Department of Cardiology & Vascular Medicine, FM-UI/

National Cardiovascular Center Harapan Kita

Risk of Stroke in AF Patients
AF – normal ventricular response respons
(NVR)
AF with total AV block (TAVB)
Normal EKG?
PERKI Guideline 2014
Indonesian Registry on Atrial Fibrillation
(OneAF)
 Detection:
Heart Monitoring Options
OPTION

12-Lead 10 Seconds

2 Days
Holter Monitor

Patch & Event 7-30 Days

Recorders
(non-lead and loop)
Up to 3 y
ILR

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14

TIME (Months)

Brignole M, et al. Europace, 2004;6:467-537.

Europace (2012) 14,
1553–1559
Thromb Haemost 2013; 110: 213–222
Thromb Haemost 2013; 110: 213–222
Lancet Neurol 2015;14(4):377-87
 Lancet Neurol
2015;14(4):377-
87
Atrial high rate episodes (AHRE)
European Heart Journal (2014) 35,
508–516
N Engl J Med 2014;370:2478-86
Take Home Messages for AF Screening
ECGCardioPoint-Holter
•BTL HOLTER
BTL-08 HOLTER RECORDER

• Signal quality
• Signal quality is a keystone to Holter monitoring. Without a sufficient
signal quality, the diagnostic algorithms often fail and thus the holter sotware
produces a lot of diagnostic errors. This later leads to much more time that the
physician needs to spend with each Holter record analysis.

Example:
Such signal can’t be successfully
automatically analyzed by the
computer software, it may require
physician’s special attention.

BTL CardioPoint-Holter 33
BTL-08 HOLTER RECORDER

• Signal quality
• Due to its inner architecture, high-quality components and computer
processing, the BTL-08 Holter features a supreme signal quality even under
highly demanding conditions (e.g. rapid movements).
ECG signal at rest:

ECG signal at rapid movement (patient running quickly)

BTL CardioPoint-Holter 34
BTL-08 HOLTER RECORDER

• Number of channels
• The BTL-08 Holter is produced in three models allowing to record 3, 7 or
12 ECG channels.
5 leads, 3 channels 5 leads, 7 channels 10 leads, 12 channels

BTL CardioPoint-Holter 35