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Detection of Tachyarrhythmias in a Large Cohort of Infants Using Direct-to-Consumer Heart Rate Monitoring.
- Source :
-
The Journal of pediatrics [J Pediatr] 2021 May; Vol. 232, pp. 147-153.e1. Date of Electronic Publication: 2021 Jan 06. - Publication Year :
- 2021
-
Abstract
- Objective: Current estimates of the incidence of tachyarrhythmias in infants rely on clinical documentation and may not reflect the true rate in the general population. Our aim was to describe the epidemiology of tachyarrhythmia detected in a large cohort of infants using direct-to-consumer heart rate (HR) monitoring.<br />Study Design: Data were collected from Owlet Smart Sock devices used in infants in the US with birthdates between February 2017 and February 2019. We queried the HR data for episodes of tachyarrhythmia (HR of ≥240 bpm for >60 seconds).<br />Results: The study included 100 949 infants (50.8% male) monitored for more than 200 million total hours. We identified 5070 episodes of tachyarrhythmia in 2508 infants. The cumulative incidence of tachyarrhythmia in our cohort was 2.5% over the first year of life. The median age at the time of the first episode of tachyarrhythmia was 36 days (range, 1-358 days). Tachyarrhythmia was more common in infants with congenital heart disease (4.0% vs 2.4%; P = .015) and in females (2.7% vs 2.0%; P < .001). The median length of an episode was 7.3 minutes (range, 60 seconds to 5.4 hours) and the probability of an episode lasting longer than 45 minutes was 16.8% (95% CI, 15.4%-18.3%).<br />Conclusions: We found the cumulative incidence of tachyarrhythmia among infants using direct-to-consumer HR monitors to be higher than previously reported in studies relying on clinical diagnosis. This finding may represent previously undetected subclinical disease in young infants, the significance of which remains uncertain. Clinicians should be prepared to discuss these events with parents.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)
- Subjects :
- Female
Heart Rate Determination methods
Humans
Incidence
Infant
Male
Monitoring, Ambulatory methods
Prospective Studies
Tachycardia epidemiology
United States epidemiology
Direct-To-Consumer Screening and Testing methods
Heart Rate Determination instrumentation
Monitoring, Ambulatory instrumentation
Tachycardia diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1097-6833
- Volume :
- 232
- Database :
- MEDLINE
- Journal :
- The Journal of pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 33421423
- Full Text :
- https://doi.org/10.1016/j.jpeds.2020.12.080