Evaluation of ambulatory electrocardiographic monitoring of patients after high-risk acute coronary syndrome: the MONITOR ACS-Epic 13 randomized trial

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Randomized trial shows ambulatory ECG monitoring increases detection of arrhythmias in ACS patients, suggesting early intervention benefits.

Monitoring after acute coronary syndrome significantly improved detection rates of ECG findings, enhancing patient care.
The intervention group had a detection rate of 21.3% for relevant ECG findings compared to only 2.7% in the control group.
This randomized controlled trial assessed 150 high-risk patients over 12 months following acute coronary syndrome for arrhythmias.
While monitoring improved detection, it did not decrease major adverse cardiac events within one year, indicating further study needed.

Hernández et al. (2025) studied this question.

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Randomized trial shows ambulatory ECG monitoring increases detection of arrhythmias in ACS patients, suggesting early intervention benefits.