Abstract

Early asymptomatic arrythmia detection using intermittent ECG in the diagnostic process – A case report

Highlights

  • Asymptomatic arrythmias can result in adverse events including sudden cardiac death

  • The present case study highlights the need for additional objective criteria to identify patients requiring early management of asymptomatic bradycardia to prevent unnecessary hospitalization

  • Asymptomatic bradycardia is prevalent in athletes and active populations such as military personnel [2]

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Summary

Introduction

Individuals with high levels of fitness or who lack cardiac awareness may be unmindful of heart rhythm abnormalities. The present case study demonstrates the utility of monitoring for on-going heart disease in active populations and suggests a potential use for portable ECG technology in the preventative medical process. Austin KG (2021) Early asymptomatic arrythmia detection using intermittent ECG in the diagnostic process – A case report the 24-hour Holter assessment identified the following: 6 isolated action potential durations, 2 isolated pre-ventricular contractions, supraventricular ectopic beats, 2 ventricular ectopic beats, 28 bradycardic events and 18 pauses. On a six month follow up, the SM reported increased symptomology including chest tightness in which he described the heart feeling attached to the rib cage He had begun wearing a smart watch to track heart rate which could regularly be found in the mid 40’s throughout the day and below 40 while sleeping. Category: 2: Irregular Sequence (Unexplained irregularities, which may be AF or paroxysmal AF with or without P waves)

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