Patient Driven EKG Device Performance in Adults with Fontan Palliation.

Autor: Laubham M; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. matthew.laubham@nationwidechildrens.org.; The Ohio State University Medical Center, Columbus, OH, 43210, USA. matthew.laubham@nationwidechildrens.org., Dodeja AK; University of Connecticut School of Medicine and Connecticut Children's Hospital Hartford, Hartford, CT, 06106, USA., Kumthekar R; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; The Ohio State University Medical Center, Columbus, OH, 43210, USA., Shay V; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; Center for Biostatistics, The Ohio State University, Wexner Medical Center, Columbus, OH, 43210, USA., D'Emilio N; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA., Conroy S; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; Center for Biostatistics, The Ohio State University, Wexner Medical Center, Columbus, OH, 43210, USA.; Biostatistics Resource, Nationwide Children's Hospital, Abigail Wexner Research Institute, Columbus, OH, 43205, USA., Mah ML; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; The Ohio State University Medical Center, Columbus, OH, 43210, USA., Alvarado C; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; Center for Biostatistics, The Ohio State University, Wexner Medical Center, Columbus, OH, 43210, USA.; Biostatistics Resource, Nationwide Children's Hospital, Abigail Wexner Research Institute, Columbus, OH, 43205, USA., Kamp A; Nationwide Children's Hospital Heart Center, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.; The Ohio State University Medical Center, Columbus, OH, 43210, USA.
Jazyk: angličtina
Zdroj: Pediatric cardiology [Pediatr Cardiol] 2024 Aug 16. Date of Electronic Publication: 2024 Aug 16.
DOI: 10.1007/s00246-024-03614-6
Abstrakt: The aim of this study was to evaluate the accuracy of the KardiaMobile (KM) device in adults with a Fontan palliation, and to assess the KM function as a screening tool for atrial arrhythmias. While patient driven electrocardiogram (EKG) devices are becoming a validated way to evaluate cardiac arrhythmias, their role for patients with congenital heart disease is less clear. Patients with single ventricle Fontan palliation have a high prevalence of atrial arrhythmias and represent a unique cohort that could benefit from early detection of atrial arrhythmias. This single center prospective study enrolled adult patients with Fontan palliation to use the KM heart rhythm monitoring device for both symptomatic episodes and asymptomatic weekly screening over a 1-year period. Accuracy was assessed by comparing the automatic KM interpretation (KM-auto) to an electrophysiologist overread (KM-EP) and traditional EKG. Fifty patients were enrolled and 510 follow-up transmissions were received. The sensitivity and specificity of enrollment KM-auto compared to EKG was 65% and 100%, respectively. The sensitivity and specificity of enrollment KM-auto compared to the KM-EP was 75% and 96%, respectively. In the adult Fontan palliation, the accuracy of the KM device to detect a normal rhythm was reliable and best with a physician overread. Abnormal or uninterpretable KM-auto device interpretations, symptomatic transmissions, and any transmissions with a high heart rate compared to a patient's normal baseline should warrant further review.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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