The multi-centre, randomised controlled IPED trial showed use of AliveCor/Kardia increased the number of diagnostic ECGs captured during symptoms five-fold, the number of captured cardiac dysrhythmias eleven-fold, and reduced mean time to symptomatic rhythm detection to 9.5 days (SD 16.1) compared to standard care (42.9 days; SD 16.0; p<0.0001. These findings resulted in the establishment of a Smartphone Palpitation and pre-syncope Ambulatory Care Clinic at the Royal Infirmary Edinburgh (RIE) in 2019.

This IPED implementation study reports the first ever real-world clinical implementation of a smartphone-based event recorder in the ED for patients with palpitation. We have published previously the first three month’s experience of establishing the service.  The aim of this study is to review the first year of patients attending the Smartphone Palpitation and Pre-Syncope Ambulatory Care Clinic service, to determine the number of cardiac dysrhythmias diagnosed and the cost effectiveness of the service.

The Edinburgh Smartphone Palpitation and Pre-Syncope Ambulatory Care Clinic service SOP can be found by clicking the link below:

Palpitation Ambulatory care pathway v3 13 07 2020 FULL VERSION