Key result
24-hour Holter detects significant arrhythmias in ~45% of patients with palpitations, strongly linked to age.
Why the study?
Palpitations frequently present without symptoms or resting ECG abnormalities at evaluation, making Holter ECG valuable to assess underlying cardiac causes.
What is the prevalence of arrhythmias and conduction abnormalities detected by 24-h Holter ECG in patients presenting with palpitations?
Cross-Sectional (n=495)
No
What is the prevalence of arrhythmias and conduction abnormalities detected by 24-h Holter ECG in patients presenting with palpitations?
Odds Ratio: 11.022 (95% CI 1.008–1.036)
p-value: p=0.002
Nearly half of patients presenting with palpitations at a Ghanaian cardiac center had significant arrhythmias detected on 24-hour Holter ECG, highlighting its diagnostic value.
No takes yet. Share an insight, caveat, or question.
May support age-stratified arrhythmia risk on Holter in palpitations; leaves open prospective validation before guiding practice.
Amponsah et al. (2026) conducted a cross-sectional in Palpitations (n=495). 24-h Holter ECG monitoring was evaluated on Significant arrhythmia (aOR 11.022, 95% CI 1.008-1.036, p=0.002). 24-hour Holter ECG monitoring detected significant arrhythmias in 45.1% of patients presenting with palpitations, with advancing age significantly increasing this likelihood (aOR 11.022, p=0.002).
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