The choice between invasive and noninvasive evaluation of arrhythmias must be highly individualized based on potential therapies, with invasive techniques considered experimental for less serious disturbances.
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Supports individualized arrhythmia evaluation; leaves open optimal thresholds for invasive testing pending prospective data.
The choice between noninvasive techniques and invasive electrophysiologic testing must be highly individualized, particularly in patients with serious ventricular arrhythmias. The decision may well hinge on which pharmacologic or nonpharmacologic therapies are being considered. Invasive techniques in less serious rhythm disturbances should still be considered experimental.
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Rinkenberger et al. (1988) studied this question.
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