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    ARTICLE

    Extended cardiac ambulatory rhythm monitoring in adults with congenital heart disease: Arrhythmia detection and impact of extended monitoring

    Karen E. Schultz1, George K. Lui1,2, Doff B. McElhinney1, Jin Long3, Vidhya Balasubramanian3, Charlotte Sakarovitch3, Susan M. Fernandes1,2, Anne M. Dubin1, Ian S. Rogers1,2, Anitra W. Romfh1,2, Kara S. Motonaga1, Mohan N. Viswanathan2, Scott R. Ceresnak1

    Congenital Heart Disease, Vol.14, No.3, pp. 410-418, 2019, DOI:10.1111/chd.12736

    Abstract Background: Arrhythmias are a leading cause of death in adults with congenital heart disease (ACHD). While 24‐48‐hour monitors are often used to assess arrhythmia burden, extended continuous ambulatory rhythm monitors (ECAM) can record 2 weeks of data. The utility of this device and the arrhythmia burden identified beyond 48‐hour monitoring have not been evaluated in the ACHD population. Additionally, the impact of ECAM has not been studied to determine management recommendations.
    Objective: To address the preliminary question, we hypothesized that clinically sig‐ nificant arrhythmias would be detected on ECAM beyond 48 hours and this would lead to… More >

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