Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients

Q1

Autores:
Marín O., María Mónica
García Peña, Ángel Alberto
Muñoz Velandia, Oscar Mauricio
Castellanos R., Julio César
Cáceres Méndez, Edward Andrés
Santacruz P., David
Tipo de recurso:
Article of data
Fecha de publicación:
2021
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/56908
Acceso en línea:
https://www.sciencedirect.com/science/article/pii/S2666501821001148?via%3Dihub
http://hdl.handle.net/10554/56908
https://doi.org/10.1016/j.hroo.2021.06.005
Palabra clave:
COVID-19
Electrocardiography
KardiaMobile
Mobileapplications
QT/QTc interval
Smartphone
Single-lead ECG device
Ventricular arrhythmias
Rights
License
Atribución-NoComercial 4.0 Internacional
id JAVERIANA2_f2da8ea993352fbd72d7fcfd15f56fac
oai_identifier_str oai:repository.javeriana.edu.co:10554/56908
network_acronym_str JAVERIANA2
network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
title Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
spellingShingle Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
COVID-19
Electrocardiography
KardiaMobile
Mobileapplications
QT/QTc interval
Smartphone
Single-lead ECG device
Ventricular arrhythmias
title_short Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
title_full Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
title_fullStr Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
title_full_unstemmed Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
title_sort Portable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patients
dc.creator.fl_str_mv Marín O., María Mónica
García Peña, Ángel Alberto
Muñoz Velandia, Oscar Mauricio
Castellanos R., Julio César
Cáceres Méndez, Edward Andrés
Santacruz P., David
dc.contributor.author.none.fl_str_mv Marín O., María Mónica
García Peña, Ángel Alberto
Muñoz Velandia, Oscar Mauricio
Castellanos R., Julio César
Cáceres Méndez, Edward Andrés
Santacruz P., David
dc.contributor.corporatename.spa.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Cardiología
dc.contributor.javerianateacher.none.fl_str_mv García Peña, Ángel Alberto
Cáceres Méndez, Edward Andrés
dc.subject.keyword.spa.fl_str_mv COVID-19
Electrocardiography
KardiaMobile
Mobileapplications
QT/QTc interval
Smartphone
Single-lead ECG device
Ventricular arrhythmias
topic COVID-19
Electrocardiography
KardiaMobile
Mobileapplications
QT/QTc interval
Smartphone
Single-lead ECG device
Ventricular arrhythmias
description Q1
publishDate 2021
dc.date.accessioned.none.fl_str_mv 2021-09-06T15:45:00Z
dc.date.available.none.fl_str_mv 2021-09-06T15:45:00Z
dc.date.created.none.fl_str_mv 2021-06-28
dc.type.local.spa.fl_str_mv Artículo de revista
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_beb9
format http://purl.org/coar/resource_type/c_beb9
dc.identifier.spa.fl_str_mv https://www.sciencedirect.com/science/article/pii/S2666501821001148?via%3Dihub
dc.identifier.issn.spa.fl_str_mv 2666-5018
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/56908
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.1016/j.hroo.2021.06.005
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://www.sciencedirect.com/science/article/pii/S2666501821001148?via%3Dihub
http://hdl.handle.net/10554/56908
https://doi.org/10.1016/j.hroo.2021.06.005
identifier_str_mv 2666-5018
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 382
dc.relation.citationendpage.spa.fl_str_mv 387
dc.relation.ispartofjournal.spa.fl_str_mv Heart Rhythm O2
dc.relation.citationvolume.spa.fl_str_mv 2
dc.relation.citationissue.spa.fl_str_mv 4
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
http://purl.org/coar/access_right/c_abf2
dc.format.spa.fl_str_mv PDF
dc.format.mimetype.spa.fl_str_mv application/pdf
institution Pontificia Universidad Javeriana
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http://repository.javeriana.edu.co/bitstream/10554/56908/2/license.txt
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Marín O., María MónicaGarcía Peña, Ángel AlbertoMuñoz Velandia, Oscar MauricioCastellanos R., Julio CésarCáceres Méndez, Edward AndrésSantacruz P., DavidPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. CardiologíaGarcía Peña, Ángel AlbertoCáceres Méndez, Edward Andrés2021-09-06T15:45:00Z2021-09-06T15:45:00Z2021-06-28https://www.sciencedirect.com/science/article/pii/S2666501821001148?via%3Dihub2666-5018http://hdl.handle.net/10554/56908https://doi.org/10.1016/j.hroo.2021.06.005instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengPortable single-lead electrocardiogram device is accurate for QTc evaluation in hospitalized patientsArtículo de revistahttp://purl.org/coar/resource_type/c_beb9Q1Background: Many commonly used drugs can prolong the QTc interval (QTc), which can lead to potentially life-threatening arrhythmias. In the current era of the COVID-19 pandemic, it is worth mentioning that the disease itself and several drugs used for its treatment have been associated with QTc prolongation. Objective: To evaluate the agreement and clinical precision of a portable single-lead electrocardiogram (ECG) device to measure the QTc interval compared to the standard 12-lead ECG. Methods: In sequential tests, QTc of ECG recordings obtained with the KardiaMobile (KM-1L) device (AliveCor, San Francisco, CA) were compared to QTc obtained with conventional 12-lead ECG. Agreement was evaluated using Bland-Altman plots and Lin's concordance coefficient. Consistency between the 2 devices in determining QTc prolongation (QTc ≥470 ms in males or ≥480 ms in females) was evaluated with kappa statistics. Results: A total of 128 patients with a presumed or confirmed diagnosis of COVID-19 admitted to a university hospital were included. QTc intervals measured with KM-1L were similar to QTc measured with conventional ECG (442.45 ± 40.5 vs 441.65 ± 40.3 ms, P = .15). Bland-Altman analysis showed no significant difference in QTc values (average difference of -0.797, 95% limits of agreement:-13.179; 11.585). Lin's concordance coefficient showed an excellent agreement (0.988, P < .001). Concordance between the 2 devices for determining QTc prolongation was excellent (kappa >0.90). Conclusion: ECG recordings obtained with KM-1L allow an accurate QTc interval assessment. Considering its simplicity of use, this approach has advantages over conventional ECG and can provide an alternative for the evaluation of QTc in hospitalized patients, during the current time of the COVID-19 pandemic and beyond.https://orcid.org/0000-0002-3606-2102https://orcid.org/0000-0002-7903-8874Revista Internacional - IndexadaCOVID-19ElectrocardiographyKardiaMobileMobileapplicationsQT/QTc intervalSmartphoneSingle-lead ECG deviceVentricular arrhythmias382387Heart Rhythm O224ORIGINAL1-s2.0-S2666501821001148-main.pdf1-s2.0-S2666501821001148-main.pdfArtículoapplication/pdf660185http://repository.javeriana.edu.co/bitstream/10554/56908/1/1-s2.0-S2666501821001148-main.pdf72f57eddf841215334426ff7ce2c914fMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/56908/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAIL1-s2.0-S2666501821001148-main.pdf.jpg1-s2.0-S2666501821001148-main.pdf.jpgIM Thumbnailimage/jpeg14109http://repository.javeriana.edu.co/bitstream/10554/56908/3/1-s2.0-S2666501821001148-main.pdf.jpga3e3617bcd348d64f74810f67ee0867aMD53open access10554/56908oai:repository.javeriana.edu.co:10554/569082022-12-08 22:22:13.413Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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