19 Outcomes From an Emergency Department Discharge Pathway Utilizing Ambulatory Cardiac Monitoring

Authors: A. Behne, J. Wright, C. Wilson, K. Lien, R. Long, C. Samuels, B. Mohanty, E. Okonkwo.

Summary:

Retrospective analysis on 730 patients discharged with Zio XT after presenting in ED with Canadian Syncope risk score of >=2.

Key Findings:

  • 79.6% return rate, 29% monitors had an arrhythmia detected, and 21.5% of patients underwent medical intervention, including new medications, cardiac imaging, catheterization, and surgical procedures.
  • Medical intervention was significantly associated with palpitations versus syncope (p=0.015) and arrhythmia detection (p< 0.01).

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