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CompletedNCT06977789Updated May 18, 2025

Comparison of Holter vs S-Patch for Arrhythmia Detection in Older Falls Patient

An interventional study of S Patch3-Cardio/S-Patch Ex and Holter in Bradyarrhythmia and Arrythmia, sponsored by Changi General Hospital. Completed at 1 site in Singapore. Open to participants aged 60 Years to 120 Years. Per ClinicalTrials.gov, last updated 2025-05-18.

Sponsored by Changi General Hospital · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 4 years 9 months after the study started (first participant enrolled Jul 2020, registered Apr 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
73
Allocation
Randomized
Ages
60 Years to 120 Years
Sex
All
01

Study summary

The aim of this study is to compare Holter versus S patch in a group of elderly patients who are referred to the Geriatrics service in Changi General Hospital for falls from Accident and Emergency department, clinic and wards.

The investigator hope to assess the feasibility, adherence and patient acceptability as an alternative to Holter monitoring. The investigator also hope to learn if S-Patch EX monitoring system can be as effective or equivalent to Holter in the monitoring of arrhythmias and the possibility of deploying it for longer term monitoring of arrhythmias.

Participants who consented to be in this study will be offered S patch and Holter consecutively. Holter will be worn for 24 hours and S patch will be worn for 72 hours. The order which Holter or S patch will be worn first will be determined via randomisation.

02

Conditions studied

  • Bradyarrhythmia
  • Arrythmia
03

In context

Arrhythmias, Cardiac

885 studies on the registry are indexed under Arrhythmias, Cardiac; 235 are open to participants now.

This study's enrollment of 73 is below the median of 99 across 429 interventional studies indexed under Arrhythmias, Cardiac.

Browse Arrhythmias, Cardiac studies →

Lead sponsor

Changi General Hospital is the lead sponsor of 98 studies on the registry; 18 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Aged 60 to 120 year old inclusive
  2. Refer for Holter testing as part of clinical care
  3. Participants with symptoms suspected to be due to bradyarrhythmia. This could include, but not limited to unwitnessed fall, syncope, near syncope.

Exclusion criteria

Exclusion Criteria:

  1. Participants who are already known to have significant bradyarrhythmia who would benefit from a permanent pacemaker.
  2. Patients unable to tolerate Holter monitoring.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
73 participants (actual)

Study arms

  • Active comparator
    Group A (Holter for 24 hour follow by S Patch3-Cardio/S-Patch Ex for 72 hours)

    Holter for 24 hour follow by S Patch3-Cardio/S-Patch Ex for 72 hours

    Device: S Patch3-Cardio/S-Patch Ex · Device: Holter

  • Active comparator
    Group B (S Patch3-Cardio/S-Patch Ex for 72 hours follow by Holter for 24hour).

    S Patch3-Cardio/S-Patch Ex for 72 hours follow by Holter for 24hour

    Device: S Patch3-Cardio/S-Patch Ex · Device: Holter

Interventions

  • DeviceS Patch3-Cardio/S-Patch Ex

    S Patch3-Cardio/S-Patch Ex for 72 hours

  • DeviceHolter

    Holter for 24 hours

06

What researchers measure

Primary outcomes

  1. Participant's Compliance

    An events diary and questionnaire to evaluate their preference between Holter and the S-Patch recorder. The hours of recording from both devices will also be captured in both devices report.

    Time frame: From date of randomization until the day participant completed both device monitoring, assessed up to 4 days.

Secondary outcomes

  1. Device sensitivity and specificity

    Assess sensitivity and specificity of S Patch3-Cardio/S-Patch Ex compared to Holter to diagnose the bradyarrhythmia/arrhythmia. The sensitivity and specificity will be analyzed from the device report. Outcome comparison between the two treatment arms using McNemars test.

    Time frame: 72 hours for S Patch3-Cardio/S-Patch Ex and 24hours for Holter

  2. Durability of the device

    Durability of the device in longer term monitoring and in real world situation. The hours of monitoring from S Patch3-Cardio/S-Patch Ex is compare with hours of monitoring from Holter to see if 72 hours of monitoring will have a better outcome compare to only 24hrs of recording. The duration of recording are taken from the device monitoring reports.

    Time frame: 72 hours for S Patch3-Cardio/S-Patch Ex and 24hours for Holter

07

Study locations

1 site
  • Changi General Hospital
    Singapore, 529889, Singapore
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06977789
Lead sponsor
Changi General Hospital
Collaborators
Samsung SDS Asia Pacific Pte Ltd
Responsible party
Colin Yeo (Senior Consultant, Changi General Hospital) — Principal investigator
First posted
May 18, 2025
Start date
Jul 3, 2020
Primary completion
Jul 31, 2023
Completion
Dec 25, 2023
Last update
May 18, 2025

Study contacts

Yeo Colin
principal investigator · Changi General Hospital

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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