PROSPECTS OF HOLTER MONITORING IN THE DIAGNOSIS OF HEART AND VASCULAR DISEASES (literature review)

Aim of research: to review publications on the topical issue. Materials. The publications containing topical information about the method of Holter monitoring, its diagnostic and predictive prospects, fields of application. Discussion. The article provides assessment of modern diagnostic and predictive potential of Holter monitoring, such as the analysis of heart rate variability and heart rate turbulence, T wave alternans, late ventricular potentials. Conclusion. New methods of recording, registration, analysis and new algorithms of diagnosing of an electrocardiogram curve, as well as huge technical progress made it possible to expand the diagnostic methods of dynamic monitoring. Taking arrhythmia diagnosis as a base, we diagnosed myocardium ischemia analyzing the changes of ST segment, and later vegetative imbalance by means of RR interval variability or heart rhythm turbulence. New technological potential bring considerable expansion of the clinical application of Holter monitoring. The electrocardiographic parameters assessed by this method play the role of an independent predictor for mortality and severity extent of chronic heart insufficiency and sudden death. Along with cardiology, indications for out-patient monitoring of an electrocardiogram are also used for metabolic, neurological diseases and even sports medicine