Kardia Mobile and ISTEL HR applicability in clinical practice: a comparison of Kardia Mobile, ISTEL HR, and standard 12-lead electrocardiogram records in 98 consecutive patients of a tertiary cardiovascular care centre.

Autor:	Krzowski B; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Skoczylas K; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Osak G; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Żurawska N; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Peller M; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Kołtowski Ł; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Zych A; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Główczyńska R; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Lodziński P; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Grabowski M; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Opolski G; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland., Balsam P; 1st Department of Cardiology, Medical University of Warsaw, Banacha 1a Street, 02-097 Warsaw, Poland.
Jazyk:	angličtina
Zdroj:	European heart journal. Digital health [Eur Heart J Digit Health] 2021 May 12; Vol. 2 (3), pp. 467-476. Date of Electronic Publication: 2021 May 12 (Print Publication: 2021).
DOI:	10.1093/ehjdh/ztab040
Abstrakt:	Aims: Mobile, portable ECG-recorders allow the assessment of heart rhythm in out-of-hospital conditions and may prove useful for monitoring patients with cardiovascular diseases. However, the effectiveness of these portable devices has not been tested in everyday practice. Methods and Results: A group of 98 consecutive cardiology patients [62 males (63%), mean age 69 ± 12.9 years] were included in an academic care centre. For each patient, a standard 12-lead electrocardiogram (SE), as well as a Kardia Mobile 6L (KM) and Istel (IS) HR-2000 ECG were performed. Two groups of experienced physicians analysed obtained recordings. After analysing ECG tracings from SE, KM, and IS, quality was marked as good in 82%, 80%, and 72% of patients, respectively ( P  < 0.001). There were no significant differences between devices in terms of detecting sinus rhythm [SE (60%, n  = 59), KM (58%, n  = 56), and IS (61%, n  = 60); SE vs. KM P  = 0.53; SE vs. IS P = 0.76) and atrial fibrillation [SE (22%, n  = 22), KM (22%, n  = 21), and IS (18%, n  = 18); (SE vs. KM P  = 0.65; SE vs. IS = 0.1)]. KM had a sensitivity of 88.1% and a specificity of 89.7% for diagnosing sinus rhythm. IS showed 91.5% and 84.6% sensitivity and specificity, respectively. The sensitivity of KM in detecting atrial fibrillation was higher than IS (86.4% vs. 77.3%), but their specificity was comparable (97.4% vs. 98.7%). Conclusion: Novel, portable devices are useful in showing sinus rhythm and detecting atrial fibrillation in clinical practice. However, ECG measurements concerning conduction and repolarization should be clarified with a standard 12-lead electrocardiogram. (© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu