Value of Ambulatory Electrocardiographic Monitoring in Syncope

Giada, Franco; Bartoletti, Angelo

doi:10.1016/j.ccl.2015.04.004

“…Besides, they might be used to detect the transient episodes of myocardial ischemic and cardiac arrhythmias and be strongly indicated for patients with neurological conditions when suspecting transient atrial flutter or fibrillation. 8 Studies also indicate that these devices can be furtherly used to detect near and total syncope events and the underlying cause and predict the association between abnormal heart rhythms and palpitations. Therefore, the main determinant of using the 12 lead or two to three Holter electrocardiography (ECG) monitoring devices is based on the indications and the intended aims of installing Holter monitoring.…”

Section: Indications and Clinical Significancementioning

confidence: 99%

Indications, contraindications, and clinical significance of Holter monitoring device

Abdullah

¹

,

Zarei

²

,

Althaidy

³

et al. 2022

Int J Community Med Public Health

0

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Holter electrocardiogram monitoring devices are mainly indicated to assess the 24-hour heart rate and rhythm, enabling clinicians and physicians to evaluate the underlying disorders, possibly arrhythmias. The clinical significance of these modalities was apparent in different clinical events, including cardiac and non-cardiac ones. Many applications and clinical advantages were reported since the device was first reported, which changed the way how healthcare settings deal with and monitor cardiac rhythm and associated abnormalities. Evidence shows that Holter monitoring devices are useful in the appropriate patient populace and are very efficacious in diagnosing and following cardiac arrhythmias and other different cardiac conditions, which can significantly enhance the prognosis and management of cardiovascular patients. In this context, it has been shown that primary healthcare physicians should always be aware that many patients might be present with asymptomatic cardiac arrhythmias. However, not many studies have adequately assessed them in the non-cardiac population, which calls for conducting more future investigations. In the present literature review study, we aim to discuss the indications, contraindications, and clinical significance of using the Holter monitoring device based on data from the relevant studies in the literature.

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“…In addition, these devices can also monitor the safety and efficacy of different non-pharmacological and pharmacological therapeutic approaches and detect the proarrhythmic responses among high-risk patients on antiarrhythmic medications. Besides, they might be used to detect the transient episodes of myocardial ischemic and cardiac arrhythmias and be strongly indicated for patients with neurological conditions when suspecting transient atrial flutter or fibrillation [8]. Studies also indicate that these devices can be furtherly used to detect near and total syncope events and the underlying cause and predict the association between abnormal heart rhythms and palpitations.…”

Section: Indications and Clinical Significancementioning

confidence: 99%

Indications, Contraindications, and Clinical Significance of Holter Monitoring Device

Abdullah

¹

,

Zarei

²

,

Althaidy

³

et al. 2021

JPRI

View full text Add to dashboard Cite

Holter electrocardiogram monitoring devices are mainly indicated to assess the 24-hour heart rate and rhythm, enabling clinicians and physicians to evaluate the underlying disorders, possibly arrhythmias. The clinical significance of these modalities was apparent in different clinical events, including cardiac and non-cardiac ones. Many applications and clinical advantages were reported since the device was first reported, which changed the way how healthcare settings deal with and monitor cardiac rhythm and associated abnormalities. Evidence shows that Holter monitoring devices are useful in the appropriate patient populace and are very efficacious in diagnosing and following cardiac arrhythmias and other different cardiac conditions, which can significantly enhance the prognosis and management of cardiovascular patients. In this context, it has been shown that primary healthcare physicians should always be aware that many patients might be present with asymptomatic cardiac arrhythmias. However, not many studies have adequately assessed them in the non-cardiac population, which calls for conducting more future investigations. In the present literature review study, we aim to discuss the indications, contraindications, and clinical significance of using the Holter monitoring device based on data from the relevant studies in the literature.

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“…

Holter is indicated to establish link between palpitation and arrhythmia. 2 In a study by Kurt kroenke LTC et , it was found that palpitations accounted for 16% of symptoms that lead to visit general practitioner. 3

…”

mentioning

confidence: 99%

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Pandey,

Karki,

Pandey

et al. 2023

J Adv Intern Med

0

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BACKGROUND Palpitation is one of the most common indications for Holter study. 24- hour Holter monitoring helps to detect abnormal cardiac rhythm which can be managed earlier if picked up sooner. Spot ECG has less sensitivity to pick episodic abnormal rhythm so longer monitoring time is essential. Various treatment modalities can thus be planned for non-benign and relatively benign arrhythmias like VT and PSVT respectively. METHODS This was a single center prospective observational cross-sectional study conducted at BPKIHS, Dharan for three months between July 2023 to September 2023. The primary objective was to study abnormal cardiac electrical events in patients having palpation. There were 38 patients of palpitations that underwent 24-hour Holter study after fulfilling inclusion criteria. The data was recorded on an excel sheet and was analyzed using software SPSS 20. RESULTS There were 47.4% (18) males and 52.6% (20) females. The mean age was 49.61± 17.63 years. There were 36.8% (14) patients in age group <45 years while 42.1% (16) were in age group 45 to 65 years and 21.1% (8) were in the age group >65 years. The maximum and minimum Heart rate were 180 and 35 beats per minute respectively. There was abnormal Holter ECG in 57.9% (22) and 42.1% (16) had normal ECG. Most common arrhythmia was VPC 17(77.2%) in our study. The association between the age group and Normal vs Abnormal Holter ECG was statistically significant (P Value=0.023) (Table 8). DM was the most common co-morbid illness in 5(13.2%), one participant had DM and HTN along with Dyslipidemia and other findings were smoking (5.3%), dyslipidemia (5.3%). There was no association between comorbid conditions and normal vs abnormal ECG Holter rhythm (P Value = 0.448). CONCLUSION Out of 38 participants VPC was the most common (77.2%) arrhythmia. The association between Age group and Normal vs Abnormal Holter was statistically significant (P Value=0.023). Most of the arrhythmias were benign. Diabetes was the most common risk factor present while 50% of subjects had no co-morbid illness.

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Value of Ambulatory Electrocardiographic Monitoring in Syncope

Cited by 8 publications

References 39 publications

Indications, contraindications, and clinical significance of Holter monitoring device

Indications, contraindications, and clinical significance of Holter monitoring device

Indications, Contraindications, and Clinical Significance of Holter Monitoring Device

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

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