Chia Pow-Li, Tan Kenny, Ng Shonda, Foo David
Department of Cardiology, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 2023 Sep 19. doi: 10.4103/singaporemedj.SMJ-2023-048.
Twelve-lead electrocardiography (ECG) remains the gold standard for the diagnosis of cardiac arrhythmias. It provides a snapshot of the cardiac electrical activity while the leads are attached to the patient. As medical training is required to use the ECG machine, its use remains restricted to the clinic and hospital settings. These aspects limit the usefulness of 12-lead ECG in the diagnosis of cardiac arrhythmias, especially in individuals with short-lasting and infrequent paroxysmal symptoms. The introduction of ECG recording features in wearable and handheld smart devices has changed the paradigm of cardiac arrhythmia diagnosis, empowering patients to record their ECG as and when symptoms occur. This review describes contemporary ambulatory heart rhythm monitors commonly available in Singapore and their expanding role in the diagnosis of cardiac rhythm abnormalities.
十二导联心电图（ECG）仍然是诊断心律失常的金标准。当导联连接到患者身上时，它能提供心脏电活动的一个瞬间情况。由于使用心电图机需要医学培训，其使用仍局限于诊所和医院环境。这些因素限制了十二导联心电图在心律失常诊断中的实用性，尤其是对于有短暂和偶发阵发性症状的个体。可穿戴和手持式智能设备中引入的心电图记录功能改变了心律失常诊断的模式，使患者能够在症状出现时随时记录自己的心电图。这篇综述描述了新加坡目前常见的当代动态心律监测器及其在诊断心律异常方面不断扩大的作用。
