Abstract
Background
We describe the feasibility of monitoring with a Textile Wearable Holter (TWH) in
patients included in Crypto AF registry.
Methods
We monitored cryptogenic stroke patients from stroke onset (<3 days) continuously during 28 days. We employed a TWH composed by a garment and a recorder. We compared two garments
(Lead and Vest) to assess rate of undiagnosed Atrial Fibrillation (AF) detection,
monitoring compliance, comfortability (1 to 5 points), skin lesions, and time analyzed.
We describe the timing of AF detection in three periods (0–3, 4–15 and 16–28 days).
Results
The rate of undiagnosed AF detection with TWH was 21.9% (32 out of 146 patients who
completed the monitoring). Global time compliance was 90% of the time expected (583/644 h). The level of comfortability was 4 points (IQR 3–5). We detected reversible skin
lesions in 5.47% (8/146). The comfortability was similar but time compliance (in hours)
was longer in Vest group 591 (IQR [521–639]) vs. Lead 566 (IQR [397–620]) (p = 0.025). Also, time analyzed was more prolonged in Vest group 497 (IQR [419–557]) vs.
Lead (336 h (IQR [140–520]) (p = 0.001)). The incidence of AF increases from 5.6% (at 3 days) to 17.5% (at 15th day) and up to 20.9% (at 28th day). The percentage of AF episodes
detected only in each period was 12.5% (0–3 days); 21.7% (4–15 days) and 19% (16–28 days).
Conclusions
28 days Holter monitoring from the acute phase of the stroke was feasible with TWH. Following
our protocol, only five patients were needed to screen to detected one case of AF.
Keywords
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Article info
Publication history
Published online: October 22, 2017
Accepted:
October 17,
2017
Received in revised form:
October 12,
2017
Received:
June 30,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
