Why the study?
What is the incidence of arrhythmias detected by continuous cardiac monitoring in patients with acute myocardial infarction?
What is the incidence of arrhythmias detected by continuous cardiac monitoring in patients with acute myocardial infarction?
Continuous cardiac monitoring reveals a very high incidence (94%) of arrhythmias in acute myocardial infarction patients, suggesting its utility in guiding therapy.
Answers are grounded in this paper and cite their sources.
High arrhythmia detection in this case report; leaves open true incidence in AMI and requires prospective confirmation before guiding practice.
Sixteen patients with acute myocardial infarction were studied with continuous cardiac monitoring for 1 to 3 weeks. Patients were excluded from the study if arrhythmias were present on admission or if arrhythmias might have occurred as a result of treatment. The results indicate that cardiac arrhythmias occur with a much higher frequency (94 per cent) than previously reported. They may occur many days after the infarction. They occur in asymptomatic patients and may go undetected by conventional observation. Continuous cardiac monitoring has immediate practicality in the management of these patients, and might, if used as a guide to therapy, [see table in the PDF file] reduce the mortality from acute myocardial infarction.
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Kurland et al. (1965) studied this question.
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