{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T19:08:59Z","timestamp":1762542539787},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,6,30]],"date-time":"2016-06-30T00:00:00Z","timestamp":1467244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Stiftung Pflegebr\u00fccke"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Trans\u2010Telephonic ECG Monitoring for the Detection of CA<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Diagnosis of infrequent cardiac arrhythmias (CA) is often unsuccessful using resting or Holter ECG. As early detection and treatment of CA, especially atrial fibrillation (AF), has implications on patients\u2019 treatment and outcome, we investigated, whether self\u2010guided, trans\u2010telephonic event\u2010recorder monitoring (Tele\u2010ECG) improves diagnosis and influences treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2009 and 2014, 790 patients (54 \u00b1 18 years, 40% male; no history of CA: 582, known AF: 179, other CA: 29) presented with recurrent symptoms suggestive of CA and were screened by Tele\u2010ECG (17.3 \u00b1 26.9 days). A total of 11,775 ECGs were transmitted via a 24\u2010hour telephone hotline including documentation of the respective symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 73% of patients, CA was documented at the time of symptoms: sinus tachycardia 23%, premature ventricular beats 19%, AF 14%, supraventricular tachycardia 9%, sinus bradycardia 5%, sinus arrhythmia 2%, and AV block II 1%. The mean time until the first symptomatic episode occurred was 6.9 \u00b1 15.3 days (median 2.5 days). The first documented arrhythmia occurred on average after 7.7 \u00b1 14.1 days (median 3 days). In patients with AF (n = 110), 44% was newly diagnosed. According to the Tele\u2010ECG diagnosis, AF ablation was performed in 27% of these patients, 7% electrical cardioversion, and in 30% antiarrhythmic therapy was initiated. In 65% of the patients with recurrence of known AF, (re\u2010)ablation was performed or recommended and in 16% antiarrhythmic therapy was modified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tele\u2010ECG monitoring is effective in the diagnosis of suspected symptomatic CA. A diagnosis can usually be achieved within 1 week and has implications on patients\u2019 care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13025","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T09:19:22Z","timestamp":1464945562000},"page":"1032-1037","source":"Crossref","is-referenced-by-count":11,"title":["Early Detection of Symptomatic Paroxysmal Cardiac Arrhythmias by Trans\u2010Telephonic ECG Monitoring: Impact on Diagnosis and Treatment of Atrial Fibrillation"],"prefix":"10.1111","volume":"27","author":[{"given":"JOHANNA","family":"ANCZYKOWSKI","sequence":"first","affiliation":[{"name":"Department of Clinical and Interventional Cardiology University Heart Center Hamburg  Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"STEPHAN","family":"WILLEMS","sequence":"additional","affiliation":[{"name":"Department of Cardiology \u2010 Electrophysiology University Heart Center Hamburg  Hamburg 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