TY - JOUR
T1 - DIAGNOSTIC RELIABILITY OF MEASUREMENT OF PREMATURE VENTRICULAR COMPLEX FREQUENCY RELATED TO DURATION OF AMBULATORY MONITORING
AU - Johnson, L.
AU - Napiorkowski, N.
AU - Måneheim, A.
AU - Persson, A.P.
AU - Engström, G.
AU - Dziubinski, M.
AU - Ellenbogen, K.
PY - 2021
Y1 - 2021
N2 - Background Premature ventricular complexes (PVCs) are generally quantified using a 24h ECG recording, but the diagnostic accuracy is unknown. We aimed to determine the day-to-day variability and optimal monitoring duration for PVC measurements among patients with frequent PVCs. Methods We included all patients who underwent a clinical ambulatory ECG recording lasting 25-30 days, using the PocketECG device (Medi-Lynx, USA) during 2017, who did not have atrial fibrillation, and in whom ≥1000 PVCs were registered during one of the monitored days. All arrhythmias were manually verified. PVC variability was calculated as the percentage of the mean daily PVC count after full recording. Results The study population consisted of 1,376 individuals (median age 76.0 years, 53% men). Figure 1a shows the population distribution of the mean daily PVC counts. The mean daily PVC count was 2780 (standard deviation: 1556, range 0 - 56,262). A single-day PVC count differed by 69% from the mean daily count. After 18 days the obtained mean PVC count differed
AB - Background Premature ventricular complexes (PVCs) are generally quantified using a 24h ECG recording, but the diagnostic accuracy is unknown. We aimed to determine the day-to-day variability and optimal monitoring duration for PVC measurements among patients with frequent PVCs. Methods We included all patients who underwent a clinical ambulatory ECG recording lasting 25-30 days, using the PocketECG device (Medi-Lynx, USA) during 2017, who did not have atrial fibrillation, and in whom ≥1000 PVCs were registered during one of the monitored days. All arrhythmias were manually verified. PVC variability was calculated as the percentage of the mean daily PVC count after full recording. Results The study population consisted of 1,376 individuals (median age 76.0 years, 53% men). Figure 1a shows the population distribution of the mean daily PVC counts. The mean daily PVC count was 2780 (standard deviation: 1556, range 0 - 56,262). A single-day PVC count differed by 69% from the mean daily count. After 18 days the obtained mean PVC count differed
KW - aged
KW - ambulatory monitoring
KW - atrial fibrillation
KW - conference abstract
KW - controlled study
KW - diagnostic test accuracy study
KW - diagnostic value
KW - electrocardiogram
KW - female
KW - heart ventricle extrasystole
KW - human
KW - major clinical study
KW - male
KW - population distribution
U2 - 10.1016/S0735-1097(21)01720-4
DO - 10.1016/S0735-1097(21)01720-4
M3 - Published meeting abstract
SN - 1558-3597
VL - 77
SP - 361
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 18, Suppl 1
ER -