Diagnostic accuracy of a single-lead portable ECG device for measuring QTc prolongation

Ann Noninvasive Electrocardiol. 2020 Jan;25(1):e12683. doi: 10.1111/anec.12683. Epub 2019 Jul 26.

Abstract

Background: To assess the diagnostic accuracy of a single-lead portable ECG device for measuring QTc-intervals in comparison with a standard 12-lead ECG.

Methods: Adult patients visiting the cardiology outpatient clinic for a 12-lead recording were also measured with a portable single-lead ECG recorder (HeartcheckTM). QTc-intervals were determined by two cardiologists. Perfect agreement was defined as a limit of ≤10 ms between the two measurement methods.

Results: Hundred one ECGs were recorded. QTc-interval mean differences between the two measurement methods was substantially outside our definition of perfect agreement (-31.9 [SD±41.3] ms).

Conclusion: In conclusion, the Heartcheck single-lead ECG device is not accurate for measuring QTc-intervals.

Keywords: QT-interval; QTc; cardiac monitoring; electrocardiography; portable device.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Electrocardiography, Ambulatory / methods*
  • Electrocardiography, Ambulatory / statistics & numerical data
  • Female
  • Humans
  • Long QT Syndrome / diagnosis*
  • Male
  • Middle Aged
  • Reproducibility of Results