Allied Professionals (Non-physician submissions only) -> Clinical Research D-PO03 - Poster Session III (ID 48) Poster

D-PO03-038 - P-wavecentric Ambulatory ECG Monitoring In Infants And Young Children (ID 284)

 A. Romme: Nothing relevant to disclose.


Background: P-wave centric ambulatory ECG monitoring has emerged as an important tool aiding the diagnosis of SVT in children. However, its efficacy in young infants is not established.
Objective: To evaluate tracings quality in children less than 10 kilograms who have been prescribed the Carnation Ambulatory Monitor (CAM) patch.
Methods: Observational retrospective study.
Results: A total of 12 patients, aged 0-15 months were included in the study. 25% of patients had known congenital heart disease. Indications for monitoring included: tachyarrhythmia (50%), bradycardia (33%), and ectopic rhythm (17%). All CAM reports showed clear, identifiable P waves which assisted in the diagnosis of arrhythmias, and change in medical management in 17% of the patients such as the differentiation between AT with aberrancy and NSVT (Figure 1,2). When comparing the P wave between a 12-lead ECG and the CAM patch, 79% of patients had the same or similar P wave morphology. The CAM patch was well tolerated by all patients.
Conclusion: A P-wave centric Holter monitor provides accurate diagnostic tracings even in small children.