What is the clinical evidence from this study?

Study design: Review. Population: Cardiac Arrhythmias. Intervention: Ambulatory Electrocardiography.

What question did this study set out to answer?

To review the historical evolution and clinical utility of ambulatory electrocardiographic monitoring in diagnosing and managing cardiac arrhythmias.

February 12, 1976New England Journal of Medicine

Ambulatory Electrocardiography for Diagnosis and Treatment of Cardiac Arrhythmias

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Key result

Ambulatory electrocardiography permits the recording and analysis of arrhythmias in ambulatory cardiac patients, expanding upon knowledge gained from routine ECGs and intensive-care monitoring.

Population

Ambulatory cardiac patients

Design

Review

Authors

DHDonald C. HarrisonElectrophysiology JFJohn W. FitzgeraldGeorgetown University RWRoger A. WinkleElectrophysiology

Discussion

Member takes

Implication

May aid outpatient arrhythmia detection; leaves open optimal protocols and clinical impact in contemporary settings.

Key Points

To review the historical evolution and clinical utility of ambulatory electrocardiographic monitoring in diagnosing and managing cardiac arrhythmias.
Evaluation of historical diagnostic techniques, including routine standard electrocardiograms and rhythm strips.
Review of technological developments enabling continuous rhythm monitoring in intensive care units and ambulatory outpatient settings.
Demonstrates that routine electrocardiograms frequently miss transient or intermittent arrhythmias unless symptoms are severe and sustained.
Shows that ambulatory electrocardiographic recording enables prolonged continuous analysis during daily activities, significantly improving arrhythmia detection and therapeutic decision-making.

Structured PICO

Population

Ambulatory cardiac patients

Intervention

Ambulatory electrocardiography

Outcome

Diagnosis and treatment of cardiac arrhythmias

Advances in technology permit recording and analysis of arrhythmias occurring in ambulatory cardiac patients.

Cite This Study

Harrison et al. (1976) conducted a review in Cardiac Arrhythmias. Ambulatory Electrocardiography was evaluated. Ambulatory electrocardiography permits the recording and analysis of arrhythmias in ambulatory cardiac patients, expanding upon knowledge gained from routine ECGs and intensive-care monitoring.

synapsesocial.com/papers/6a0efeb7a14f152feafa205e https://doi.org/10.1056/nejm197602122940706

Topics

Mitral valve intervention Hypertrophic cardiomyopathy

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Ambulatory Electrocardiography for Diagnosis and Treatment of Cardiac Arrhythmias

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Ambulatory Electrocardiography for Diagnosis and Treatment of Cardiac Arrhythmias

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider