ArticleActa Cardiologica Sinica2020
Comparison of Arrhythmia Detection by 24-Hour Holter and 14-Day Continuous Electrocardiography Patch Monitoring.
Article in Acta Cardiologica Sinica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 45 citations in OpenAlex.
- Identifying Demographic Factors Affecting the ECG Duration Collected Using a Single-Lead ECG Patch Device.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2025Trial
- Usability and acceptability of ambulatory monitoring in undiagnosed syncope: insights from the ASPIRED-Q qualitative study.BMJ open · 2025Trial
- Trial
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- Cardiogenic vertigo: clinical characteristics and predictors of long-term prognosis.Journal of neurology · 2026Article
- Beyond symptoms: Rhythm surveillance in congenital heart disease.Heart rhythm O2 · 2026Article
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- Ambulatory Holter Findings in Patients with Palpitations and Structurally Normal Heart: A Prospective Study of the Prevalence and Patterns of Ventricular and Supraventricular Arrhythmias.Journal of clinical medicine · 2026Article
- Multi-Class Arrhythmia Detection from PPG Signals Based on VGG-BiLSTM Hybrid Deep Learning Model.Biosensors · 2026Article
- Thyrotoxicosis in MCT8 deficiency.The Journal of clinical endocrinology and metabolism · 2026Review
- Access and reimbursement of ambulatory cardiac monitoring across Europe.European heart journal. Digital health · 2025Review
- Multi-Classification Model for PPG Signal Arrhythmia Based on Time-Frequency Dual-Domain Attention Fusion.Sensors (Basel, Switzerland) · 2025Article
- A study of the clinical usefulness of the eMEMO®.Journal of arrhythmia · 2025Article
- Fully Automated Photoplethysmography-Based Wearable Atrial Fibrillation Screening in a Hospital Setting.Diagnostics (Basel, Switzerland) · 2025Article
- Flexible self-rectifying synapse array for energy-efficient edge multiplication in electrocardiogram diagnosis.Nature communications · 2025Article
- Clinical applications of artificial intelligence and machine learning in neurocardiology: a comprehensive review.Frontiers in cardiovascular medicine · 2025Review
- Enhancing Comprehensive Assessments in Chronic Heart Failure Caused by Ischemic Heart Disease: The Diagnostic Utility of Holter ECG Parameters.Medicina (Kaunas, Lithuania) · 2024Article
- Remote monitoring of atrial fibrillation recurrence using mHealth technology (REMOTE-AF).European heart journal. Digital health · 2024Article
- Incidence of Atrial Fibrillation and Related Outcomes among Hospitalized Patients with Systemic Lupus Erythematosus: Analysis of United States Nationwide Inpatient Sample Database 2016-2019.Journal of clinical medicine · 2024Article
- Approaches of wearable and implantable biosensor towards of developing in precision medicine.Frontiers in medicine · 2024Review
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough 24-hour Holter monitoring is routinely used for patients with suspected paroxysmal arrhythmia, its sensitivity in detecting such arrhythmias is insufficient.
methodsWe compared a 14-day electrocardiography (ECG) monitor patch - a single-use, noninvasive, waterproof, continuous monitoring patch - with a 24-hour Holter monitor in 32 consecutive patients with suspected arrhythmia.
resultsThe 14-day ECG patch was well tolerated, and its rates of detection of relevant arrhythmias on days 1, 3, 7, and 14 were 13%, 28%, 47%, and 66%, respectively. The detection rate of paroxysmal arrhythmias was significantly higher for the 14-day ECG patch than for the 24-hour Holter monitor (66% vs. 9%, p < 0.001). Among the 32 patients, 202 atrial fibrillation or atrial flutter episodes were detected in 6 patients (22%) with the 14-day ECG patch; however, only 1 atrial fibrillation episode was detected in a patient (3%, p < 0.05) with the 24-hour Holter monitor. Other clinically relevant arrhythmias recorded on the 14-day ECG patch included 21 (65.5%) episodes of supraventricular tachycardia, 2 (6.3%) long pause, and 2 (6.3%) ventricular arrhythmias. The mean dermal response score immediately after removal of the 14-day ECG patch from the patients was 0.64, which indicated minimal erythema.
conclusionsThe 14-day ECG patch was well tolerated and allowed for longer continuous monitoring than the 24-hour Holter monitor, thus resulting in improved clinical accuracy in the detection of paroxysmal arrhythmias. Future studies should examine the long-term effectiveness of 14-day ECG patches for managing selected patients.
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