May 18, 1999Annals of Internal Medicine
The Evolving Role of Ambulatory Arrhythmia Monitoring in General Clinical Practice
Key result
Ambulatory ECG monitors, particularly continuous-loop recorders, are highly effective for diagnosing patients with palpitations.
Why the study?
The efficacy of various ambulatory electrocardiographic monitors for diagnosing arrhythmia-related disorders and their clinical use needed evaluation.
Are ambulatory electrocardiographic monitors effective for diagnosing arrhythmia-related disorders in clinical practice?
Population
Patients with arrhythmia-related disorders including palpitations, syncope, and risk for sudden arrhythmic death
Comparison
Various ambulatory electrocardiographic monitors including transtelephonic continuous-loop event recorders
Design
Systematic review of studies since 1988 with minimal bias and clinical relevance
Authors
Discussion
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Implication
May support event recorders for palpitations evaluation; leaves open prospective validation and comparative trials.
Study Design
Type
Systematic Review
Structured PICO
Are ambulatory electrocardiographic monitors effective for diagnosing arrhythmia-related disorders in clinical practice?
P
Population
Patients with arrhythmia-related disorders, including palpitations, syncope, and those at risk for sudden arrhythmic death.
I
Intervention
Ambulatory electrocardiographic monitors, specifically transtelephonic continuous-loop event recorders.
O
Outcome
Efficacy for the diagnosis of arrhythmia-related disorders.
Ambulatory electrocardiographic monitors, particularly continuous-loop event recorders, are highly effective for diagnosing symptomatic arrhythmias like palpitations, though less so for syncope.
Limitations
- Few data are available to support monitoring for nonsustained ventricular tachycardia in patients at high risk for sudden arrhythmic death.
- Guidelines are lacking for use of these devices to assess prognosis in patients at potential risk for sudden arrhythmic death.
Cite This Study
Peter Zimetbaum (1999) conducted a systematic review in Arrhythmia-related disorders. Ambulatory electrocardiographic monitors was evaluated on Diagnosis of arrhythmia-related disorders. Ambulatory electrocardiographic monitors, particularly transtelephonic continuous-loop event recorders, are highly effective for establishing a diagnosis in patients with palpitations.