The response of the pumping function of the heart to the orthostatic test and monoamines plasma level may serve as markers of early-stage Parkinson's disease

Abstract

arrhythmia with the help of mobile telemonitoring, which is an uncomplicated technology that facilitates the continuous monitoring and recording of arrhythmias. Methods: We investigated 54 outpatients in the Republic of Georgia with different types of arrhythmia (32 male, 22 female, age range – 12– 80 years). Among them were patients with unexplained syncope, epilepsy, and asymptomatic patients who underwent radiofrequency catheter ablation. In addition, there were asymptomatic patients after aorto-coronary bypass graft surgery and 10 healthy sportsmen. Investigations were made by 3-lead electrocardiograph-ECG loop recorder in automatic recording/transmitting mode. Results: Arrhythmias were registered during 7–68 hours of observation. 52% of arrhythmia episodes were asymptomatic. Arrhythmia relapse was detected in 3/6 patients who underwent radiofrequency catheter ablation for SVT or SVPCs, but mostly they were asymptomatic. Asymptomatic episodes of ventricular premature complexes were detected in patients who underwent aorto-coronary bypass graft surgery. In 10 patients with epilepsy, there were 3 patients with supraventricular tachycardia (SVT) and 2 patients with sinus tachycardia. Among 10 patients with unexplained syncope, there were 2 patients with sinus tachycardia, 2 patients with SVT and 1 patient with sick-sinus syndrome. Asymptomatic episodes of supraventricular tachycardia were detected in 1 sportsman. Asymptomatic episodes were detected in the majority of cases (p = 0.001). No difference between genders in the frequency of arrhythmias was found (p = 0.05). Conclusions: Mobile telecardiology offers a feasible methodology for monitoring arrhythmia outpatients in Georgia. It is also a useful tool for detecting a relapse, or symptomatic and asymptomatic episodes of life-threatening arrhythmia.