CLINICAL EFFECTIVENESS OF HOME ECG MONITORING IN THE MANAGEMENT OF POST-INFARCTION CARDIAC ARRHYTHMIAS
DOI:
https://doi.org/10.55640/Keywords:
Post-infarction monitoring, ventricular arrhythmia, ambulatory ECG, telemetric ECG, sudden cardiac death, myocardial infarction, home-based diagnostics, Holter monitoring comparisonAbstract
This study evaluates the clinical effectiveness of ambulatory telemetric electrocardiographic (AT ECG) monitoring in patients during the early post-myocardial infarction (MI) period. A total of 136 patients with Q-wave MI were divided into two comparable groups: 70 patients in the main group used AT ECG monitoring for 6 months, while 66 patients in the control group underwent standard follow-up by district cardiologists. All patients received comparable anti-ischemic and antiarrhythmic therapy. The frequency of ventricular arrhythmia detection was significantly higher in the AT ECG group due to more frequent and timely ECG recordings. The study demonstrated that the use of symptom-triggered and time-triggered ECG transmission modes allowed for the identification of both symptomatic and asymptomatic arrhythmias. Additionally, the dynamic ECG monitoring facilitated more frequent adjustments of pharmacological therapy, improving its individual optimization and safety. The results show that home-based AT ECG monitoring not only increases the detection rate of ventricular arrhythmias but also contributes to better therapeutic control and may reduce sudden cardiac death in post-MI patients.Downloads
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