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PocketECG: A New Noninvasive Method for Continuous and Real-Time ECG Monitoring—Initial Results in Children and Adolescents

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Abstract

Long-term ECG is widely used in diagnosis and assessment of many cardiac symptoms which may be caused by dangerous arrhythmias that sometimes can be difficult to document. The PocketECG system is a new technological solution for a long-term, noninvasive, continuous and real-time ECG monitoring that provides automatic diagnosis of dysrhythmias. ECG data transmission occurs over a mobile network. The goal of this study was to assess the reliability of long-term ECG recordings acquired with the PocketECG system. One hundred and fifteen patients (43 girls and 72 boys) of an average age of 15.5 ± 2.5 years were examined at the Department of Cardiology at the Children’s Memorial Health Institute. Two simultaneous 24-h ECG recordings were conducted: one with a Holter monitor and one with the PocketECG system. A linear correlation was demonstrated between the two methods with regard to the recorded QRS complexes [H = 1173.0 (−1946.40; 4838.50) + PocketECG*0.98 (0.94; 1.02)]. Mean diurnal heart rhythms were comparable (p > 0.05) despite the fact that the slowest and the fastest rates were different. The rate of detection for ventricular, supraventricular dysrhythmias and pauses in ventricular rhythm were comparable in both methods. The PocketECG system for continuous and real-time ECG recording is a reliable method for the assessment of heart rhythm and dysrhythmias in children and adolescents.

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Authors and Affiliations

  1. Department of Cardiology, The Children’s Memorial Health Institute, Al. Dzieci Polskich 20, 04-730, Warsaw, Poland

    Katarzyna Bieganowska & Agnieszka Kaszuba

  2. Department of Arrhythmia, The Cardinal Stefan Wyszyński Institut of Cardiology, Alpejska 42 Str, 04-628, Warsaw, Poland

    Maciej Bieganowski

  3. Clinical and Teaching Hospital Medical University of Lodz, 251 Pomorska St., 92-213, Lodz, Poland

    Krzysztof Kaczmarek

Authors
  1. Katarzyna Bieganowska
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  2. Agnieszka Kaszuba
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  3. Maciej Bieganowski
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  4. Krzysztof Kaczmarek
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Correspondence to Katarzyna Bieganowska.

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Bieganowska, K., Kaszuba, A., Bieganowski, M. et al. PocketECG: A New Noninvasive Method for Continuous and Real-Time ECG Monitoring—Initial Results in Children and Adolescents. Pediatr Cardiol 38, 448–455 (2017). https://doi.org/10.1007/s00246-016-1534-0

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  • DOI: https://doi.org/10.1007/s00246-016-1534-0

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