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Cardiac event recording yields more diagnoses than 24-hour Holter monitoring in patients with palpitations.
- Source :
-
Journal of telemedicine and telecare [J Telemed Telecare] 2005; Vol. 11 Suppl 1, pp. 14-6. - Publication Year :
- 2005
-
Abstract
- Palpitation is a common symptom that sometimes results from a substantial cardiac arrhythmia. We compared the diagnostic yield of trans-telephonic event monitors with those of Holter monitoring in patients with intermittent palpitations. In all, 310 patients were randomly assigned to receive an event recorder or 24-hour Holter monitoring. Event recorders were used for seven days or until two recordings were obtained while symptoms occurred. The main end-point was an electrocardiogram (ECG) recorded during symptoms. The patients with palpitation recorded the one-lead ECG trace and sent it to a telemedicine call centre, where a nurse responded. There were 119 symptomatic patients in the event recorder group and 74 in the Holter group. The total costs were 6019 for event recording and 9605 for Holter monitoring. The average costs were 51 per symptomatic patient detected by event recorder monitoring and 130 per symptomatic patient detected by Holter monitoring. More patients therefore received a clear diagnosis, and more quickly, when using event recording than with Holter monitoring. For this reason, event recorders are preferable to Holter monitors for patients with palpitations.
- Subjects :
- Electrocardiography, Ambulatory economics
Electrocardiography, Ambulatory methods
Female
Health Care Costs
Heart physiopathology
Humans
Male
Middle Aged
Monitoring, Ambulatory economics
Monitoring, Ambulatory instrumentation
Telemedicine economics
Telemedicine instrumentation
Telephone
Arrhythmias, Cardiac diagnosis
Monitoring, Ambulatory methods
Telemedicine methods
Subjects
Details
- Language :
- English
- ISSN :
- 1357-633X
- Volume :
- 11 Suppl 1
- Database :
- MEDLINE
- Journal :
- Journal of telemedicine and telecare
- Publication Type :
- Academic Journal
- Accession number :
- 16035979
- Full Text :
- https://doi.org/10.1258/1357633054461930