EZYPRO® CLINICAL APPLICATIONS
Advance Arrhythmia Diagnosis
Stroke Prevention
Post Heart Surgery Monitoring
Health Check-up
Innovative tool for Cardiologists to enhance diagnosis rate of arrhythmia by increasing ECG monitoring from 24 hours to 14 days
Identifies atrial fibrillation- the preventable cause of cryptogenic stroke or TIA. Early detection of Afib enables patients to receive personalized care that reduces Afib-related adverse outcome
EZYPRO® Effectively monitors post-heart surgery and post-catheter ablation outcomes for up to 14 days
EZYPRO® Facilitates early diagnosis of paroxysmal and silent arrhythmia to prevent the development of severe and costly cardiovascular complications
ADVANCE ARRHYTHMIA DIAGNOSIS
EZYPRO® LONG-TERM CONTINUOUS ECG MONITORING CAN ACCURATELY DETECT ARRHYTHMIA SYMPTOMS SUCH AS ASYMPTOMATIC AND PAROXYSMAL ATRIAL FIBRILLATION
60
%
of atrial fibrillation is paroxysmal, which can only be detected by long-term monitoring(2)
30
%
More than
of atrial fibrillation is asymptomatic(1)
Arrhythmia
Arrhythmia refers to all kinds of symptoms that are caused by abnormalities in the cardiac electrical conduction system. It includes irregular heartbeat, rapid heartbeat, as well as slow heartbeat. Severe arrhythmia will cause dizziness, syncope, and even cardiac arrest and sudden death. Research shows that half of the deaths from cardiovascular diseases are caused by sudden cardiac arrest from arrhythmia. While arrhythmia is often overlooked, the related diseases produce a massive economic burden. In most cases, arrhythmia can be controlled or treated through accurate diagnosis, pharmacotherapy, defibrillator implant, catheter ablation, and other surgeries.
Atrial Fibrillation
Atrial fibrillation is the most common type of arrhythmia. Compared to non-patients, atrial fibrillation patients have a much higher rate of death, heart failure, and stroke. Atrial fibrillation has a prevalence rate of 0.5% – 2%. There are approximately 100 million atrial fibrillation patients around the world, with about 10 million patients in China, 5.1 million patients in the U.S., and 4.5 million patients in Europe. However, due to an insufficient diagnosis rate, this is still only the tip of the iceberg. Since the occurrence of atrial fibrillation increases with age, population aging is expected to drastically increase the global number of atrial fibrillation patients by at least 2.5 times by year 2050. Most atrial fibrillations are paroxysmal and even asymptomatic, which result in the currently serious insufficient diagnosis rate.
Sources:
(1) : J Interv Card Electrophysiol. 2000 Jun;4(2):369-82.;
(2) : Stroke research and treatment. 2013 Mar: 849265 (5 pages)
STROKE PREVENTION
EZYPRO® LONG-TERM CONTINUOUS ECG MONITORING DETECTS ATRIAL FIBRILLATION. IT ASSISTS DOCTORS TO DIAGNOSE AND DEVISE TREATMENT OPTIONS
15
Million
Every year, about 15 million people around the world experience a stroke and 10% of them will suffer a recurrent stroke within one year(3)
30
%
More Than
of the patients with an atrial fibrillation-induced stroke experience a prognosis of disability, severe disability, and death(5)
of ischemic stroke is caused by atrial fibrillation(4)
50
%
Atrial Fibrillation-Induced Ischemic Stroke
Atrial fibrillation patients are prone to thrombosis because the blood cannot be effectively moved out by atrial contraction, and a thrombus may flow out with the blood. A thrombus may cause a cerebral stroke if it enters cerebral blood vessels. The probability of stroke in atrial fibrillation patients is 5 times higher than average people, and the prognosis is often poor with a high recurrence rate. Atrial fibrillation-induced stroke can be prevented in advance through appropriate medications or surgeries.
Sources:
(3) : Neurol Clin. 2008 Jul (26): 871-895;
(4) : N Engl J Med 2014; 370:2478-2486;
(5):J Formos Med Assoc. 2016 Nov;115(11):893-952;
POST HEART SURGERY MONITORING
EZYPRO® LONG-TERM CONTINUOUS ECG MONITORING ASSISTS DOCTORS IN EXAMINING POST-OPERATIVE CONDITIONS AFTER ANY CARDIAC SURGERY
30
% -
of post-cardiac surgery patients will experience arrhythmia* (6)
30
The 5-year recurrence rate for catheter ablation is 30% – 40%(7)
40
%
10
%
Arrhythmia will recur in 10% of post-cardiac surgery patients during the recovery period(6)
% -
40
%
Cardiac Surgery
After cardiac surgery, surgical damage may cause arrhythmia during the recovery period. The most common observations include atrial premature contraction and atrial fibrillation. Most patients will recover within one week after surgery, but a few patients will experience recurrence after being discharged and this increases the risk of stroke. Through long-term heart rhythm follow-up and diagnosis, the status of post-operative recovery can be evaluated, and proper treatments can be given.
Catheter Ablation
Catheter ablation is one of the methods for treating arrhythmia. After confirming the mechanism of arrhythmia by a cardiac electrophysiological study, electric current can be applied to the lesion through electrode catheters for ablation. The success rate of catheter ablation in Taiwan is as high as 97%, which is unparalleled in the world. However, clinical research around the world has shown a 5-year recurrence rate of as high as 30-40% despite a successful catheter ablation. Regular follow-ups still need to be done. In the event of a recurrence, the doctor will need to devise treatment options and proceed with control by medication or another catheter ablation.
Sources:
(6) : N Engl J Med 2014; 370:2478-2486;
(7) : J Cardiovasc Med (Hagerstown). 2011 Jun;12(6):390-5;
(8):Circ Arrhythm Electrophysiol. 2014 Apr;7(2):267-73
*: The incidence rate of arrhythmia after cardiac surgery: 37%-50% in valvular surgery; 11%-24% in cardiac transplantation; 15%-40% in CABG (coronary artery bypass graft)
HEALTH CHECK-UP
EZYPRO® LONG-TERM CONTINUOUS ECG MONITORING DETECTS ARRHYTHMIA. IT FACILITATES EARLY DIAGNOSIS OF PAROXYSMAL AND SILENT ARRHYTHMIA TO PREVENT THE DEVELOPMENT OF SEVERE AND COSTLY CARDIOVASCULAR COMPLICATIONS
Examinations related to heart rhythm are relatively more deprived in adult health checkups. Yet, the complications from arrhythmia are often more serious and dangerous. Possible symptoms for arrhythmia include: fatigue, palpitation, chest tightness, dizziness, and syncope.
According to the American Heart Association, possible complications from arrhythmia include:
1. Stroke
2. Heart failure
3. Cardiac arrest and even death
Currently, the most important method in diagnosing arrhythmia is ECG. By using the ECG to determine the type of arrhythmia and apply appropriate treatments, it is possible to prevent the occurrence of subsequent high-risk diseases.
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