Wearable patch doubles arrhythmia detection after unexplained fainting

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Wearable patch doubles arrhythmia detection after unexplained fainting
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Medical Daily

The ASPIRED randomized trial analyzed 2,233 adults with unexplained syncope across 45 UK hospitals and found that fitting a 14-day waterproof adhesive chest patch at or soon after the emergency visit led to arrhythmia detection in 22 percent versus 9 percent with standard care, and shortened median time to diagnosis from 55 to 22 days. Earlier detection increased earlier treatment, including more anti-arrhythmic prescriptions (10.8% versus 7.3%) and pacemaker implants (6.8% versus 4.6%). The trial missed its primary endpoint on fainting recurrence, and a lower one-year mortality with monitoring was a secondary finding requiring confirmation.

Immediate 14-day chest patch doubled arrhythmia detection after unexplained syncope.

Context

A large randomized trial presented at a cardiology congress and published in a major journal drove this report. It tested immediate 14-day patch monitoring against usual care for unexplained fainting. Next steps could include guideline…

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