Ambulatory (Holter) Electrocardiography Technology

Kennedy, Harold L.

doi:10.1016/s0733-8651(18)30218-2

Cited by 23 publications

(10 citation statements)

References 76 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…All Holter recordings were performed in the patient's home environment except for 2 of the small dogs. The breeds represented by more than 2 dogs were Boxers (10), Miniature Schnauzers (6), and Labrador Retrievers (4). Seven were intact female dogs, 17 were spayed female dogs, 12 were intact male dogs, and 8 were castrated male dogs.…”

Section: Study Populationmentioning

confidence: 99%

“…Ambulatory (Holter) electrocardiography (AECG) was developed in order to ocvercome some of the limitations of the short time period covered by a standard ECG. Holter monitors were first introduced in the 1960s in human medicine, 6 and their application to veterinary practice has recently been described in dogs, [7][8][9][10][11][12][13][14][15][16] cats, 17,18 and other animal species. 19,20 The role of AECG in the diagnostic approach to syncope has been evaluated in human patients but not in veterinary medicine.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Retrospective Analysis of the Clinical Utility of Ambulatory Electrocardiographic (Holter) Recordings in Syncopal Dogs: 44 Cases (1991–1995)

et al. 1999

View full text Add to dashboard Cite

The objective of this study was to evaluate retrospectively the clinical utility of ambulatory (Holter) electrocardiographic monitoring in syncopal dogs and to compare the Holter recording with the clinic electrocardiogram (ECG) in these animals. Fifty Holter reports and 44 medical records from 44 dogs were evaluated. A syncopcal episode occurred during monitoring in 24% of the recordings. No obvious relationship was found between the frequency of syncope occurring before Holter recording and the likelihood of a dog having an episode during recording. Holter recordings were helpful in establishing a diagnosis 42% of the time, but no relationship was detected between the frequency of episodes occurring before Holter recording and the likelihood of a diagnostically useful Holter. An arrhythmia was ruled out as the cause of syncope in 12% of the recordings and was implicated as the cause of syncope in 30% of recordings. Of these, 20% were ventricular tachyarrhythmias and 10% were bradyarrhythmias including pacemaker failure. Ambulatory electrocardiographic recordings led to a therapeutic change in 38% of cases. A comparison of the Holter recordings and clinic ECGs documented the expected increased sensitivity for Holter detection of arrhythmias. The average clinic ECG heart rate consistently exceeded the average Holter heart rate with a mean difference between the average heart rates recorded by the two techniques of 31 bpm (range -8-87 bpm).

show abstract

Section: Study Populationmentioning

confidence: 99%

mentioning

confidence: 99%

Retrospective Analysis of the Clinical Utility of Ambulatory Electrocardiographic (Holter) Recordings in Syncopal Dogs: 44 Cases (1991–1995)

et al. 1999

View full text Add to dashboard Cite

show abstract

“…During this constant competetive evolution taking place in the marketplace, 16,17 the conversion of the analog signal to digital format was a major turning point that opened new medical parameter horizons in the 1980s and began to change the entire business of Holter technology. One of the earliest applications of the digital technology was Del Mar Avionics pacemaker Holter recorder which provided one channel of only the amplified pacemaker stimulus with one or two separate channels of electrocardiographic data to assist in the electrocardiographic interpretation of pacemaker rhythm 17 . This latter innovation suffered the criticism that the atrial stimulus could not be easily differentiated from the ventricular stimulus in some instances of dual‐chamber pacing.…”

Section: The Technology and Innovatorsmentioning

confidence: 99%

“…This latter innovation suffered the criticism that the atrial stimulus could not be easily differentiated from the ventricular stimulus in some instances of dual‐chamber pacing. This was improved by ELA (France) whose circuitry was designed to detect the differences in pacing stimulus width of its own manufactured pacemakers, allowing accurate differentiation between atrial and ventricular stimuli 17 . This application of Holter recording technology to pacemakers was, however, stymied by the reintroduction of biotelemetry, as increasingly sophisticated pacemakers and subsequently, implantable cardioverter devices emerged in the marketplace during the 1990s which contained internal biotelemetry of endocardial electrograms with added storage capability.…”

Section: The Technology and Innovatorsmentioning

confidence: 99%

“…Accompanying these developments of technology, per se, was the evolution of new electrocardiographic parameters 17 . Whereas in the 1960s–1970s, technology focused on ectopic beat detection, early interpretive algorithms and visual interpretive methods; the 1980s aided by the introduction and development of computer technology saw a focus on refinement of ectopic beat detection algorithms, ST segment detection, and quantitative databases.…”

Section: The Technology and Innovatorsmentioning

confidence: 99%

See 1 more Smart Citation

The History, Science, and Innovation of Holter Technology

Kennedy¹

2006

Noninvasive Electrocardiol

Self Cite

View full text Add to dashboard Cite

Holter technology has endured for more than 40 years, and proven to be a valuable adjunctive noninvasive diagnostic technology to record the ambulatory or long-term electrocardiogram in the study of living creatures. During this span of time, many scientists, physicians, and innovators contributed to the development and evolution of Holter technology. This essay seeks to document a view of the history and evolution of the technology during that time, and concomitantly give recognition to the scientists, physicians, and engineers who contributed so greatly.

show abstract

Arrhythmia Analysis, Automated

Schuckers

2006

Encyclopedia of Medical Devices and Instrumentation

View full text Add to dashboard Cite

Arrhythmias are an abnormal electrical activation of the heart, which in some cases can be immediately life threatening. Automated arrhythmia analysis is the detection of arrhythmias through the use of a computer. Examples of medical devices that use automated arrhythmia detection include implantable defibrillators, public access automated external defibrillators, atrial defibrillators, and more. These devices provide treatment for arrhythmias without human oversight. The primary focus of this article is automated arrhythmia detection algorithms developed for the implantable cardioverter defibrillator (ICD). An implantable cardioverter defibrillator is a device that provides an electrical shock to ventricular fibrillation and tachycardia to terminate it and restart normal sinus rhythm (NSR). Other medical devices that use automated arrhythmia analysis will also be described briefly.

show abstract

Ambulatory (Holter) Electrocardiography Technology

Cited by 23 publications

References 76 publications

Retrospective Analysis of the Clinical Utility of Ambulatory Electrocardiographic (Holter) Recordings in Syncopal Dogs: 44 Cases (1991–1995)

Retrospective Analysis of the Clinical Utility of Ambulatory Electrocardiographic (Holter) Recordings in Syncopal Dogs: 44 Cases (1991–1995)

The History, Science, and Innovation of Holter Technology

Arrhythmia Analysis, Automated

Contact Info

Product

Resources

About