Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series
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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2020.587945/full |
| _version_ | 1818929171759366144 |
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| author | Srinivasan Murali Nicolas Brugger Francisco Rincon Manoj Mashru Stéphane Cook Jean-Jacques Goy |
| author_facet | Srinivasan Murali Nicolas Brugger Francisco Rincon Manoj Mashru Stéphane Cook Jean-Jacques Goy |
| author_sort | Srinivasan Murali |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-20T03:40:34Z |
| format | Article |
| id | doaj.art-7c21015c139240ddad0a1128a2b53088 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-20T03:40:34Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-7c21015c139240ddad0a1128a2b530882022-12-21T19:54:45ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2020-11-01710.3389/fcvm.2020.587945587945Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case SeriesSrinivasan Murali0Nicolas Brugger1Francisco Rincon2Manoj Mashru3Stéphane Cook4Jean-Jacques Goy5École polytechnique fédérale de Lausanne Innovation Park, Lausanne, SwitzerlandUniversity Hospital, Fribourg, SwitzerlandÉcole polytechnique fédérale de Lausanne Innovation Park, Lausanne, SwitzerlandSir Harkisandas Narottamdas Reliance Hospital, Mumbai, IndiaUniversity Hospital, Fribourg, SwitzerlandClinique Cecil, Lausanne, SwitzerlandBackground: 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.https://www.frontiersin.org/articles/10.3389/fcvm.2020.587945/fullatrial fibrillationcardiac arrhythmiaselectrocardiogramHolter monitoringSmartCardia patchwireless recorder |
| spellingShingle | Srinivasan Murali Nicolas Brugger Francisco Rincon Manoj Mashru Stéphane Cook Jean-Jacques Goy Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series Frontiers in Cardiovascular Medicine atrial fibrillation cardiac arrhythmias electrocardiogram Holter monitoring SmartCardia patch wireless recorder |
| title | Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series |
| title_full | Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series |
| title_fullStr | Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series |
| title_full_unstemmed | Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series |
| title_short | Cardiac Ambulatory Monitoring: New Wireless Device Validated Against Conventional Holter Monitoring in a Case Series |
| title_sort | cardiac ambulatory monitoring new wireless device validated against conventional holter monitoring in a case series |
| topic | atrial fibrillation cardiac arrhythmias electrocardiogram Holter monitoring SmartCardia patch wireless recorder |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2020.587945/full |
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