Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG
The aim – to evaluate the possibilities of long-term patch monitoring of the electrocardiogram (ECG) to determine gender and age characteristics of the frequency of detection of atrial fibrillation (AF). Materials and methods. A total of 1,123 patients participated in this 2-year (2021–2023) retros...
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TOV Chetverta Khvylia
2023-12-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | https://csic.com.ua/en/issues/archive/3-4-2023/1418-gender-and-age-characteristics-and-atrial-fibrillation-during-long-term-telemonitoring-of-the-ecg.html |
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| author | V.M. Bogomaz I.O. Berdnyk L.I. Lysa |
| author_facet | V.M. Bogomaz I.O. Berdnyk L.I. Lysa |
| author_sort | V.M. Bogomaz |
| collection | DOAJ |
| description | The aim – to evaluate the possibilities of long-term patch monitoring of the electrocardiogram (ECG) to determine gender and age characteristics of the frequency of detection of atrial fibrillation (AF).
Materials and methods. A total of 1,123 patients participated in this 2-year (2021–2023) retrospective multicenter study. Long-term ECG monitoring was performed at the referral of internists and cardiologists of 30 health care institutions according to various clinical indications for this study. For long-term monitoring of the ECG, the innovative device «Mawi Heart Patch» was used – a disposable two-channel device with the possibility of continuous recording of the ECG for up to 7 days. The primary analysis of the records was carried out using Cardio.ai artificial intelligence algorithms, re-decryption and validation by certified doctors.
Results. The average age of the study participants was (50.2 ± 16.65) years. There were 599 (53.3 %) women, 524 (46.6 %) men. The average time of ECG monitoring was (81.03 ± 18.5) hours, 74.35 % of the participants had continuous ECG monitoring for 3 days, 20.75 % for 4 days, and 2.58 % for 5 days. In total, AF was diagnosed in 7.93 % of patients, in particular, women and men were 6.51 % and 9.54 % respectively (p > 0.05). In elderly patients, AF was diagnosed statistically significantly more often than in middle-aged patients (18.5 and 3.6 %, respectively, p ˂ 0.001). Among all age groups, the highest frequency of detection of AF was in participants over 75 years old, compared to young (28.8 % vs 3.6 %, p ˂ 0.001) and middle-aged patients (28.8 vs 18.5 %, p ˂ 0.05).
Conclusions. The study did not reveal a gender difference in the frequency of diagnosing AF. In patients over 50 years, a significant increase in the frequency of detection of AF was recorded, which tends to increase in the following age periods and reaches a maximum in long-livers (over 90 years). The use of long-term patch ECG monitoring in patients of older age groups expands diagnostic possibilities and makes it possible to prevent complications in time. |
| format | Article |
| id | doaj-art-f8c63c6f283a4b70bdd5260c37abb876 |
| institution | Kabale University |
| issn | 2305-3127 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-f8c63c6f283a4b70bdd5260c37abb8762025-01-17T15:24:12ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272023-12-013/4162210.31928/2305-3127-2023.3-4.1622Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECGV.M. Bogomaz0https://orcid.org/0000-0003-1493-6558I.O. Berdnyk1https://orcid.org/0000-0001-5918-3743L.I. Lysa2https://orcid.org/0009-0003-0192-642XBogomolets National Medical University, Kyiv, UkraineESC «Institute of Biology and Medicine» of Taras Shevchenko National University of Kyiv, Kyiv, UkraineKyiv Medical University, Kyiv, UkraineThe aim – to evaluate the possibilities of long-term patch monitoring of the electrocardiogram (ECG) to determine gender and age characteristics of the frequency of detection of atrial fibrillation (AF). Materials and methods. A total of 1,123 patients participated in this 2-year (2021–2023) retrospective multicenter study. Long-term ECG monitoring was performed at the referral of internists and cardiologists of 30 health care institutions according to various clinical indications for this study. For long-term monitoring of the ECG, the innovative device «Mawi Heart Patch» was used – a disposable two-channel device with the possibility of continuous recording of the ECG for up to 7 days. The primary analysis of the records was carried out using Cardio.ai artificial intelligence algorithms, re-decryption and validation by certified doctors. Results. The average age of the study participants was (50.2 ± 16.65) years. There were 599 (53.3 %) women, 524 (46.6 %) men. The average time of ECG monitoring was (81.03 ± 18.5) hours, 74.35 % of the participants had continuous ECG monitoring for 3 days, 20.75 % for 4 days, and 2.58 % for 5 days. In total, AF was diagnosed in 7.93 % of patients, in particular, women and men were 6.51 % and 9.54 % respectively (p > 0.05). In elderly patients, AF was diagnosed statistically significantly more often than in middle-aged patients (18.5 and 3.6 %, respectively, p ˂ 0.001). Among all age groups, the highest frequency of detection of AF was in participants over 75 years old, compared to young (28.8 % vs 3.6 %, p ˂ 0.001) and middle-aged patients (28.8 vs 18.5 %, p ˂ 0.05). Conclusions. The study did not reveal a gender difference in the frequency of diagnosing AF. In patients over 50 years, a significant increase in the frequency of detection of AF was recorded, which tends to increase in the following age periods and reaches a maximum in long-livers (over 90 years). The use of long-term patch ECG monitoring in patients of older age groups expands diagnostic possibilities and makes it possible to prevent complications in time.https://csic.com.ua/en/issues/archive/3-4-2023/1418-gender-and-age-characteristics-and-atrial-fibrillation-during-long-term-telemonitoring-of-the-ecg.htmlatrial fibrillationtelemedicinepatch-ecg monitoring |
| spellingShingle | V.M. Bogomaz I.O. Berdnyk L.I. Lysa Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG Кардіохірургія та інтервенційна кардіологія atrial fibrillation telemedicine patch-ecg monitoring |
| title | Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG |
| title_full | Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG |
| title_fullStr | Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG |
| title_full_unstemmed | Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG |
| title_short | Gender and age characteristics and atrial fibrillation during long-term telemonitoring of the ECG |
| title_sort | gender and age characteristics and atrial fibrillation during long term telemonitoring of the ecg |
| topic | atrial fibrillation telemedicine patch-ecg monitoring |
| url | https://csic.com.ua/en/issues/archive/3-4-2023/1418-gender-and-age-characteristics-and-atrial-fibrillation-during-long-term-telemonitoring-of-the-ecg.html |
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