ROLE OF MOBILE TELEMEDICINE IN PATIENTS WITH DIFFERENT TYPES OF ARRHYTHMIA AND SYNCOPE

T. Gegenava, M. Gegenava, Z. Kirtava

Tbilisi State Medical University, Department of Internal Medicin, Tbilisi, Georgia

Abstract

Introduction: The goal of the present study was to assess different types of arrhythmia and syncope with the help of mobile telemonitoring, which is an uncomplicated technology that facilitates the continuous monitoring and recording of arrhythmias.
Methods: We investigated 54 outpatients in Georgia (Republic of) with different types of arrhythmia (n= 32 male and n= 22 female,), Investigations were made by 3-lead electrocardiograph-ECG loop recorder in automatic recording/transmitting mode.
Results: Arrhythmias were registered during 7-68 hours of observation. Arrhythmia relapse was detected in 35% of patients who underwent radiofrequency catheter ablation , mostly they were asymptomatic. Asymptomatic episodes of ventricular premature complexes were detected in patients who underwent aorto-coronary bypass graft surgery. From n= 10 patients with epilepsy we discovered n=3 patients with supraventricular tachycardia (SVT) and n=2 patients with sinus tachycardia. Among patients with unexplained syncope, we revealed patients with sinus tachycardia, with SVT and patient with sick-sinus syndrome. Asymptomatic episodes were detected in majority cases p=0.001 (52%)
Conclusions: Mobile telecardiology is also a useful tool to detect a relapse or symptomatic and asymptomatic episodes of life-threatening arrhythmia and syncope.