Cardiovascular Diseases Clinical Trial
Official title:
An Evaluation of the Safety and Clinical Utility of Handheld ECG Technology in Psychiatry
Acetylcholinesterase inhibitors and antipsychotics are drugs commonly prescribed in
psychiatry, the former for dementia and the latter for acute and chronic psychotic illness.
Both can cause cardiac arrhythmia therefore 12 lead ECG's are recommended before prescribing.
The test is often difficult to obtain however, leading to either patients being
inconvenienced or drugs prescribed without the test. There are two parts of this study, but
both examine the utility of single lead ecg monitoring, one in the memory clinic and the
other in inpatient psychiatry wards. The aim to to evaluate the safety and efficacy of the
handheld ecg versus the 12 lead and 6 lead ecg, and whether the handheld ecg can be used to
screen for ecg abnormalities that would generally lead to a caution or contra-indication for
acetylcholinesterase inhibitors and anti-psychotic medication.
Patients will either be recruited from the outpatient memory clinic or in patient psychiatry
wards. Following informed consent baseline demographic data will be collected, and patients
will undergo a 12 lead and 6 lead ECG as well as a rhythm strip using the handheld device.
Data from this point will be annonymised for future analysis. The psychiatrists ECG report
will also be recorded, and a subset of patients will undergo an echocardiogram (to see what
proportion of patients with psychiatric disorders have structural heart disease.)
n/a
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