Affiliation:
1. JSC “National Scientific Center of Surgery” n.a. Syzganov A.N.
Abstract
Ambulatory cardiac monitoring is a rapidly expanding field of functional diagnostics. Today, the main direction of cardiac monitoring is outpatient monitoring of the electrocardiogram, an important diagnostic tool that is used daily by doctors in many specialties. Therefore, both wearable and subcutaneous technologies of electrocardiographic monitoring are now widely used. A number of devices can be placed under the patient’s skin and have the ability to wirelessly transmit data to home transmitters, which, in turn, then transmit data to the doctor via cloud interfaces, so that, they allow remote monitoring and monitoring of the patient’s condition. Such systems are widely used in various countries of the world, approved in the USA, and are also used for remote monitoring of patients in Europe and Kazakhstan, where their implementation is gaining momentum. This review presents the technical aspects of subcutaneous monitoring, provides a schematic representation of the operation of systems existing on the market, discusses the advantages of this method, as well as the disadvantages of existing implantable cardiac monitors. The issues of the future development of this technology and indications for the use of existing devices approved by the professional cardiological communities are considered.
Publisher
National Scientific Center of Surgery named after A.N. Syzganov
Reference30 articles.
1. Kohno R., Nantsupawat T., Benditt D.G. Trends in subcuta- neous cardiac monitoring technology. J. Innov. Card. Rhythm. Manag. 2018; 9: 3247–55. DOI:10.19102/icrm.2018.090703
2. Fokin R.V., Ryzhykh A.N. Long-term electrocardiomonitoring with loop recorders in the diagnosis of syncope and life-threatening arrhythmias. Interventional diagnostics in clinical arrhythmology. In: Registration of bioelectric activity of the heart. [Dlitel’noe jelektrokardiomonitorirovanie petlevymi registratorami v diagnostike sinkope i zhizneugrozhajushhih aritmij. Intervencionnaja diagnostika v klinicheskoj aritmologii. V kn.: Registracija biojelektricheskoj aktivnosti serdca.] Moscow: BigBook 2009; Chapter 11: 249–60.
3. Edwards S.J., Wakefield V., Jhita T., Kew K., Cain P., Mar- ceniuk G. Implantable cardiac monitors to detect atrial fibrilla- tion after cryptogenic stroke: a systematic review and economic evaluation. J. Electrocardiol. 2020; 24 (5): 1–184. DOI:10.3310/ hta24050
4. Tsivgoulis G., Katsanos A.H., Kuhrmann M. et al. Duration of implantable cardiac monitoring and detection of atrial fibrillation in ischemic stroke patients: A systematic review and meta-analysis. J. Stroke. 2019; 21 (3): 302–11. DOI: 10.5853/ jos.2019.01067
5. Diederichsen S.Z., Haugan K.J., Brandes A., Buus Lanng M., Graff C., Krieger D. et al. Natural history of subclinical atrial fibrillation detected by implanted loop recorders. J. Am. Coll. Cardiol. 2019; 74 (22): 2771–81. DOI:10.1016/j.jacc.2019.09.050