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Current Use and Future Needs of Noninvasive Ambulatory Electrocardiogram Monitoring
Ikeda, Takanori
Internal Medicine, 2021, pp.5691-20
[Periódico revisado por pares]
The Japanese Society of Internal Medicine
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Título:
Current Use and Future Needs of Noninvasive Ambulatory Electrocardiogram Monitoring
Autor:
Ikeda, Takanori
Assuntos:
ambulatory ECG
;
Holter ECG
;
remote monitoring
;
risk stratification
;
wearable ECG
É parte de:
Internal Medicine, 2021, pp.5691-20
Descrição:
Remarkable progress has been seen in monitoring systems using noninvasive ambulatory electrocardiograms (ECGs). In the Holter ECG system, 12-channel formats have been utilized as diagnostic tools, particularly for the detection of transient or silent myocardial ischemia and dynamic electrical disorders. In patients diagnosed with cryptogenic stroke, despite negative results on standard ECG tests, continuous ambulatory ECG monitoring for up to 30 days has been shown to increase the detection rate of transient atrial fibrillation. At present, a waterproof Holter ECG system is available. Recently, continuous late potential measurements using the time domain method and frequency domain T-wave alternans using the spectral analysis method for 24 hours have been applied to the Holter ECG and developed as novel risk stratification markers. Wearable ECG monitors that are built into belts, vests, wristbands, adhesive patches, and mobile smartphones have been used as fitness products for athletes and healthcare products for the general population. In the future, such devices may be used as remote monitoring tools for the detection of arrhythmias.
Editor:
The Japanese Society of Internal Medicine
Idioma:
Inglês
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