2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry

Jonathan S Steinberg; Niraj Varma; Iwona Cygankiewicz; Peter Aziz; Paweł Balsam; Adrian Baranchuk; Daniel J Cantillon; Polychronis Dilaveris; Sergio J Dubner; Nabil El-Sherif; Jaroslaw Krol; Malgorzata Kurpesa; Maria Teresa La Rovere; Suave S Lobodzinski; Emanuela T Locati; Suneet Mittal; Brian Olshansky; Ewa Piotrowicz; Leslie Saxon; Peter H Stone; Larisa Tereshchenko; Gioia Turitto; Neil J Wimmer; Richard L Verrier; Wojciech Zareba; Ryszard Piotrowicz

doi:10.1016/j.hrthm.2017.03.038

2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry

Heart Rhythm. 2017 Jul;14(7):e55-e96. doi: 10.1016/j.hrthm.2017.03.038. Epub 2017 May 8.

Authors

Jonathan S Steinberg¹, Niraj Varma², Iwona Cygankiewicz³, Peter Aziz², Paweł Balsam⁴, Adrian Baranchuk⁵, Daniel J Cantillon², Polychronis Dilaveris⁶, Sergio J Dubner⁷, Nabil El-Sherif⁸, Jaroslaw Krol⁹, Malgorzata Kurpesa¹⁰, Maria Teresa La Rovere¹¹, Suave S Lobodzinski¹², Emanuela T Locati¹³, Suneet Mittal¹⁴, Brian Olshansky¹⁵, Ewa Piotrowicz¹⁶, Leslie Saxon¹⁷, Peter H Stone¹⁸, Larisa Tereshchenko¹⁹, Gioia Turitto²⁰, Neil J Wimmer¹⁸, Richard L Verrier²¹, Wojciech Zareba²², Ryszard Piotrowicz²³

Affiliations

¹ Heart Research Follow-up Program, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA; The Summit Medical Group, Short Hills, NJ, USA. Electronic address: [email protected].
² Cardiac Pacing & Electrophysiology, Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA.
³ Department of Electrocardiology, Medical University of Lodz, Lodz, Poland.
⁴ 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
⁵ Heart Rhythm Service Queen's University, Kingston, ON, Canada.
⁶ 1st Department of Cardiology, University of Athens Medical School, Hippokration Hospital, Athens, Greece.
⁷ Arrhythmias and Electrophysiology Service, Clinic and Maternity Suizo Argentina and De Los Arcos Private Hospital, Buenos Aires, Argentina.
⁸ SUNY Downstate Medical Center, Brooklyn, NY, USA.
⁹ Department of Cardiology, Hypertension and Internal Medicine, 2nd Medical Faculty Medical University of Warsaw, Warsaw, Poland.
¹⁰ Department of Cardiology, Medical University of Lodz, Bieganski Hospital, Lodz, Poland.
¹¹ Department of Cardiology, IRCCS Fondazione Salvatore Maugeri, Montescano, Pavia, Italy.
¹² California State University, Long Beach, Long Beach, CA, USA.
¹³ Cardiovascular Department, Cardiology, Electrophysiology, Ospedale Niguarda, Milano, Italy.
¹⁴ Valley Hospital, Ridgewood, NJ, USA.
¹⁵ Carver College of Medicine, University of Iowa, Iowa, IA, USA.
¹⁶ Telecardiology Center, Institute of Cardiology, Warsaw, Poland.
¹⁷ University of Southern California, Los Angeles, CA, USA.
¹⁸ Vascular Profiling Research Group, Cardiovascular Division, Harvard Medical School, Brigham & Women's Hospital, Boston, MA, USA.
¹⁹ Knight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, USA; Cardiovascular Division, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
²⁰ Weill Cornell Medical College, Electrophysiology Services, New York Methodist Hospital, Brooklyn, NY, USA.
²¹ Division of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Harvard-Thorndike Electrophysiology Institute, Boston, MA, USA.
²² Heart Research Follow-up Program, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA.
²³ Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, National Institute of Cardiology, Warsaw, Poland.

PMID: 28495301
DOI: 10.1016/j.hrthm.2017.03.038

Abstract

Ambulatory ECG (AECG) is very commonly employed in a variety of clinical contexts to detect cardiac arrhythmias and/or arrhythmia patterns which are not readily obtained from the standard ECG. Accurate and timely characterization of arrhythmias is crucial to direct therapies that can have an important impact on diagnosis, prognosis or patient symptom status. The rhythm information derived from the large variety of AECG recording systems can often lead to appropriate and patient-specific medical and interventional management. The details in this document provide background and framework from which to apply AECG techniques in clinical practice, as well as clinical research.

Keywords: Holter; ambulatory ECG monitoring; event monitor; loop recorder; telemetry; transtelephonic.