![]() ![]() The size and shape of a credit card, this is the slimmest electrocardiogram (ECG or EKG) device in existance. If I am fortunate, after a few days to weeks, the results of the Long Term Monitor will be faxed to my office.KardiaMobile Card is the most recent addition to AliveCor’s product range. Such patients usually end up getting one of the standard Long Term Monitoring Devices. When they call, I feel like my diagnostic tools are limited. On the other hand, patients who are not on Kardia Pro have to come into the office for 12-lead ECGs. When they call the office with palpitations or a sense of being out of rhythm, I can determine within a minute what their rhythm is wherever I am (excluding tropical beaches and mountain tops) or wherever the patient is (for the most part). I've gotten spoiled by the information I get from my Afib patients who are on Kardia Pro now. There are many potential applications of the Kardia ECG device beyond Afib monitoring (assessing palpitations, premature ventricular contractions, tachycardia, etc.), but they are all enhanced when the device is combined with a good cardiologist connected to the device by Kardia Pro. With this system, we can determine exactly when Afib returns, information that will be very helpful in determining future treatment options.Ī Personal, Intermittent Long-Term Rhythm Monitor I performed a second cardioversion on him after which he made daily recordings documenting maintenance of NSR. Such precise remote monitoring of heart rate in Afib (which is often difficult to accurately assess by standard heart rate devices) obviates the need for office visits for 12-lead ECGs or periodic Holter monitors. We utilized this to guide titration of his rate-controlling medications. The Kardia Pro chart below shows his daily heart rate while in atrial fibrillation. Before seeing me, he had purchased a Kardia mobile ECG device and was using it to monitor his heart rate.Īfter he accepted my email invitation to connect via Kardia Pro, I was able to see his rhythm and rate daily. His previous cardiologist performed an electrical cardioversion a year ago, but the patient reverted back to Afib in 40 hours. Monitoring Rate Control After CardioversionĪnother patient I recently saw for the first time has had long-standing persistent Afib. Overall, he has made 773 recordings and 677 of them were NSR, 28 unanalyzed (due to brevity), 13 unclassified and 55 showing AF. I have elected to have all non-normal, patient-recorded ECGs go into the triage tab.Īnother patient's Kardia Pro page shows that he records an ECG nearly every day, and most of the time Kardia documents NSR in the 60s. Adding new patients is a quick and simple process requiring input of patient demographics, including email and birth date.įrom the opening screen, you can click on your triage tab. It contains buttons for searching for a specific patient or adding a new patient. When I log into Kardia Pro I see this screen. ![]() This knowledge allows me to make more informed treatment decisions. The benefits of this patient being connected to me are obvious: We now have an instantaneous patient-controlled method for knowing what his cardiac rhythm is doing and whether he is having symptoms. The ECG can then be archived or exported for entry into an electronic health record. (Kardia's algorithm calls "unclassified" anything it cannot clearly identify as Afib that is over 100 BPM.) ![]() In the example below, I added atrial flutter as the diagnosis, changing it from Kardia's unclassified. In the example below, I clicked on 2/27 which has both an unclassified recording (actually atrial flutter) and an Afib recording.Ĭlicking on the ECG strips brings up the full 30-second recording on a page that also allows me to assign my formal interpretation. I can click on any of the dots and 6-second strips of the full recording are displayed. The more he used the device and got feedback on when he was in or out of rhythm, the more he was able to recognize symptoms that were caused by Afib. The display shows that, after our office visit, he maintained NSR for 3 days (green dots) and then intermittently had ECG recordings classified as Afib (yellow dots) or unclassified (black). The patient overview page also displays blood pressure information if the patient is utilizing certain Omron devices that work with Kardia.
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