{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:10:01Z","timestamp":1762524601430,"version":"build-2065373602"},"reference-count":10,"publisher":"SMC Media","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Cardiac arrhythmias are common following ischemic stroke and can lead to severe complications, such as recurrent strokes. Early identification is important, and continuous electrocardiography (ECG) monitoring provides a possible solution. This prospective observational case series assessed the efficacy of a portable ECG patch in detecting arrhythmias in post-stroke patients and their role in informing treatment decisions. This study was carried out between May and November 2023 in the neurology ward of a local hospital in Meerut, India. A total of 10 adult patients were included in this case series after applying the inclusion and exclusion criteria. They were continuously observed up to 80 hours with two alternate portable ECG patches after a baseline smartphone-based ECG (Spandan 12-lead ECG). The portable ECG patches detected several arrhythmias, such as transient and potentially lethal conditions like atrial fibrillation and ventricular tachycardia, which the initial baseline smartphone-based ECG failed to record. A cardiologist validated all the episodes of arrhythmia. The use of real-time data transmission facilitated timely clinical intervention, which aided in improved patient management and outcomes. This case series emphasizes the benefits of continuous portable ECG patch monitoring compared to single-time-point smartphone-based ECG in identifying intermittent arrhythmias in stroke patients. The results favour the incorporation of portable ECG patches into standard post-stroke management for early diagnosis, risk reduction, and enhanced therapeutic decision-making.<\/jats:p>","DOI":"10.12890\/2025_005761","type":"journal-article","created":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:14:22Z","timestamp":1760955262000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-term arrhythmia detection using portable ECG patches in stroke patients: a case series"],"prefix":"10.12890","volume":"12","author":[{"given":"Cb","family":"Pandey","sequence":"first","affiliation":[{"name":"Department of Cardiology, Lala Lajpat Rai Medical College, Meerut, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yogendra","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cardiology, Max Super Speciality Hospitals, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shashank","family":"Pandey","sequence":"first","affiliation":[{"name":"Department of Cardiology, Lala Lajpat Rai Medical College, Meerut, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepak","family":"Tomar","sequence":"first","affiliation":[{"name":"Department of Cardiology, Lala Lajpat Rai Medical College, Meerut, Uttar Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9448-4285","authenticated-orcid":false,"given":"Nitin","family":"Chandola","sequence":"first","affiliation":[{"name":"Department of Clinical Research, Sunfox Technologies, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6842-1075","authenticated-orcid":false,"given":"Deeksha","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Clinical Research, Sunfox Technologies, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3032-1643","authenticated-orcid":false,"given":"Sengar Yashwardhan","family":"Pratap Singh","sequence":"first","affiliation":[{"name":"Department of Clinical Research, Sunfox Technologies, Dehradun, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2025,10,20]]},"reference":[{"key":"10.12890\/2025_005761_ref1","doi-asserted-by":"crossref","unstructured":"Jones SP, Baqai K, Clegg A, Georgiou R, Harris C, Holland EJ, et al. Stroke in India: A systematic review of the incidence, prevalence, and case fatality. International Journal of Stroke 2021;17:132-140. doi: 10.1177\/17474930211027834","DOI":"10.1177\/17474930211027834"},{"key":"10.12890\/2025_005761_ref2","doi-asserted-by":"crossref","unstructured":"Tsao CW, Aday AW, Almarzooq ZI, Alonso A, Beaton AZ, Bittencourt MS, et al. Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association. Circulation 2022;145:e153-e639. doi: 10.1161\/CIR.0000000000001052. Erratum in: Circulation 2022;146:e141. doi: 10.1161\/CIR.0000000000001074","DOI":"10.1161\/CIR.0000000000001074"},{"key":"10.12890\/2025_005761_ref3","doi-asserted-by":"crossref","unstructured":"S\u00f6r\u00f6s P, Hachinski V. Cardiovascular and neurological causes of sudden death after ischaemic stroke. Lancet Neurol 2012;11:179-188. doi: 10.1016\/S1474-4422(11)70291-5","DOI":"10.1016\/S1474-4422(11)70291-5"},{"key":"10.12890\/2025_005761_ref4","doi-asserted-by":"crossref","unstructured":"Waks JW, Buxton AE. Risk Stratification for Sudden Cardiac Death After Myocardial Infarction. Annu Rev Med 2018;69:147-164. doi: 10.1146\/annurev-med-041316-090046","DOI":"10.1146\/annurev-med-041316-090046"},{"key":"10.12890\/2025_005761_ref5","doi-asserted-by":"crossref","unstructured":"Katal N, Gupta S, Verma P, Sharma B. Deep-Learning-Based Arrhythmia Detection Using ECG Signals: A Comparative Study and Performance Evaluation. Diagnostics (Basel) 2023;13:3605. doi: 10.3390\/diagnostics13243605","DOI":"10.3390\/diagnostics13243605"},{"key":"10.12890\/2025_005761_ref6","doi-asserted-by":"crossref","unstructured":"Steinberg JS, Varma N, Cygankiewicz I, Aziz P, Balsam P, Baranchuk A, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring\/telemetry. Heart Rhythm 2017;14:e55-e96. doi: 10.1016\/j.hrthm.2017.03.038. Erratum in: Heart Rhythm 2018;15:789. doi: 10.1016\/j.hrthm.2018.03.036. Erratum in: Heart Rhythm 2018;15:1276. doi: 10.1016\/j.hrthm.2018.06.033","DOI":"10.1016\/j.hrthm.2018.06.033"},{"key":"10.12890\/2025_005761_ref7","doi-asserted-by":"crossref","unstructured":"Kwon S, Lee SR, Choi EK, Ahn HJ, Song HS, Lee YS, et al. Comparison Between the 24-hour Holter Test and 72-hour Single-Lead Electrocardiogram Monitoring With an Adhesive Patch-Type Device for Atrial Fibrillation Detection: Prospective Cohort Study. J Med Internet Res 2022;24:e37970. doi: 10.2196\/37970","DOI":"10.2196\/37970"},{"key":"10.12890\/2025_005761_ref8","doi-asserted-by":"crossref","unstructured":"Onder H, Yilmaz S. The Rationale of Holter Monitoring After Stroke. Angiology 2017;68:926-927. doi: 10.1177\/0003319717703003","DOI":"10.1177\/0003319717703003"},{"key":"10.12890\/2025_005761_ref9","doi-asserted-by":"crossref","unstructured":"Kim S, Choi Y, Lee K, Kim SH, Kim H, Shin S, et al. Comparison of the 11-Day Adhesive ECG Patch Monitor and 24-h Holter Tests to Assess the Response to Antiarrhythmic Drug Therapy in Paroxysmal Atrial Fibrillation. Diagnostics (Basel) 2023;13:3078. doi: 10.3390\/diagnostics13193078","DOI":"10.3390\/diagnostics13193078"},{"key":"10.12890\/2025_005761_ref10","doi-asserted-by":"crossref","unstructured":"Ha ACT, Verma S, Mazer CD, Quan A, Yanagawa B, Latter DA, et al. Effect of Continuous Electrocardiogram Monitoring on Detection of Undiagnosed Atrial Fibrillation After Hospitalization for Cardiac Surgery: A Randomized Clinical Trial. JAMA Netw Open 2021;4:e2121867. doi: 10.1001\/jamanetworkopen.2021.21867","DOI":"10.1001\/jamanetworkopen.2021.21867"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5761\/4903","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5761\/4904","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/5761\/4904","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:05:11Z","timestamp":1762524311000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/5761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,20]]},"references-count":10,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.12890\/2025_005761","relation":{"has-manifestation":[{"id-type":"other","id":"1-131-5761-g4903","asserted-by":"subject"},{"id-type":"other","id":"1-131-5761-g4904","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-131","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2025,10,20]]}}}