Why the study?
Reaching a diagnosis for palpitations is challenging due to transient symptoms, but recent technical advances in electrocardiographic monitoring solve several limitations of 24-h Holter monitors.
This review provides an update on available electrocardiographic monitoring methods for patients with palpitations, highlighting their indications and limitations to aid in appropriate selection.
May inform ECG device selection for palpitations; leaves open comparative effectiveness trials.
Palpitations are one of the most common reasons for medical consultation. They tend to worry patients and can affect their quality of life. They are often a symptom associated with cardiac rhythm disorders, although there are other etiologies. For diagnosis, it is essential to be able to reliably correlate the symptoms with an electrocardiographic record allowing the identification or ruling out of a possible rhythm disorder. However, reaching a diagnosis is not always simple, given that they tend to be transitory symptoms and the patient is frequently asymptomatic at the time of assessment. In recent years, electrocardiographic monitoring systems have incorporated many technical improvements that solve several of the 24-h Holter monitor limitations. The objective of this review is to provide an update on the different monitoring methods currently available, remarking their indications and limitations, to help healthcare professionals to appropriately select and use them in the work-up of patients with palpitations.
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Francisco‐Pascual et al. (2021) studied this question.
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