Continuous Electrical Monitoring in Patients with Arrhythmic Myocarditis: Insights from a Referral Center.

Holter ECG arrhythmias implantable cardioverter defibrillator implantable loop recorder myocarditis telemonitoring

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
01 Nov 2021
Historique:
received: 28 09 2021
revised: 28 10 2021
accepted: 29 10 2021
entrez: 13 11 2021
pubmed: 14 11 2021
medline: 14 11 2021
Statut: epublish

Résumé

The incidence and burden of arrhythmias in myocarditis are under-reported. We aimed to assess the diagnostic yield and clinical impact of continuous arrhythmia monitoring (CAM) in patients with arrhythmic myocarditis. We enrolled consecutive adult patients ( By 3.7 ± 1.6 year follow up, 45 patients (43%) had VT, 67 (64%) NSVT and 102 (98%) premature ventricular complexes (PVC). As compared to the Holter ECG (average 9.5 exams per patient), CAM identified more patients with VA (VT: 45 vs. 4; NSVT: 64 vs. 45; both In patients with arrhythmic myocarditis, CAM allowed accurate arrhythmia detection and showed a considerable clinical impact.

Sections du résumé

BACKGROUND BACKGROUND
The incidence and burden of arrhythmias in myocarditis are under-reported.
OBJECTIVE OBJECTIVE
We aimed to assess the diagnostic yield and clinical impact of continuous arrhythmia monitoring (CAM) in patients with arrhythmic myocarditis.
METHODS METHODS
We enrolled consecutive adult patients (
RESULTS RESULTS
By 3.7 ± 1.6 year follow up, 45 patients (43%) had VT, 67 (64%) NSVT and 102 (98%) premature ventricular complexes (PVC). As compared to the Holter ECG (average 9.5 exams per patient), CAM identified more patients with VA (VT: 45 vs. 4; NSVT: 64 vs. 45; both
CONCLUSION CONCLUSIONS
In patients with arrhythmic myocarditis, CAM allowed accurate arrhythmia detection and showed a considerable clinical impact.

Identifiants

pubmed: 34768662
pii: jcm10215142
doi: 10.3390/jcm10215142
pmc: PMC8584651
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Giovanni Peretto (G)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Myocarditis Disease Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
School of Medicine, San Raffaele Vita-Salute University, 20132 Milan, Italy.

Patrizio Mazzone (P)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Gabriele Paglino (G)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Alessandra Marzi (A)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Georgios Tsitsinakis (G)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Stefania Rizzo (S)

Department of Cardiac Thoracic Vascular Sciences and Public Health, Cardiovascular Pathology, Padua University, 35128 Padua, Italy.

Cristina Basso (C)

Department of Cardiac Thoracic Vascular Sciences and Public Health, Cardiovascular Pathology, Padua University, 35128 Padua, Italy.

Paolo Della Bella (P)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Simone Sala (S)

Department of Cardiac Electrophysiology and Arrhythmology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Myocarditis Disease Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.

Classifications MeSH