1
|
Solbiati M, Trombetta L, Sacco RM, Erba L, Bozzano V, Costantino G, Raj SR, Barbic F, Casazza G, Dipaola F, Furlan R, Kenny RA, Quinn JV, Sheldon RS, Shen WK, Sun BC, Thiruganasambandamoorthy V, Reed MJ. A Systematic Review of Noninvasive Electrocardiogram Monitoring Devices for the Evaluation of Suspected Cardiovascular Syncope. J Med Device 2019. [DOI: 10.1115/1.4042795] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
The aims of this study were (1) to identify research publications studying noninvasive electrocardiogram (ECG) monitoring devices, (2) to define and categorize current technology in noninvasive ECG recording, and (3) to discuss desirable noninvasive recording features for personalized syncope evaluation to guide technological advancement and future studies. We performed a systematic review of the literature that assessed noninvasive ECG-monitoring devices, regardless of the reason for monitoring. We performed an Internet search and corresponded with syncope experts and companies to help identify further eligible products. We extracted information about included studies and device features. We found 173 relevant papers. The main reasons for ECG monitoring were atrial fibrillation (n = 45), coronary artery disease (n = 10), syncope (n = 8), palpitations (n = 8), other cardiac diseases (n = 67), and technological aspects of monitoring (n = 35). We identified 198 devices: 5 hospital telemetry devices, 12 patches, 46 event recorders, 70 Holter monitors, 23 external loop recorders, 20 mobile cardiac outpatient telemetries, and 22 multifunctional devices. The features of each device were very heterogeneous. There are a large number of ECG-monitoring devices with different features available in the market. Our findings may help clinicians select the appropriate device for their patients. Since there are only a few published articles analyzing their usefulness in syncope patients, further research might improve their use in this clinical setting.
Collapse
Affiliation(s)
- Monica Solbiati
- UOC Pronto Soccorso e Medicina d'Urgenza Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan 20122, Italy
- Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | - Lucia Trombetta
- Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | | | - Luca Erba
- Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | - Viviana Bozzano
- Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | - Giorgio Costantino
- UOC Pronto Soccorso e Medicina d'Urgenza, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan 20122, Italy
- Dipartimento di Scienze Cliniche e di Comunità, Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | - Satish R. Raj
- Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB T2N 1N4, Canada e-mail:
| | - Franca Barbic
- Internal Medicine, Humanitas Research Hospital, Humanitas University, Rozzano 20089, Italy e-mail:
| | - Giovanni Casazza
- Dipartimento di Scienze Biomediche e Cliniche “L. Sacco,” Università degli Studi di Milano, Milan 20122, Italy e-mail:
| | - Franca Dipaola
- Internal Medicine, Humanitas Research Hospital, Humanitas University, Rozzano 20089, Italy e-mail:
| | - Raffaello Furlan
- Internal Medicine, Humanitas Research Hospital, Humanitas University, Rozzano 20089, Italy e-mail:
| | - Rose A. Kenny
- Falls and Syncope Unit, St. James Hospital, Trinity College Dublin, Dublin 2, Ireland e-mail:
| | - James V. Quinn
- Department of Emergency Medicine, Stanford University, Stanford, CA 94305 e-mail:
| | - Robert S. Sheldon
- Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB T2N 1N4, Canada e-mail:
| | - Win-Kuang Shen
- Department of Cardiovascular Medicine, Mayo Clinic, Phoenix, AZ 85259 e-mail:
| | - Benjamin C. Sun
- Department of Emergency Medicine, Center for Policy Research-Emergency Medicine, Oregon Health and Science University, Portland, PA 19104 e-mail:
| | | | - Matthew J. Reed
- Emergency Medicine Research Group Edinburgh (EMERGE), Royal Infirmary of Edinburgh, Edinburgh EH164SA, UK
- College of Medicine and Veterinary Medicine, University of Edinburgh, The Chancellor's Building, Edinburgh EH164SA, UK e-mail:
| |
Collapse
|