Conclusions
tachy-, Arrhythmias, PPCM, arrhythmias, impaired LV systolic dysfunction
ARRHYTHMIAS, ARRHYTHMIAS, BRADYARRHYTHMIAS, EVENTS, ACUTE HEART FAILURE
In this study on extended electrocardiographic monitoring in patients with PPCM, we observed a high prevalence of arrhythmic events. Importantly, these arrhythmias included both tachy- and bradyarrhythmias. Arrhythmias occurred predominantly early after diagnosis and in patients with a severe acute heart failure. In this regard, ILR monitoring in addition to 24 h-Holter monitoring had a higher yield of VAs as compared to 24 h-Holter monitoring alone. We could show that extended electrocardiographic monitoring had a direct influence on clinical decision making and outcome. In settings where WCDs are not readily available, ILR monitoring should be considered in patients with severely impaired LV systolic dysfunction, especially after uneventful 24 h-Holter monitoring.