{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T04:12:55Z","timestamp":1778299975042,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T00:00:00Z","timestamp":1621814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Practice guidelines provide clinicians direction for the selection of ambulatory ECG (AECG) monitors in the evaluation of syncope\/collapse. However, whether patients\u2019 understand differences among AECG systems is unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>A survey was conducted of USA (n\u00a0=\u00a099), United Kingdom (UK)\/Germany (D) (n\u00a0=\u00a075) and Japan (n\u00a0=\u00a040) syncope\/collapse patients who underwent diagnostic AECG monitoring. Responses were quantitated using a Likert\u2010like 7\u2010point scale (mean\u00a0\u00b1\u00a0SD) or percent of patients indicating a Top 2 box (T2B) for a particular AECG attribute. Patient ages and diagnosed etiologies of syncope\/collapse were similar across geographies. Patients were queried on AECG attributes including the ability to detect arrhythmic\/cardiac causes of collapse, instructions received, ease of use, and cost. Patient perception of the diagnostic capabilities and ease of use did not differ significantly among the AECG technologies; however, USA patients had a more favorable overall view of ICM\/ILRs (T2B: 42.4%) than did UK\/D (T2B: 28%) or Japan (T2B: 17.5%) patients. Similarly, US patient rankings for education received regarding device choice and operation tended to be higher than UK\/D or Japan patients; nevertheless, at their best, the Likert scores were low (approximately 4.7\u20106.0) suggesting need for education improvement. Finally, both US and UK\/D patients were similarly concerned with ICM costs (T2B, 31% vs 20% for Japan).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients across several geographies have a similar but imperfect understanding of AECG technologies. Given more detailed education the patient is likely to be a more effective partner with the clinician in establishing a potential symptom\u2010arrhythmia correlation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12560","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T10:52:24Z","timestamp":1621853544000},"page":"1023-1030","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Ambulatory ECG monitoring for syncope and collapse in United States, Europe, and Japan: The patients\u2019 viewpoint"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3494-5999","authenticated-orcid":false,"given":"Meltem","family":"Altinsoy","sequence":"first","affiliation":[{"name":"Cardiac Arrhythmia Center Cardiovascular Division University of Minnesota Medical School Minneapolis MN USA"},{"name":"Cardiology Residency Turgut Ozal University School of Medicine Ankara Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Sutton","sequence":"additional","affiliation":[{"name":"Cardiology Department National Heart and Lung Institute Imperial College Hammersmith Hospital London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritsuko","family":"Kohno","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Center Cardiovascular Division University of Minnesota Medical School Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Sakaguchi","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Center Cardiovascular Division University of Minnesota Medical School Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin K.","family":"Mears","sequence":"additional","affiliation":[{"name":"Medtronic Inc. Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8511-6920","authenticated-orcid":false,"given":"David G.","family":"Benditt","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Center Cardiovascular Division University of Minnesota Medical School Minneapolis MN USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,5,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Centers for Disease Control and Prevention\/National Center for Health Statistics.National hospital ambulatory medical care survey: 2012 Emergency department summary tables. Table 28.www.cdc.gov\/nchs\/nhamcs_emergency\/2\u201012_ed\u2010web\u2010tables"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.13479"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp298"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.03.002"},{"key":"e_1_2_9_6_1","volume-title":"Transient Loss of Consciousness (\u2018Blackouts\u2019) Management in Adults and Young People","author":"National Institute for Health and Clinical Excellence","year":"2010"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.8.886"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.925610"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.13265"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euy178"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-010-9222-y"},{"key":"e_1_2_9_12_1","first-page":"1","article-title":"\u2018Real\u2010world\u2019 observational studies in arrhythmia research: data sources, methodology and interpretation. A position document from the European Heart Rhythm Association (EHRA), endorsed by Heart Rhythm Society (HRS), Asian\u2010Pacific Heart Rhythm Society (APHRS) and Latin American Heart Rhythm Society (LAHRS)","author":"Torp\u2010Pedersen C","year":"2019","journal-title":"Europace"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eupc.2005.02.116"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2013.10.025"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eupc.2003.09.006"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi602"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00233-X"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(90)90591-N"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1313600"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euu222"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.03.038"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2016.11.006"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-008-9251-0"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2006.00729.x"}],"container-title":["Journal of Arrhythmia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12560","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/joa3.12560","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/joa3.12560","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:47:33Z","timestamp":1693356453000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/joa3.12560"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,24]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1002\/joa3.12560"],"URL":"https:\/\/doi.org\/10.1002\/joa3.12560","archive":["Portico"],"relation":{},"ISSN":["1880-4276","1883-2148"],"issn-type":[{"value":"1880-4276","type":"print"},{"value":"1883-2148","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,24]]},"assertion":[{"value":"2020-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}