wearable patch ECG monitoring devices are easy to apply and can correlate symptoms and ECG rhythm disturbances among post-myocardial infarction patients. Further study is necessary regarding clinical implications and appropriate therapies for arrhythmias detected early, post-myocardial infarction, to prevent adverse outcomes.
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关键词
wearable ecg patch devices,arrhythmia,cohort study,post-myocardial
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