Transtelephonic electrocardiographic transmission for management of cardiac arrhythmias |
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| Authors: | E M Antman P L Ludmer N McGowan M Bosak P L Friedman |
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| Affiliation: | 1. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong;2. Office of Student Affairs, Lingnan University, Hong Kong;3. Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong;4. Department of Biomedical Engineering, Faculty of Engineering, The Chinese University of Hong Kong, Hong Kong;5. Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong;6. Faculty of Kinesiology, University of Calgary, Canada;7. National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK;1. Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, Quebec, Canada;2. University of Montreal Hospital Research Centre, Montreal, Quebec, Canada;3. Department of Obstetrics and Gynecology, University of Montreal, Montreal, Quebec, Canada;4. Institut national de santé publique du Québec, Montreal, Quebec, Canada;5. Department of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Quebec, Canada;1. Medical Research Council Centre for Reproductive Health, The University of Edinburgh, United Kingdom;2. Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL;3. Days for Girls, Mt. Vernon, WA;4. Igenomix Foundation-Instituto de Investigación Sanitaria Hospital Clínico, INCLIVA, Valencia, Spain;5. Department of Pediatrics, Obstetrics and Gynecology, School of Medicine, University of Valencia, Valencia, Spain;6. The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY;7. Massachusetts General Hospital, Boston, MA;8. Feinberg School of Medicine, Northwestern University, Chicago, IL;9. Below your Belt Health, Chicago, IL;10. Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI;11. Division of Research, Department of Obstetrics and Gynecology, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, RI;12. Department of Communication, University of Delaware, Newark, DE;13. Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY;14. Beth Israel Deaconess Medical Center, Harvard University, Boston, MA;15. Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX;p. NextGen Jane, Oakland, CA;q. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT;r. Department of Ecology and Evolutionary Biology, Department of Obstetrics, Gynecology and Reproductive Sciences, Systems Biology Institute, Yale University, New Haven, CT;s. Department of Obstetrics and Gynecology, Wayne State University, Detroit, MI;t. Center for Gynepathology Research, Massachusetts Institute of Technology, Cambridge, MA;2. Department of Cardiology, Heart Failure Research Centre, Academic Medical Centre, Amsterdam, the Netherlands;3. Princess Al-Jawhara Al-Brahim Centre of Excellence in Research of Hereditary Disorders, Jeddah, Kingdom of Saudi Arabia;4. Departments of Medicine, Pediatrics, and Molecular Pharmacology and Experimental Therapeutics/Divisions of Cardiovascular Diseases and Pediatric Cardiology and the Windland Smith Rice Sudden Death Genomics Laboratory, Mayo Clinic, Rochester, Minnesota |
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| Abstract: | Brief periods of transtelephonic electrocardiographic transmission conducted at periodic intervals or during sporadic symptoms may provide an inexpensive and reliable alternative to extended ambulatory electrocardiographic tape recordings. Sixty-one patients were enrolled in a transtelephonic electrocardiographic transmissions program. In 51 patients with documented arrhythmias (group I), telephone electrocardiographic transmissions were used to monitor antiarrhythmic drug therapy. In 10 patients, telephone electrocardiographic transmission was used in an attempt to diagnose infrequent symptoms suggestive of arrhythmia (group II). Of the 650 telephone electrocardiographic transmissions received, 73 (11%) revealed a clinically significant event, whereas 577 (89%) did not show any significant disturbances of cardiac rhythm. Of the 61 patients entered into the program, 29 (48%) had a clinically significant event identified during 1 or more transmissions. In group I, transtelephonic electrocardiographic transmission prompted a change in therapy in 37% of the patients. Of the 10 patients in group II, clinically significant events were noted during telephone electrocardiographic transmissions in each patient. Assuming a yield of 1 clinically significant event detected per 10 telephone electrocardiographic transmissions and a similar yield on long-term ambulatory electrocardiographic recordings, use of telephone electrocardiographic transmissions offers a cost-effective means of following patients with significant cardiac arrhythmias who are receiving potent antiarrhythmic drugs. In addition, telephone electrocardiographic transmission is a suitable diagnostic technique for patients with infrequent symptoms suggestive of cardiac arrhythmias. |
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