Detection of ventricular ectopy by a novel miniature electrocardiogram recorder.

作者信息

Lemmert Miguel E, Janata Andreas, Erkens Petra, Russell James K, Gehman Stacy, Nammi Krishnakant, Crijns Harry J G M, Sterz Fritz, Gorgels Anton P M

机构信息

Department of Cardiology, Maastricht University Medical Center, The Netherlands.

出版信息

J Electrocardiol. 2011 Mar-Apr;44(2):222-8. doi: 10.1016/j.jelectrocard.2010.10.028. Epub 2010 Dec 8.

DOI:10.1016/j.jelectrocard.2010.10.028

PMID:21145065

Abstract

BACKGROUND

The ability of a miniaturized, skin-attached, 3-channel electrocardiogram (ECG) recorder prototype to detect ventricular ectopic beats (VEBs) and ventricular fibrillation (VF) was compared with that of standard Holter ECG.

METHODS

Concurrent 15-hour ECG recordings were made in 143 patients using an experimental device provided by Philips Healthcare (Seattle, WA) and a commercially available Holter recorder. In a consensus review process, 3 physicians (M.L., A.J., and A.G.), blinded for the recording device, analyzed 1804 seven-second strips for total number of VEBs, total number of their QRS configurations, and presence of VF. Agreement between the experimental and standard devices was calculated using Spearman correlation coefficients.

RESULTS

There was 100% agreement regarding VF recognition. Spearman correlation coefficients were 0.98 (P < .001) for the total number of VEBs and 0.91 (P < .001) for the total number of QRS configurations.

CONCLUSIONS

The accuracy of the experimental miniaturized ECG recorder for detecting ventricular activity was found to be high. This finding could be of clinical importance.

摘要