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Using Smartphone Wireless ECG Monitoring to Provide Symptom-Rhythm Correlation in the Paediatric Population

Alexandra N Taylor1, Andrew E Warren1, Ratika Parkash2

  • 1Division of Cardiology, Izaak Walton Killam (IWK) Department of Pediatrics, Halifax, Nova Scotia, Canada.

CJC Pediatric and Congenital Heart Disease
|November 16, 2023
PubMed

Insights

Smartphone ECGs effectively correlate palpitations with heart rhythms in children. This technology aids accurate diagnosis and management of pediatric cardiac conditions, improving patient outcomes.

Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering
  • Digital Health

Background:

  • Children often experience palpitations, which can be difficult to diagnose due to their episodic nature.
  • Establishing a correlation between symptoms and heart rhythm is crucial for effective pediatric cardiac care.
  • Existing diagnostic methods may not always capture transient arrhythmias.

Purpose of the Study:

  • To evaluate the utility of smartphone-based wireless electrocardiogram (ECG) monitoring for establishing symptom-rhythm correlation in pediatric patients.
  • To assess the effectiveness of the AliveCor Kardia device in a real-world clinical setting for diagnosing pediatric palpitations.
  • To determine if this technology can improve diagnostic accuracy and guide management decisions.

Main Methods:

  • A retrospective review of a pediatric case series at a Canadian tertiary care center.
  • Utilized smartphone-based wireless ECG monitoring (AliveCor Kardia) to capture cardiac rhythm data during symptomatic episodes.
  • Analyzed data to correlate reported symptoms (palpitations, chest pain, presyncope, syncope) with recorded ECG findings.

Main Results:

  • Smartphone ECG monitoring successfully established symptom-rhythm correlation in pediatric patients presenting with palpitations.
  • The AliveCor Kardia device proved valuable in identifying underlying arrhythmias associated with episodic symptoms.
  • This diagnostic approach facilitated timely and accurate management strategies for the studied children.

Conclusions:

  • Smartphone-based wireless ECG monitoring is a feasible and effective tool for diagnosing pediatric palpitations.
  • This technology enhances the ability to establish symptom-rhythm correlation, leading to improved diagnostic yield in pediatric cardiology.
  • The findings support the integration of such digital health tools into routine clinical practice for evaluating pediatric cardiac symptoms.

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