rss
BMJ Case Reports 2017; doi:10.1136/bcr-2016-217197
  • Novel diagnostic procedure
  • CASE REPORT

Supraventricular tachycardia diagnosed by smartphone ECG

  1. Gregory Francisco2
  1. 1Department of Internal Medicine, Naval Medical Center San Diego, San Diego, California, USA
  2. 2Department of Cardiology, Naval Medical Center San Diego, San Diego, California, USA
  1. Correspondence to Dr Travis Edward Harrell, travis.harrell{at}gmail.com
  • Accepted 23 August 2017
  • Published 11 September 2017

Summary

Diagnosis of paroxysmal supraventricular tachycardia (PSVT) may be difficult due to its episodic nature, which can be brief and self-limited, limiting the ability for clinicians to diagnose the specific rhythm disorder in a timely manner. We present a case of PSVT, which was unable to be diagnosed through typical evaluation with an event monitor despite several years of symptoms. The patient was ultimately diagnosed using the AliveCor Mobile ECG, a smartphone-based ECG device and application, which he purchased himself and captured a typical atrioventricular node re-entrant tachycardia. The patient was then able to email his cardiologist the tracing, which led to an electrophysiology study and successful slow pathway ablation procedure. Smartphone-based technology has the potential to push diagnostic evaluations outside of the healthcare system and empower patients.

Footnotes

  • Contributors AT and TEH contributed equally to the creation of the manuscript, performed the literature search and identified and edited the images for publication. SR and GF each identified and managed the case, had the initial conception of the case report and edited the manuscript to prepare it publication.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article