Previously healthy male presented with syncopal episode while playing soccer.
Discharge chest X-ray
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A Zio Patch is seen projecting over the mid left hemithorax. The heart and central pulmonary vascularity are normal. Mild diffuse peribronchial thickening which may be due to reactive airway disease or viral process. The osseous structures are intact. The upper abdomen appears normal.
The Zio Patch is a small adhesive patch placed on the skin over the left chest. It is wireless and allows for 24 hour continuous cardiac monitoring. The use of this device is increasing as it offers a more comfortable alternative to the Holter monitor for patients. The ECG leads seen on this x-ray are from the patient's admission and not part of the Zio Patch.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center
- 1. Pradhan S, Robinson JA, Shivapour JK et-al. Ambulatory Arrhythmia Detection with ZIO® XT Patch in Pediatric Patients: A Comparison of Devices. (2019) Pediatric cardiology. 40 (5): 921-924. doi:10.1007/s00246-019-02089-0 - Pubmed
- 2. Yenikomshian M, Jarvis J, Patton C et-al. Cardiac arrhythmia detection outcomes among patients monitored with the Zio patch system: a systematic literature review. (2019) Current medical research and opinion. doi:10.1080/03007995.2019.1610370 - Pubmed
- 3. http://cardiacmonitoring.com/holter-monitoring/holter-monitoring-companies/irhythm-technologies/zio-patch/