Inpatient cardiac monitoring using a patch-based mobile cardiac telemetry system during the COVID-19 pandemic

Eric D. Braunstein, Olga Reynbakh, Andrew Krumerman, Luigi Di Biase, Kevin J. Ferrick

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) is a worldwide pandemic, and cardiovascular complications and arrhythmias in these patients are common. Cardiac monitoring is recommended for at risk patients; however, the availability of telemetry capable hospital beds is limited. We sought to evaluate a patch-based mobile telemetry system for inpatient cardiac monitoring during the pandemic. Methods: A prospective cohort study was performed of inpatients hospitalized during the pandemic who had mobile telemetry devices placed; patients were studied up until the time of discharge or death. The primary outcome was a composite of management changes based on data obtained from the system and detection of new arrhythmias. Other clinical outcomes and performance characteristics of the mobile telemetry system were studied. Results: Eighty-two patients underwent mobile telemetry device placement, of which 31 (37.8%) met the primary outcome, which consisted of 24 (29.3%) with new arrhythmias detected and 18 (22.2%) with management changes. Twenty-one patients (25.6%) died during the study, but none from primary arrhythmias. In analyses, age and heart failure were associated with the primary outcome. Monitoring occurred for an average of 5.3 ± 3.4 days, with 432 total patient-days of monitoring performed; of these, QT-interval measurements were feasible in 400 (92.6%). Conclusion: A mobile telemetry system was successfully implemented for inpatient use during the COVID-19 pandemic and was shown to be useful to inform patient management, detect occult arrhythmias, and monitor the QT-interval. Patients with advanced age and structural heart disease may be more likely to benefit from this system.

Original languageEnglish (US)
Pages (from-to)2803-2811
Number of pages9
JournalJournal of cardiovascular electrophysiology
Volume31
Issue number11
DOIs
StatePublished - Nov 1 2020

Keywords

  • COVID-19
  • arrhythmia
  • cardiac monitoring
  • mobile telemetry
  • telemetry

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

Fingerprint Dive into the research topics of 'Inpatient cardiac monitoring using a patch-based mobile cardiac telemetry system during the COVID-19 pandemic'. Together they form a unique fingerprint.

Cite this