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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06250712
Other study ID # CR223024
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date February 22, 2024
Est. completion date December 31, 2025

Study information

Verified date April 2024
Source Wonju Severance Christian Hospital
Contact Young Jun Park, MD
Phone 82-33-741-0917
Email pyj@yonsei.ac.kr
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

HELP-A study is a single-center, randomized, controlled trial. A total of 588 patients enrolled during the 2 years of enrollment period and followed for 1 month of follow-up period. This study aims to compare diagnostic yield between continuous ECG Patch and intermittent handheld ECG in patients with arrhythmia symptoms.


Description:

HELP-A study is a single-center, randomized, controlled trial designed to compare diagnostic yield, arrhythmia detection rate, user convenience, and cost-effectiveness between continuous ECG Patch and intermittent handheld ECG in patients with arrhythmia symptoms. Patients who have symptoms of arrhythmia but are not diagnosed on a 12-lead ECG and require additional tests. A total of 588 patients enrolled during the 2 years of enrollment period and followed for 3 month of follow-up period. Patients will be assigned to continuous patch ECG or intermittent handheld ECG and will be examined for one month. If there is no diagnosis after a month, the patient will be crossed over to another device and examined for another month.


Recruitment information / eligibility

Status Recruiting
Enrollment 588
Est. completion date December 31, 2025
Est. primary completion date December 31, 2025
Accepts healthy volunteers No
Gender All
Age group 19 Years and older
Eligibility Inclusion Criteria: - Patients who have arrhythmia symptoms but are not diagnosed on a 12-lead electrocardiogram and require additional tests. - Patients who can use a smartphone Exclusion Criteria: - Patients who have cardiac implantable electronic devices(CIEDs) - Patients who can't use handheld ECG

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Continous ECG Patch
Using a continuous patch ECG for 1 week during 1 month
Intermittent handheld ECG
Using a handheld ECG twice daily and when symptoms are present during 1 month

Locations

Country Name City State
Korea, Republic of Wonju Severance Christian Hospital Wonju Gangwon-do

Sponsors (1)

Lead Sponsor Collaborator
Wonju Severance Christian Hospital

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (3)

Raviele A, Giada F, Bergfeldt L, Blanc JJ, Blomstrom-Lundqvist C, Mont L, Morgan JM, Raatikainen MJ, Steinbeck G, Viskin S, Kirchhof P, Braunschweig F, Borggrefe M, Hocini M, Della Bella P, Shah DC; European Heart Rhythm Association. Management of patients with palpitations: a position paper from the European Heart Rhythm Association. Europace. 2011 Jul;13(7):920-34. doi: 10.1093/europace/eur130. No abstract available. — View Citation

Schreiber D, Sattar A, Drigalla D, Higgins S. Ambulatory cardiac monitoring for discharged emergency department patients with possible cardiac arrhythmias. West J Emerg Med. 2014 Mar;15(2):194-8. doi: 10.5811/westjem.2013.11.18973. — View Citation

Turnbull S, Garikapati K, Bennett RG, Campbell TG, Kotake Y, Mahajan R, Marschner S, Byth K, Chow CK, Kumar S. Utility of a Handheld, Single-Lead ECG Device for Diagnosis of Cardiac Arrhythmias. J Am Coll Cardiol. 2023 Jun 13;81(23):2292-2294. doi: 10.1016/j.jacc.2023.03.428. No abstract available. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Diagnostic yield (Number of patient with triggered event without arrhythmia + Number of patients with clnically significant arrhytmia) / total patients 1 month
Secondary Arrhythmia detection rate Compare the arrhythmia diagnosis rate between the two devices. 3 month
Secondary Cost-effectiveness Compare Total medical cost incurred for arrhythmia symptoms between the two devices 3 month
Secondary Chagne of Quality of Life Compare Quality Of Life using Euro QOL-5D-5L between the two devices Baseline, 3 month
Secondary User convenience Comparison of User convenience using questionnaires in patients who used both devices (ease, portability, satisfaction, etc.) The questionnaire consists of 5 scales from 1 to 5 3 month
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