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Long-Term Arrhythmia Detection Using Portable ECG Patches in Stroke Patients: A Case Series
Cb Pandey1, Yogendra Singh2, Shashank Pandey1
1Department of Cardiology, Lala Lajpat Rai Medical College, Meerut, Uttar Pradesh, India.
Insights
Portable ECG patches effectively detect arrhythmias in stroke patients, including atrial fibrillation and ventricular tachycardia, that baseline ECG misses. This continuous monitoring aids early diagnosis and improves patient management.
Area of Science:
- Cardiology
- Neurology
- Medical Devices
Background:
- Cardiac arrhythmias are frequent after ischemic stroke, increasing the risk of complications like recurrent strokes.
- Early detection of these arrhythmias is crucial for effective patient management and risk reduction.
Purpose of the Study:
- To evaluate the efficacy of a portable electrocardiography (ECG) patch in detecting arrhythmias in post-stroke patients.
- To assess the role of continuous ECG monitoring in guiding treatment decisions for stroke patients.
Main Methods:
- A prospective observational case series involving 10 adult patients in a hospital's neurology ward.
- Continuous monitoring using portable ECG patches for up to 80 hours, following a baseline smartphone-based ECG.
- Validation of detected arrhythmias by a cardiologist.
Main Results:
- Portable ECG patches identified transient and potentially lethal arrhythmias, including atrial fibrillation and ventricular tachycardia, missed by the initial smartphone-based ECG.
- Real-time data transmission enabled timely clinical interventions, improving patient management and outcomes.
Conclusions:
- Continuous ECG monitoring with portable patches is superior to single-point smartphone ECG for detecting intermittent arrhythmias in stroke patients.
- Incorporating portable ECG patches into post-stroke care facilitates early diagnosis, risk reduction, and enhanced therapeutic decision-making.
Abstract:
Cardiac arrhythmias are common following ischemic stroke and can lead to severe complications, such as recurrent strokes. Early identification is important, and continuous electrocardiography (ECG) monitoring provides a possible solution. This prospective observational case series assessed the efficacy of a portable ECG patch in detecting arrhythmias in post-stroke patients and their role in informing treatment decisions. This study was carried out between May and November 2023 in the neurology ward of a local hospital in Meerut, India. A total of 10 adult patients were included in this case series after applying the inclusion and exclusion criteria. They were continuously observed up to 80 hours with two alternate portable ECG patches after a baseline smartphone-based ECG (Spandan 12-lead ECG). The portable ECG patches detected several arrhythmias, such as transient and potentially lethal conditions like atrial fibrillation and ventricular tachycardia, which the initial baseline smartphone-based ECG failed to record. A cardiologist validated all the episodes of arrhythmia. The use of real-time data transmission facilitated timely clinical intervention, which aided in improved patient management and outcomes. This case series emphasizes the benefits of continuous portable ECG patch monitoring compared to single-time-point smartphone-based ECG in identifying intermittent arrhythmias in stroke patients. The results favour the incorporation of portable ECG patches into standard post-stroke management for early diagnosis, risk reduction, and enhanced therapeutic decision-making.
Learning Points:
Continuous electrocardiography (ECG) monitoring detects arrhythmias missed by baseline ECG, including transient and potentially life-threatening events like atrial fibrillation and ventricular tachycardia.Portable ECG patches are an effective tool for long-term cardiac monitoring in stroke patients, supporting early diagnosis and informed treatment decisions.
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