Original Article
Michał Harań
Abstract
OBJECTIVES: The purpose of the present study was to implement event- Holter tele-ECG system in small-town area with poor access to healthcare. METHODS: One hundred patients aged over 55 with suspected arrhythmia were studied for one month, using 4-electrode event-Holter device. The study protocol included 3-times daily acquisition of ECG during complaints. For the period of observation patients were supported by a technical help-desk, psychologist, dietician and physicians. RESULTS: During this study patients recorded over 7000 ECGs, with pathology rate of 19%. Quality of recordings remained high (88% ECGs of good quality), and patient’s satisfaction was excellent. Clinical impact was reflected in change of treatment in 16 patients, referring to cardiology clinic in 4 patients or cardiac ambulatory treatment in 33 individuals. CONCLUSION: We found event-Holter monitoring as a valuable tool, that may be helpful in daily arrhythmia management. Prolonged time of acquisition may help to register arrhythmia otherwise remaining undetected.