Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients

Aim.Assessment of the possibility to use ECG-telemetry in order to increase the efficiency of cardiotoxic effect diagnosis in cancer patients with chemotherapy. Material and methods.Remote dynamic monitoring for 6 months was carried out in 31 cardio-oncological patients (in 17 prostate cancer (P...

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Autores principales:	Nadezhda P. Lyamina, Irena V. Pogonchenkova, Svetlana V. Lyamina
Formato:	article
Lenguaje:	EN RU
Publicado:	Concilium Medicum 2020
Materias:	ecg-telemetry cardio-oncology cardiac rhythm and conductibility disorders Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/2a172c3a3f504f92bcf531a9894ad7db
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spelling	oai:doaj.org-article:2a172c3a3f504f92bcf531a9894ad7db2021-12-01T22:07:01ZTelemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients2221-71852658-570710.26442/22217185.2020.2.200229https://doaj.org/article/2a172c3a3f504f92bcf531a9894ad7db2020-09-01T00:00:00Zhttps://cardiosomatics.orscience.ru/2221-7185/article/viewFile/46024/31028https://doaj.org/toc/2221-7185https://doaj.org/toc/2658-5707Aim.Assessment of the possibility to use ECG-telemetry in order to increase the efficiency of cardiotoxic effect diagnosis in cancer patients with chemotherapy. Material and methods.Remote dynamic monitoring for 6 months was carried out in 31 cardio-oncological patients (in 17 prostate cancer (PC), in 14 breast cancer (BC), mean age was 53.6 (50.1; 56.8) years and 48.3 (38.8; 57.1) years, respectively; FC NYHA IIII; left ventricular ejection fraction 47.4% (40.2; 57.3) and 43.2% (39.7; 58.9), respectively; Mini-Mental State Examination from 30 to 24 points 27.6 (25.4; 29,1) and 28.2 (25.1; 28.8), respectively. ECG-telemetry was performed according to the principle of auto-translation using individual ECG recorders, mobile devices and the ECG Dongle Internet application (Nordavind-Dubna, Russia). Storage, analysis of information and telemedicine consultation was perfomed with the CardioСloud asynchronous tele-cardiological platform. ECG was registered with a frequency of at least 5 times/day and additionally repeatedly in the presence of symptoms and patient desires, duration 1020 minutes. Results.Previously undocumented ECG changes were remotely recorded in patients for 6 months of follow-up: in 87.0% of patients sinus tachycardia, against which ventricular extrasystole of various gradations (32.3%), supraventricular extrasystole (22.6%), transient tachy-dependent blockade of the bundle of His legs were recorded (9.7%). In 64.7% of PC patients and in 42.8% of BC patients rhythm disturbances were detected in combination with depression of theSTsegment. Paroxysms of atrial fibrillation were reported in 17.6% of PC patients and in 14.3% BC patients. In 35.5% of patients the detected ECG changes were asymptomatic. Conclusion.Remote dynamic monitoring in cancer patients receiving chemotherapy involving ECG recording scheme (5 times/day, 1020 min) with ECG telemetry is an effective and unexpensive method for detecting ECG changes in the phenomenon of cardiotoxicity.Nadezhda P. LyaminaIrena V. PogonchenkovaSvetlana V. LyaminaConcilium Medicumarticleecg-telemetrycardio-oncologycardiac rhythm and conductibility disordersDiseases of the circulatory (Cardiovascular) systemRC666-701Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENRUКардиоСоматика, Vol 11, Iss 2, Pp 16-22 (2020)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	ecg-telemetry cardio-oncology cardiac rhythm and conductibility disorders Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	ecg-telemetry cardio-oncology cardiac rhythm and conductibility disorders Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665 Nadezhda P. Lyamina Irena V. Pogonchenkova Svetlana V. Lyamina Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
description	Aim.Assessment of the possibility to use ECG-telemetry in order to increase the efficiency of cardiotoxic effect diagnosis in cancer patients with chemotherapy. Material and methods.Remote dynamic monitoring for 6 months was carried out in 31 cardio-oncological patients (in 17 prostate cancer (PC), in 14 breast cancer (BC), mean age was 53.6 (50.1; 56.8) years and 48.3 (38.8; 57.1) years, respectively; FC NYHA IIII; left ventricular ejection fraction 47.4% (40.2; 57.3) and 43.2% (39.7; 58.9), respectively; Mini-Mental State Examination from 30 to 24 points 27.6 (25.4; 29,1) and 28.2 (25.1; 28.8), respectively. ECG-telemetry was performed according to the principle of auto-translation using individual ECG recorders, mobile devices and the ECG Dongle Internet application (Nordavind-Dubna, Russia). Storage, analysis of information and telemedicine consultation was perfomed with the CardioСloud asynchronous tele-cardiological platform. ECG was registered with a frequency of at least 5 times/day and additionally repeatedly in the presence of symptoms and patient desires, duration 1020 minutes. Results.Previously undocumented ECG changes were remotely recorded in patients for 6 months of follow-up: in 87.0% of patients sinus tachycardia, against which ventricular extrasystole of various gradations (32.3%), supraventricular extrasystole (22.6%), transient tachy-dependent blockade of the bundle of His legs were recorded (9.7%). In 64.7% of PC patients and in 42.8% of BC patients rhythm disturbances were detected in combination with depression of theSTsegment. Paroxysms of atrial fibrillation were reported in 17.6% of PC patients and in 14.3% BC patients. In 35.5% of patients the detected ECG changes were asymptomatic. Conclusion.Remote dynamic monitoring in cancer patients receiving chemotherapy involving ECG recording scheme (5 times/day, 1020 min) with ECG telemetry is an effective and unexpensive method for detecting ECG changes in the phenomenon of cardiotoxicity.
format	article
author	Nadezhda P. Lyamina Irena V. Pogonchenkova Svetlana V. Lyamina
author_facet	Nadezhda P. Lyamina Irena V. Pogonchenkova Svetlana V. Lyamina
author_sort	Nadezhda P. Lyamina
title	Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
title_short	Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
title_full	Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
title_fullStr	Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
title_full_unstemmed	Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
title_sort	telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients
publisher	Concilium Medicum
publishDate	2020
url	https://doaj.org/article/2a172c3a3f504f92bcf531a9894ad7db
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Telemetric electrocardiography in diagnostics of cardiotoxic heart rhythm disorders and conductivity in oncologic patients

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