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Title
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First experience of monitoring with cardiac event recorder electrocardiography Omron system in childhood population for sporadic, potentially arrhythmia-related symptoms
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Author
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Abstract
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| Aims To document symptomatic episodes of palpitations with traditional methods such as 24 h Holter monitoring (HM) or loop recorders remains a big challenge in clinical practice. Clinical trials with patient-activated electrocardiography (ECG) recorders show increased diagnostic yield in such patients. However, studies in the paediatric population are limited. We want to present a first experience with an event-recording system Omron HeartScan in children with symptomatic palpitations. Methods and results Thirty paediatric patients (age 4-16 years) were followed with the Omron at our centre. All patients had a normal echocardiogram, a normal baseline 12-lead ECG and a normal 24 h HM. Indications with regard to monitoring were palpitations (n=30). Two of them also had episodes of pre-syncope. The average of palpitation episodes in the past 3 months was 13.2+/-8.3. The mean age of the study population was 9.7+/-2.3 years [17 males (56.7%)]. In all patients (n=30) a diagnostic event could be recorded with the studied system. Four patients were diagnosed with supraventricular tachycardia (SVT) and underwent catheter ablation. The remaining patients (n=26; 87%) were diagnosed with sinus tachycardia. Two patients with SVT additionally had episodes of pre-syncope. None of the patients could be diagnosed with previous 24 h HM. Conclusion This event recorder has a high diagnostic yield in the childhood population. The children enjoyed the ease of using the system under daily-life conditions. In this study the system was able to record a diagnostic event in all patients with palpitations. |
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Language
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English
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Source (journal)
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Europace. - Oxford
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Publication
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Oxford
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2011
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ISSN
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1099-5129
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DOI
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10.1093/EUROPACE/EUR159
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Volume/pages
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13
:9
(2011)
, p. 1335-1339
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ISI
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000294440000021
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Pubmed ID
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21616943
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Full text (Publisher's DOI)
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