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R.Test Evolution 4

Automatic Arrythmia Detection System

Providing extended cardiac event detection with high-fidelity signal quality, reducing the chance of missing infrequent arrhythmias, including AF.

Image by Joshua Chehov

The combination of auto-triggered and patient-initiated events increases the likelihood of capturing meaningful ECG data, without the need to store and process vast amounts of full disclosure ECG.

The ease of use and comfort promotes better patient compliance, which is essential for an accurate diagnosis.

R.Test Evolution
Scientific Studies

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Risk-based screening for the evaluation of atrial fibrillation in general practice (R-BEAT): a randomized cross-over trial

Summary: Among older community-dwelling adults with a CHA2DS2-VASc score of greater than two, screening with ELR for one week was associated with a 5.5% incremental detection of new atrial fibrillation over usual care.

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Usefulness of Ambulatory 7-Day ECG Monitoring for the Detection of Atrial Fibrillation and Flutter After Acute Stroke and Transient Ischemic Attack

Summary: Following acute stroke or TIA, ELR identified patients with AF, which remained undetected with standard ECG and with Holter. ELR should, therefore, be considered in every patient in whom a cardioembolic mechanism is suspected.

How to measure arterial stiffness independently of blood pressure the QKD method_edited_ed

How to measure arterial stiffness independently of blood pressure: the QKD method...

Summary: Ambulatory monitoring of QKD provides indices of arterial stiffness independent of blood pressure level and 24-hour blood pressure. This method has the potential to refine risk assessment in patients with low traditional risk scores.

Arterial stiffness (from monitoring of Qkd interval) predict the occurrence of cardiovascu

Arterial stiffness (from monitoring of Qkd interval) predict the occurrence of cardiovascular events and total mortality

Summary: A study of 930 hypertensive patients over 12 years found arterial stiffness, measured by QKD interval, independently predicts cardiovascular events and all-cause deaths. This measurement is most predictive in low-risk patients.

Increased arterial stiffness is an independent predictor of atrial fibrillation in hyperte

Increased arterial stiffness is an independent predictor of atrial fibrillation in hypertensive patients

Summary: Arterial stiffness is a strong predictor of future atrial fibrillation in hypertensive patients, independently of age, 24-hour pulse pressure, and left atrial diameter. This finding was based on a cohort study of 853 patients with hypertension, with a mean follow-up of 102 months.

Determination of central blood pressure by a noninvasive method (brachial blood pressure a

Determination of central blood pressure by a noninvasive method (brachial blood pressure and QKD interval): a noninvasive validation

Summary: A measure of central systolic blood pressure (cSBP) based on the QKD interval was validated against the SphygmoCor device. The QKD-based cSBP estimation algorithm, defined in a first cohort, showed good agreement with SphygmoCor in a second cohort and demonstrated comparable blood pressure variations during head-up tilt in a third cohort.

"We are a secondary centre and use The R.Test Evolution 4 ECG monitor primarily to provide 72 hour AF screening for our Stroke / TIA patients.  In our experience it provides a trustworthy and effective method of detecting AF/ PAF.  

 

Recordings are excellent quality and the monitor is quick to fit as only 2 electrodes sites are required. We also benefit from short analysis times compared to standard Holter monitoring.

 

We intend to extend it's use shortly into 32 day cardiac event monitoring to provide our service with a medium term monitoring option between 7 day and implantable loop recorder length."

Michelle H, Chief Physiologist

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