Clinical applications of heart rhythm monitoring tools in symptomatic patients and for screening in high-risk groups

Author:

Carrington Mafalda1ORCID,Providência Rui234,Chahal C Anwar A256,Ricci Fabrizio789,Epstein Andrew E5,Gallina Sabina7,Fedorowski Artur81011ORCID,Sutton Richard912ORCID,Khanji Mohammed Y2313ORCID

Affiliation:

1. Department of Cardiology, Hospital do Espírito Santo de Évora , Évora , Portugal

2. Department of Cardiology, Barts Heart Centre, Barts Health NHS Trust , London , UK

3. Department of Cardiology, Newham University Hospital, BartsHealth NHS Trust , London , UK

4. Institute of Health Informatics Research, University College London , London , UK

5. Cardiovascular Division, University of Pennsylvania , Philadelphia, PA , USA

6. Department of Cardiovascular Medicine, Mayo Clinic , Rochester, MN , USA

7. Department of Neuroscience, Imaging and Clinical Sciences, “G.d’Annunzio” University of Chieti-Pescara , 66100 Chieti , Italy

8. Department of Cardiology, Casa di Cura Villa Serena , Città Sant’Angelo , Italy

9. Department of Clinical Sciences, Lund University , 205 02 Malmö , Sweden

10. Department of Cardiology, Karolinska University Hospital , Stockholm , Sweden

11. Department of Medicine, Karolinska Institute , Stockholm , Sweden

12. Department of Cardiology, Hammersmith Hospital Campus, Imperial College , London , UK

13. NIHR Biomedical Research Unit, William Harvey Research Institute, Queen Mary University of London , London , UK

Abstract

Abstract Recent technological advances have facilitated and diversified the options available for the diagnosis of cardiac arrhythmias. Ranging from simple resting or exercise electrocardiograms to more sophisticated and expensive smartphones and implantable cardiac monitors. These tests and devices may be used for varying periods of time depending on symptom frequency. The choice of the most appropriate heart rhythm test should be guided by clinical evaluation and optimized following accurate characterization of underlying symptoms, ‘red flags’, risk factors, and consideration of cost-effectiveness of the different tests. This review provides evidence-based guidance for assessing suspected arrhythmia in patients who present with symptoms or in the context of screening, such as atrial fibrillation or advanced conduction disturbances following transcatheter aortic valve implantation in high-risk groups. This is intended to help clinicians choose the most appropriate diagnostic tool to facilitate the management of patients with suspected arrhythmias.

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3