Why the study?
Is there a difference in the frequency of ventricular arrhythmias detected by 24-hour Holter monitoring among men with manifest IHD, risk indicators for IHD, and healthy controls?
Is there a difference in the frequency of ventricular arrhythmias detected by 24-hour Holter monitoring among men with manifest IHD, risk indicators for IHD, and healthy controls?
Long-term ECG monitoring detects a higher frequency of ventricular arrhythmias in men with clinical IHD and those with risk indicators compared to healthy men.
Arrhythmia frequency associated with IHD status on Holter; supports graded burden but leaves open prognostic value pending longitudinal data.
Three groups of men, 50 with manifest ischemic heart disease (IHD), 50 with risk indicators of IHD and 50 healthy men, were examined for ventricular arrhythmias with 24-hour Holter monitoring during normal work and home life. Ventricular arrhythmias were most frequent in the IHD, intermediate in the risk and least frequent in the control group. Multiform ventricular ectopic beats, but no other qualitative characteristic significantly discriminated the three groups. The following risk indicators were associated with ventricular arrhythmias: ageing, cardiac enlargement and smoking. The results suggest that long-term ECG monitoring may be of value for the detection of ventricular arrhythmias not only in men with clinical IHD, but also in those with merely risk indicators.
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Kristina Orth‐Gomér (1980) studied this question.
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