Mobile Cardiac Outpatient Telemetry

Cardiotesting offers patients a wireless electrocardiogram (ECG) arrhythmia detection known as Mobile Cardiac Outpatient Telemetry (MCOT). MCOT is a diagnostic device that provides real-time, beat-to-beat analysis and auto-detection/auto-transmission of ECG data.

CardioNet, the company that supplies the device, monitors patients 24 hours a day, seven days a week, for up to 21 days per prescription and uses a sophisticated algorithm. It recognizes clinically significant arrhythmias and automatically transmits ECG data via wireless cellular technology to the CardioNet Monitoring Center. CardioNet reporting provides the following benefits:

  • Real-time analysis – Algorithm looks at rate, rhythm and QRS morphology.
  • Atrial fibrillation (AF) burden graph – This graph demonstrates the frequency and duration of AF for 24 hours. This is especially helpful for patients monitored post AF ablation and for AF rate/rhythm control.
  • 24-hour heart rate trend graph – This graph shows the maximum, minimum and average heart rate in 10-minute intervals for 24 hours. This is helpful for monitoring patient compliance and remote monitoring of pharmacotherapy rate control and drug titration.
  • Auto-detect/auto-transmit – This graph demonstrates superior diagnostic yield regardless of patient intervention. Downloading is no longer needed on home telephones; rather, patients can record symptom events via the touch-screen interface.

Note: MCOT will not give a total count of premature ventricular ectopic beats. Some insurance companies may not reimburse for the MCOT monitor, so the order will default to the 30-day event monitor system that the Cardiotesting department currently provides (and Medicare covers).

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