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Comparison of Postoperative Continuous Wireless Cardiac Rhythm Monitoring with Traditional Telemetry in Cardiac Surgery Patients: the SMART-TEL Study.
Pidoux, Julien; Conus, Emilie; Blackman, Naomi; Orrit, Javier; Khatchatourov, Gregory; Ruchat, Patrick; Puricel, Serban; Cook, Stéphane; Goy, Jean-Jacques.
Afiliación
  • Pidoux J; Cardiology Division, University & University Hospital Fribourg, Fribourg, Switzerland.
  • Conus E; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
  • Blackman N; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
  • Orrit J; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
  • Khatchatourov G; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
  • Ruchat P; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
  • Puricel S; Cardiology Division, University & University Hospital Fribourg, Fribourg, Switzerland.
  • Cook S; Cardiology Division, University & University Hospital Fribourg, Fribourg, Switzerland.
  • Goy JJ; Service of Cardiac Surgery, Clinique Cecil, Lausanne, Switzerland.
J Innov Card Rhythm Manag ; 15(8): 5997-6003, 2024 Aug.
Article en En | MEDLINE | ID: mdl-39193532
ABSTRACT
Telemetry monitoring (conventional cardiac monitoring system [CCMS]) is a universal method for postoperative arrhythmia detection; however, the clinical challenge of alarm fatigue, primarily associated with noise or cable disconnections, persists. The introduction of wireless continuous cardiac monitoring (WCCM) represents a potential solution to enhance recording fidelity. Patients were simultaneously outfitted with both a monitoring device considered the standard of care and a novel adhesive wireless patch. A 48-h cardiac monitoring session with the two devices occurred after cardiac surgery in a unit equipped with a telemetry system. A total of 53 patients with a mean age of 60 ± 17 years were included in the trial. The number of events detected by the two systems was significantly different at 190 versus 174 for the CCMS and the WCCM system, respectively (P < .05). However, the percentage of agreement was not significantly different at 91% versus 88% (P = .37). Events were classified as follows pause (2 events, 1%), atrial or premature ventricular contractions (18 events, 11%), atrial flutter or fibrillation (76 events, 45%), bradycardia (12 events, 7%), and tachycardia (61 events, 36%). False alarms were significantly more frequent with the CCMS (n = 21) than with the WCCM system (n = 5; P = .002). The study successfully demonstrated the feasibility and usability of wireless monitoring for patients requiring telemetry. The overall results are compelling, as the WCCM system performed satisfactorily, achieving results comparable to those obtained with the CCMS, even with significantly fewer false alarms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Innov Card Rhythm Manag Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Innov Card Rhythm Manag Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos