The use of a portable three-lead ECG monitor to detect atrial fibrillation in general practice

نویسندگان

  • Anne N. Kristensen
  • Brintha Jeyam
  • Sam Riahi
  • Martin B. Jensen
چکیده

OBJECTIVE To evaluate how well an inexpensive portable three-lead ECG monitor PEM identified patients with atrial fibrillation (AF) compared to a normal 12-lead ECG. DESIGN Cross-sectional method comparison study. SETTING From April 2014 to February 2015, we included patients coming to the general practice clinic "Lægerne Sløjfen", Aalborg, Denmark for a routine ECG. Patients with severe dementia, mental illness or poor ECG readings were excluded. After oral and written informed consent an ECG and PEM recordings were obtained simultaneously. The PEM recordings were analyzed by two general practitioners (GPs) in training and ECG recordings were evaluated by a senior GP and a cardiologist. Both the PEM and the ECG recordings were analysed blinded. SUBJECTS Ninety-three patients were included and four were excluded due to poor ECG readings. MAIN OUTCOME MEASURES The sensitivity and specificity of PEM compared to a standard 12-lead ECG. RESULTS Eighty-nine of the 93 (95.7%) patients had ECGs of a satisfactory technical quality and were included in the study. The sensitivity of diagnosing AF by PEM recordings was 86.7% and the specificity was 98.7% when compared to a 12-lead ECG. According to the cardiologist, the misclassification of three PEM recordings were due to interpretation errors and not related to the PEM recording per se. CONCLUSIONS The inexpensive portable PEM device recording diagnosed AF with a high sensitivity and specificity. KEY POINTS Simple ECG monitors could be useful to identify atrial fibrillation and thereby lead to a better prevention of stroke. The PEM device was easy to use and 95.7% of the recordings were technically acceptable for detecting atrial fibrillation. The PEM device has a high sensitivity and specificity in detecting atrial fibrillation compared to a standard 12-lead ECG. Further studies should evaluate the clinical usefulness of the PEM device, e.g. to detect intermittent atrial fibrillation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

سنجش استعداد ابتلا به فیبریلاسیون دهلیزی با استفاده از تحلیل‌های غیر خطی سیگنال الکتروکاردیوگرام

Atrial Fibrillation is a supra ventricular tachyarrhythmia, which is characterized by the deterioration of atrial mechanical function and aberrant. It has become a social and economic problem because a large percentage of the world population suffering from this disease. The early diagnosis of this fatal cardiac Arrhythmia can be prevented and managed it. In this study, we used non-invasive met...

متن کامل

Assessment of P-wave indices as atrial fibrillation predictors in psoriasis patients

Background: Psoriasis is a prevalent chronic T cell mediated inflammatory skin disorder. Recent studies have reported an increase in the incidence of arrhythmia in psoriasis patients who run an excessive risk of metabolic syndrome and cardiovascular diseases. P-wave dispersion (PWD) and duration are important electrocardiographic (ECG) markers employed to anticipate the risk of atrial arrhythmi...

متن کامل

Detecting and Diagnosing Atrial Fibrillation (D2AF): study protocol for a cluster randomised controlled trial.

BACKGROUND Atrial fibrillation is a common cause of stroke and other morbidity. Adequate treatment with anticoagulants reduces the risk of stroke by 60 %. Early detection and treatment of atrial fibrillation could prevent strokes. Atrial fibrillation is often asymptomatic and/or paroxysmal. Case-finding with pulse palpation is an effective screening method, but new methods for detecting atrial ...

متن کامل

Methods for Ambulatory Arrhythmia Monitoring A Comparison Study of Holter Monitor and Chest Strap ECG A Prospective Pilot Study

Background Cardiac arrhythmias, including atrial fibrillation (AF), are a common cause for seeking medical care. AF has many causes; where valvular disease, hypertension, heart failure and diabetes mellitus are among the most common ones. The golden standard for arrhythmia monitoring is a 24or 48-hours Holter monitor. The aim with this paper was to compare the Holter monitor with chest strap EC...

متن کامل

Frequency of Cardiac Arrhythmias in Patients with Aluminum Phosphide Poisoning

Background: Cardiac failure is the major lethal consequence of aluminum phosphide (AlP) poisoning. This study was designed to determine the frequency of cardiac arrhythmias in patients with AlP poisoning. Methods: In this prospective cross-sectional study, patients with definitive history of AlP poisoning treated at emergency department of Allied Hospital Faisalabad, Faisalabad, Pakistan, from ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 34  شماره 

صفحات  -

تاریخ انتشار 2016