Ambulatory electrocardiogram monitoring for syncope and collapse: a comparative assessment of clinical practice in UK and Germany.
Europace
; 20(12): 2021-2027, 2018 12 01.
Article
em En
| MEDLINE
| ID: mdl-30101353
ABSTRACT
Aims:
Diagnostic ambulatory electrocardiogram (AECG) monitoring is widely used for evaluating syncope/collapse. In Europe, two sets of practice guidelines [National Institute for Health and Clinical Excellence (NICE) and European Society of Cardiology (ESC)] provide recommendations concerning optimal selection of AECG devices. However, whether practising physicians' select AECGs based on published guidelines is unclear. This study examined AECG use by Emergency Department (EDs) physicians and cardiologists in two European countries Germany (D) and United Kingdom (UK). Methods andResults:
A quantitative survey was undertaken in which 177 respondents participated (ED UK 33, Germany 40; Cardiology UK 54, Germany 50). The choice of AECG technology varied by specialty. Thus, among EDs, despite patients having daily symptoms, 20% (UK), 31% (D) of respondents chose an AECG other than Holter monitor. Conversely, when monitoring for infrequent events (Conclusions:
In evaluation of syncope/collapse, most UK and German ED physicians and cardiologists use AECG's according to guidelines, but a substantial minority diverge from AECG guideline recommendations.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Choque
/
Síncope
/
Padrões de Prática Médica
/
Eletrocardiografia Ambulatorial
/
Disparidades em Assistência à Saúde
/
Cardiologistas
/
Frequência Cardíaca
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article