Key result
Holter monitoring detected significant findings, such as dangerous ventricular ectopic beats and tachyarrhythmias, in 67.7% (21 of 31) of patients with palpitations or syncope.
Why the study?
Does Holter monitoring improve the detection of significant arrhythmias or ischaemic changes compared to routine electrocardiograms in patients with palpitations and/or syncope?
Observational (n=31)
Does Holter monitoring improve the detection of significant arrhythmias or ischaemic changes compared to routine electrocardiograms in patients with palpitations and/or syncope?
Holter monitoring is highly effective in detecting clinically significant arrhythmias and ischaemic changes missed by routine ECG in symptomatic patients.
May support Holter monitoring for arrhythmia detection in symptomatic patients; leaves open confirmation versus routine ECG in controlled studies.
Thirty-one patients who presented with the symptoms of palpitations and/or syncope were personally studied by the Holter monitor electrocardiogram method. The method is briefly described. Interesting results were obtained, which are illustrated by five case histories. Of these 31 cases which were studied, five gave entirely negative results. In five cases, there were benign and not very frequent atrial or ventricular ectopic beats. In 21 cases there were significant findings, the most common being frequent and/or dangerous R on T or multifocal ventricular ectopic beats. Additionally, paroxysmal tachyarrhythmias, atrioventricular block, sinoatrial arrest or significant ischaemic changes, which were not detected in the routine electrocardiograms, were recorded.
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G Hall (1978) conducted an observational in Palpitations and/or syncope (n=31). Holter monitor electrocardiogram vs. Routine electrocardiograms was evaluated on Significant findings (arrhythmias or ischaemic changes). Holter monitoring detected significant findings, such as dangerous ventricular ectopic beats and tachyarrhythmias, in 67.7% (21 of 31) of patients with palpitations or syncope.
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