open access

Vol 13, No 5 (2018)
Original Papers
Published online: 2018-12-06
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Utility of mobile single-lead ECG device in hospital emergency department

Maciej Janusz Krajsman, Jakub Poliński, Kacper Pawlik, Emanuel Tataj, Gabriela Parol, Andrzej Cacko
DOI: 10.5603/FC.2018.0110
·
Folia Cardiologica 2018;13(5):402-406.

open access

Vol 13, No 5 (2018)
Original Papers
Published online: 2018-12-06

Abstract

Introduction. Electrocardiography (ECG) is one of the basic diagnostic tests used in emergency departments and by
emergency medical services. Life-threatening arrhythmias can be detected using a single-lead ECG. Therefore, single-
-lead ECG devices can be used for arrhythmia detection, as their availability steadily increases. Kardia Mobile from Alive-
Cor is an example of such a device, recording a single-lead ECG and automatically detecting atrial fibrillation (AF) — the
most common complex supraventricular tachyarrhythmia. The aim of our study was to evaluate the utility of a single-lead
mobile ECG device in detecting AF in medical practice of emergency services.

Material and methods. Study included 118 patients (62 women and 56 men) who were hospitalized in a hospital
emergency department and consented to examination with Kardia Mobile immediately after a standard 12-lead ECG.
Results of both tests were subsequently compared. Ultimately, 121 different pairs of ECG recordings were analyzed (in
3 cases an additional ECG recording was performed after an electrical cardioversion).

Results. Sinus rhythm was identified in 99 patients and 22 were diagnosed with AF using a 12-lead ECG (reference).
Kardia Mobile correctly detected AF in 19 of 22 patients with AF (sensitivity: 86.4%) and absence of AF in 96 of 99
people without AF (specificity: 97%).

Conclusions. Kardia Mobile device is effective in automated detection of AF among patients hospitalized in the emergency
department.

Abstract

Introduction. Electrocardiography (ECG) is one of the basic diagnostic tests used in emergency departments and by
emergency medical services. Life-threatening arrhythmias can be detected using a single-lead ECG. Therefore, single-
-lead ECG devices can be used for arrhythmia detection, as their availability steadily increases. Kardia Mobile from Alive-
Cor is an example of such a device, recording a single-lead ECG and automatically detecting atrial fibrillation (AF) — the
most common complex supraventricular tachyarrhythmia. The aim of our study was to evaluate the utility of a single-lead
mobile ECG device in detecting AF in medical practice of emergency services.

Material and methods. Study included 118 patients (62 women and 56 men) who were hospitalized in a hospital
emergency department and consented to examination with Kardia Mobile immediately after a standard 12-lead ECG.
Results of both tests were subsequently compared. Ultimately, 121 different pairs of ECG recordings were analyzed (in
3 cases an additional ECG recording was performed after an electrical cardioversion).

Results. Sinus rhythm was identified in 99 patients and 22 were diagnosed with AF using a 12-lead ECG (reference).
Kardia Mobile correctly detected AF in 19 of 22 patients with AF (sensitivity: 86.4%) and absence of AF in 96 of 99
people without AF (specificity: 97%).

Conclusions. Kardia Mobile device is effective in automated detection of AF among patients hospitalized in the emergency
department.

Get Citation

Keywords

electrocardiography, ECG, diagnostic, atrial fibrillation, emergency department

About this article
Title

Utility of mobile single-lead ECG device in hospital emergency department

Journal

Folia Cardiologica

Issue

Vol 13, No 5 (2018)

Pages

402-406

Published online

2018-12-06

DOI

10.5603/FC.2018.0110

Bibliographic record

Folia Cardiologica 2018;13(5):402-406.

Keywords

electrocardiography
ECG
diagnostic
atrial fibrillation
emergency department

Authors

Maciej Janusz Krajsman
Jakub Poliński
Kacper Pawlik
Emanuel Tataj
Gabriela Parol
Andrzej Cacko

References (11)
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