Out-patient, auto-translation ECG home monitoring in cardiac arrhythmias diagnostics among myocardial infarction patients

Abstract

Aim. To analyze efficacy of out-patient, auto-translation (AT) ECG home monitoring for early, differential diagnostics of cardiac arrhythmias (CA) and antiarrhythmic treatment control in myocardial infarction (MI) patients. Material and methods. The follow-up results for 136 Q-MI patients are presented. In 70 individuals, AT ECG was performed for 6 months, in “state-adjusted” and “ set discrete time” regimens. Sixty-eight patients underwent standard rehabilitation, controlled by out-patient cardiologists. Both groups were comparable by clinical severity and administered treatment (aspirin, beta blockers, ACE inhibitors, nitrates, etc.). Results. In AT ECG group, CA (including potentially dangerous CA) were registered more often, that gave a chance to correct antiarrhythmic therapy. Sudden death (SD) incidence reached 27.2% in AT ECG group, and 40% in control group (percentage from all-cause mortality group rates). Conclusion. AT ECG, as a variant of ECG home monitoring, substantially widens perspectives for out-patient CA diagnostics and management in MI patients, and possibly decreases SD incidence in early post-MI period.

Keywords

• инфаркт миокарда
• аутотрансляция экг
• домашний мониторинг
• нарушения ритма сердца