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Clinical Articles, News & Views

Ambulatory ECG monitoring reviewed

Ambulatory external electrocardiogram (AECG) monitoring technology plays an important role in patients with known atrial fibrillation (AF) to guide ventricular rate control and anticoagulation therapy, and assess the efficacy of antiarrhythmic drug therapy and/or ablation procedures, according to a review published recently in the Journal of the American College of Cardiology.1

Authors led by Dr Suneet Mittal (Valley Heart and Vascular Institute, Columbia University College of Physicians & Surgeons, New York) reviewed various monitoring systems along with their utility and limitations, with particular emphasis on their role in the diagnosis and evaluation of patients with AF.

The authors assert that “AECG monitoring is necessary when asymptomatic AF is suspected (as in patients presenting with cryptogenic stroke) or when an ECG diagnosis of unexplained arrhythmic symptoms is warranted”.

In addition, they say that “AECG plays an important role in patients with known AF to guide ventricular rate control and anticoagulation therapy, and assess the efficacy of antiarrhythmic drug therapy and/or ablation procedures”.  Finally, they outline areas of uncertainty and provide recommendations for use of available AECG monitors in clinical practice.

References

1 Mittal S, Movsowitz C, Steinberg JS. Ambulatory external electrocardiographic monitoring: focus on atrial fibrillation.  JACC 2011;58:1741–9. doi:10.1016/j.jacc.2011.07.026.

Published on: December 1, 2011

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ENDORSED BY

  • ArrhythmiaAlliance
  • Stars
  • Anticoagulation Europe
  • Atrial Fibrillation Association
 

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