Monitoring and diagnosis of intermittent arrhythmias: evidence-based guidance and role of novel monitoring strategies

Author:

Carrington Mafalda1ORCID,Providência Rui234ORCID,Chahal C Anwar A256,Ricci Fabrizio789,Epstein Andrew E5,Gallina Sabina7,Fedorowski Artur910,Sutton Richard911,Khanji Mohammed Y2312

Affiliation:

1. Cardiology Department, Hospital do Espírito Santo de Évora, Largo do Sr. da Pobreza , 7000-811 Évora , Portugal

2. Barts Heart Centre, Barts Health NHS Trust, W Smithfield , London EC1A 7BE , UK

3. Department of Cardiology, Newham University Hospital, Barts Health NHS Trust , Glen Road, London E13 8SL , UK

4. Institute of Health Informatics Research, University College London , 222 Euston Road London, NW1 2DA , UK

5. Cardiovascular Division, University of Pennsylvania , 3400 Civic Center Boulevard, Philadelphia, PA 19104 , USA

6. Department of Cardiovascular Medicine, Mayo Clinic , 200 First St. SW, Rochester, MN 55905 , USA

7. Department of Neuroscience, Imaging and Clinical Sciences, “G.d’Annunzio” University of Chieti-Pescara , 66100 Chieti , Italy

8. Department of Cardiology, Fondazione Villaserena per la Ricerca , Viale L. Petruzzi n. 42, 65013, Città S. Angelo , Italy

9. Department of Clinical Sciences, Lund University , 205 02 Malmö , Sweden

10. Department of Cardiology, Karolinska University Hospital, and Department of Medicine, Karolinska Institute , 171 64 Solna, Stockholm , Sweden

11. Department of Cardiology, Hammersmith Hospital Campus, Imperial College , Du Cane Road, London W12 0HS, England, United Kingdom of Great Britain and Northern Ireland

12. NIHR Biomedical Research Unit, William Harvey Research Institute, Queen Mary University of London , Mile End Road, London E1 4NS , UK

Abstract

Abstract Technological advances have made diagnosis of heart rhythm disturbances much easier, with a wide variety of options, including single-lead portable devices, smartphones/watches to sophisticated implantable cardiac monitors, allowing accurate data to be collected over different time periods depending on symptoms frequency. This review provides an overview of the novel and existing heart rhythm testing options, including a description of the supporting evidence for their use. A description of each of the tests is provided, along with discussion of their advantages and limitations. This is intended to help clinicians towards choosing the most appropriate test, thus improving diagnostic yield management of patients with suspected arrhythmias.

Publisher

Oxford University Press (OUP)

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