THE IMPACT OF TRANSTELEPHONIC ECG ON TREATMENT OF PAROXYSMAL ATRIAL FIBRILLATION
The aim of this study was to investigate the value of new algorithm in treatment of AF onset by using transtelephonic ECG.
Methods and results: At the beginning of the study an algorithm was created to monitor and treat outpatients’ AF episodes. The study was split into two parts. At the first part of the study (pilot study) applicability of the algorithm was checked in selected group of patients (during 1 year), and then was extended into all patients from the Centre (telemedicine centre with cardiologically trained doctors 24/7). The algorithm was based on guidelines and considered present state of patient (HR, BP, and alarming symptoms) and medications in his kit. The pilot study comprised 75 highly symptomatic patients (mean age 72, 34 males). During the first period of observation there had been 3912 events (phone calls to Centre with transition of ECG). AF was identified 1690 times and 393 of them were new onsets (<24 h) which were qualified to the algorithm’s treatment. Restoration of the sinus rhythm at home was successful 98 times (24,6%). During the second part of the study there had been 59670 events, with 6260 new AF onsets. The restoration of sinus rhythm was successful 2250 times (35%).
Conclusion: The described algorithm proved simple and reliable. Based on the present study, transtelephonic ECG Centre appeared to reduce 1/3 hospitalizations.