Comparison of Holter With Zio Patch Electrocardiography Monitoring in Children

Bolourchi, Meena; Silver, Eric S.; Muwanga, David; Mendez, Esteban; Liberman, Leonardo

doi:10.1016/j.amjcard.2019.11.028

Cited by 27 publications

(22 citation statements)

References 15 publications

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“…Recording only one ECG lead could represent a limitation of the ability to detect arrhythmia. However, recent published data (10,13) showed that two leads does not add significant information when compared to one lead provided the recording is of high quality. The average noise level of the SmartCardia recordings, using only one channel was low and not different from the Holter using three channels.…”

Section: Discussionmentioning

confidence: 99%

“…Event recorder monitoring can significantly increase this yield, but ∼25% of the patients are unable to activate their device during a symptomatic episode (9). It has been recently shown that the ZIO patch, a wireless electrocardiography, allows detection of arrhythmias in children confirming the usefulness of such devices in the daily practice (10). The SmartCardia ScaAI patch (SmartCardia, EPFL Innovation Park, Lausanne, Switzerland) is a single lead lightweight electrocardiographic (ECG) device and wearable patch ( Figure 1A) with water-resistant properties.…”

Section: Introductionmentioning

confidence: 99%

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Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series

Murali

Brugger

Rincon

et al. 2020

Front. Cardiovasc. Med.

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Background: Cardiac arrhythmias are very common but underdiagnosed due to their transient and asymptomatic nature. An optimization of arrhythmia detection would permit to better treat patients and could substantially reduce morbidity and mortality. The SmartCardia ScaAI wireless patch is a novel CE IIa approved, single-lead electrocardiographic (ECG) ambulatory monitor designed for cardiac arrhythmias detection.Hypothesis: The accuracy of the new SmartCardia wireless patch to detect arrhythmias is comparable to the conventional Holter monitoring.Methods: Patients referred for a suspicion of arrhythmia between February and March 2020 were included in the trial. Simultaneous ambulatory ECG were recorded using a conventional 24-h Holter and the SmartCardia. The primary endpoint was the detection of cardiac arrhythmias over the total wear time of the devices, defined as premature atrial contraction (PAC), supraventricular tachycardia ≥3 beats, premature ventricular contraction (PVC), and ventricular tachycardia ≥3 beats. Conduction abnormalities, pause ≥2 s and atrioventricular block (AVB), were also tracked. McNemar's test was used to compare the matched pairs of data from both devices.Results: A total of 40 patients were included in the trial. Over the total wear time, there was no significant difference between the devices for ventricular and supraventricular arrhythmias detection. Pauses and AVB were equally identified by the two devices in three patients.Conclusion: Over the total wear time, the SmartCardia device showed an accuracy to detect arrhythmia similar to the 24-h Holter monitoring: single-lead, adhesive-patch monitoring might become an interesting alternative to the conventional Holter monitoring.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series

Murali

Brugger

Rincon

et al. 2020

Front. Cardiovasc. Med.

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“…ZIO XT Patch system). The device is placed on the left side of the upper chest, directly on the skin, and data are collected by two sensors [23][24][25][26]. A certain modification of those rhythm monitors are vests with ECG sensors installed; the recorder is attached to the vest from the outside [27][28][29].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of long-term telemetric electrocardiogram monitoring in the diagnosis of tachycardia in children with a medical history of palpitations

et al. 2021

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“…These cardiac patches are also provided by other companies, such as the Zio XT patch by iRhythm Technologies ( Figure 2 ), which has been compared to Holter monitoring and shown to be as good at detecting clinically significant arrhythmias. [ 3 ] The main advantage of all of these devices is that the data can be readily shared between patient and clinician, providing a platform where remote investigations can be acted on promptly.…”

Section: Remote Investigationsmentioning

confidence: 99%

Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?

Honarbakhsh

Sporton

Monkhouse

et al. 2021

Arrhythm Electrophysiol Rev

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The coronavirus disease 2019 (COVID-19) pandemic has had a dramatic impact on the way that medical care is delivered. To minimise hospital attendance by both patients and staff, remote clinics, meetings and investigations have been used. Technologies including hand-held ECG monitoring using smartphones, patch ECG monitoring and sending out conventional Holter monitors have aided remote investigations. Platforms such as Google Meet and Zoom have allowed remote multidisciplinary meetings to be delivered effectively. The use of phone consultations has allowed outpatient care to continue despite the pandemic. The COVID-19 pandemic has resulted in a radical, and probably permanent, change in the way that outpatient care is delivered. Previous experience in remote review and the available technologies for monitoring have allowed the majority of outpatient care to be conducted without obviously compromising quality or safety.

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Comparison of Holter With Zio Patch Electrocardiography Monitoring in Children

Cited by 27 publications

References 15 publications

Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series

Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series

Usefulness of long-term telemetric electrocardiogram monitoring in the diagnosis of tachycardia in children with a medical history of palpitations

Remote Clinics and Investigations in Arrhythmia Services: What Have We Learnt During Coronavirus Disease 2019?

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