{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T06:48:01Z","timestamp":1781765281633,"version":"3.54.5"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Interventions"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>The clinical utility of routine electrocardiographic monitoring following percutaneous coronary interventions (PCI) is not well studied.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We prospectively evaluated the incidence, cost, and the clinical implications of actionable arrhythmia alarms on telemetry monitoring following PCI. One thousand three hundred fifty-eight PCI procedures (989 [72.8%] for acute coronary syndrome and 369 [27.2%] for stable angina) on patients admitted to nonintensive care unit were identified and divided into 2 groups; group 1, patients with actionable alarms (AA) and group 2, patients with non-AA. AA included (1) \u22653 s electrical pause or asystole; (2) high-grade Mobitz type II atrioventricular block or complete heart block; (3) ventricular fibrillation; (4) ventricular tachycardia (&gt;15 beats); (5) atrial fibrillation with rapid ventricular response; (6) supraventricular tachycardia (&gt;15 beats). Primary outcomes were 30-day all-cause mortality. Cost-savings analysis was performed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>\n              Incidence of AA was 2.2% (37\/1672). Time from end of procedure to AA was 5.5 (0.5, 24.5) hours. Patients with AA were older, presented with acute congestive heart failure or non\u2013ST-segment\u2013elevation myocardial infarction, and had multivessel or left main disease. The 30-day all-cause mortality was significantly higher in patients with AA (6.5% versus 0.3% in non-AA [\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001]). Applying the standardized costing approach and tailored monitoring per the American Heart Association guidelines lead to potential cost savings of $622\u2009480.95 for the entire population.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>AA following PCI were infrequent but were associated with increase in 30-day mortality. Following American Heart Association guidelines for monitoring after PCI can lead to substantial cost saving.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/circinterventions.119.008290","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T10:00:37Z","timestamp":1577700037000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Routine Continuous Electrocardiographic Monitoring Following Percutaneous Coronary Interventions"],"prefix":"10.1161","volume":"13","author":[{"given":"Mohammed A.","family":"Al-Hijji","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Gulati","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malcolm","family":"Bell","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Revelee J.","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanna L.","family":"Feind","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley R.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Division of Biomedical Statistics and Informatics (B.R.L.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijan J.","family":"Borah","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery (B.J.B., J.P.M.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James P.","family":"Moriarty","sequence":"additional","affiliation":[{"name":"Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery (B.J.B., J.P.M.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae","family":"Yoon Park","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdallah","family":"El Sabbagh","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ardaas","family":"Kanwar","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Barsness","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Munger","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Asirvatham","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Lerman","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine (M.A.A.-H., R.G., M.B., R.J.K., J.L.F., J.Y.P., A.E.S., A.K., G.B., T.M., S.A., A.L., M.S.), Mayo Clinic and Mayo Foundation, Rochester, MN."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.27375"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.108.826172"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.103.24.3019"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006518"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2013.04.010"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0096127"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.03.051"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000527"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0735-1097(02)01980-0"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.4065\/82.6.701"},{"key":"e_1_3_4_12_2","unstructured":"CathPCI Registry. 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