Utility of short-term telemetry heart rhythm monitoring and CHA
Arrhythmia
Atrial fibrillation
CHA2DS2-VASc score
Telemetry monitoring
Journal
World journal of cardiology
ISSN: 1949-8462
Titre abrégé: World J Cardiol
Pays: United States
ID NLM: 101537090
Informations de publication
Date de publication:
26 Feb 2023
26 Feb 2023
Historique:
received:
26
09
2022
revised:
10
01
2023
accepted:
07
02
2023
entrez:
13
3
2023
pubmed:
14
3
2023
medline:
14
3
2023
Statut:
ppublish
Résumé
Inpatient telemetry heart rhythm monitoring overuse has been linked to higher healthcare costs. To evaluate if CHA A total of 257 patients presenting with CVA or TIA and placed on telemetry monitoring were analyzed retrospectively. We investigated the utility of telemetry monitoring to diagnose atrial fibrillation/flutter and the CHA In our study population, 63 (24.5%) of the patients with CVA/TIA and telemetry monitoring were determined to have no ischemic neurologic event. Of the 194 (75.5) patients that had a confirmed CVA/TIA, only 6 (2.3%) had an arrhythmia detected during their inpatient telemetry monitoring period. Individuals with a confirmed CVA/TIA had a statistically significant higher CHA Given the low percentage of inpatient arrhythmias identified, further research should focus on discretionary use of inpatient telemetry on higher risk patients to diagnose the arrhythmias commonly leading to CVA/TIA. A prospective study assessing event rate of CVA/TIA in patients with higher CHA
Sections du résumé
BACKGROUND
BACKGROUND
Inpatient telemetry heart rhythm monitoring overuse has been linked to higher healthcare costs.
AIM
OBJECTIVE
To evaluate if CHA
METHODS
METHODS
A total of 257 patients presenting with CVA or TIA and placed on telemetry monitoring were analyzed retrospectively. We investigated the utility of telemetry monitoring to diagnose atrial fibrillation/flutter and the CHA
RESULTS
RESULTS
In our study population, 63 (24.5%) of the patients with CVA/TIA and telemetry monitoring were determined to have no ischemic neurologic event. Of the 194 (75.5) patients that had a confirmed CVA/TIA, only 6 (2.3%) had an arrhythmia detected during their inpatient telemetry monitoring period. Individuals with a confirmed CVA/TIA had a statistically significant higher CHA
CONCLUSION
CONCLUSIONS
Given the low percentage of inpatient arrhythmias identified, further research should focus on discretionary use of inpatient telemetry on higher risk patients to diagnose the arrhythmias commonly leading to CVA/TIA. A prospective study assessing event rate of CVA/TIA in patients with higher CHA
Identifiants
pubmed: 36911749
doi: 10.4330/wjc.v15.i2.56
pmc: PMC9993929
doi:
Types de publication
Journal Article
Langues
eng
Pagination
56-63Informations de copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: Authors of no conflict of interest to disclose.
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