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The use of external event monitoring (web-loop) in the elucidation of symptoms associated with arrhythmias in a general population

机译:使用外部事件监视(网络循环)阐明一般人群与心律不齐相关的症状

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Objective To correlate arrhythmic symptoms with the presence of significant arrhythmias through the external event monitoring (web-loop).Methods Between January and December 2011, the web-loop was connected to 112 patients (46% of them were women, mean age 52±21 years old). Specific arrhythmic symptoms were defined as palpitations, pre-syncope and syncope observed during the monitoring. Supraventricular tachycardia, atrial flutter or fibrillation, ventricular tachycardia, pauses greater than 2 seconds or advanced atrioventricular block were classified as significant arrhythmia. The association between symptoms and significant arrhythmias were analyzed.Results The web-loop recorded arrhythmic symptoms in 74 (66%) patients. Of these, in only 14 (19%) patients the association between symptoms and significant cardiac arrhythmia was detected. Moreover, significant arrhythmia was found in 11 (9.8%) asymptomatic patients. There was no association between presence of major symptoms and significant cardiac arrhythmia (OR=0.57, CI95%: 0.21-1.57; p=0.23).Conclusion We found no association between major symptoms and significant cardiac arrhythmia in patients submitted to event recorder monitoring. Event loop recorder was useful to elucidate cases of palpitations and syncope in symptomatic patients.
机译:目的通过外部事件监测(网络循环)将心律失常症状与严重心律失常相关联。方法:2011年1月至2011年12月,网络循环患者112例(其中46%为女性,平均年龄52± 21岁)。特定的心律失常症状定义为在监测过程中观察到的心pit,晕厥前和晕厥。室上性心动过速,房扑或纤颤,室性心动过速,停顿大于2秒或房室传导阻滞被归为严重心律失常。结果:网络循环记录了74例(66%)患者的心律失常症状。在这些患者中,仅14位(19%)患者发现症状与严重心律不齐之间存在关联。此外,在11名无症状患者中发现了明显的心律失常(9.8%)。存在主要症状与严重心律不齐之间没有关联(OR = 0.57,CI95%:0.21-1.57; p = 0.23)。结论我们发现接受事件记录仪监测的患者主要症状与严重心律不齐之间没有关联。事件循环记录器有助于阐明有症状患者的心pit和晕厥情况。

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