Optimal Use of Ambulatory Monitoring Prior to Hospital Discharge Following Acute Myocardial Infarction
Ambulatory (Holter) electrocardiographic monitoring was first introduced over 20 years ago , and during the past ten years there has been widespread application of this technique to postinfarction patients [2–4]. Advancement in technology and the quality of the Holter recordings has produced an enormous data base that has outstripped our understanding of the clinical significance of the recorded events. Holter monitoring of postinfarction patients prior to hospital discharge is nearly a routine procedure in most institutions, but how can the information generated be utilized to optimize patient care? What are we looking for when we request a Holter recording on a patient after myocardial infarction?
KeywordsDepression Ischemia Radionuclide Stratification Catecholamine
Unable to display preview. Download preview PDF.
- 11.Moss AJ, Bigger JT, Case RB, Gillespie J, Goldstein R, Greenberg H, Krone R, Marcus FI, Odoroff CL, Oliver GC: Risk stratification and prognostication after myocardial infarction. J Am Coll Cardiol 1: 716, 1983.Google Scholar
- 12.HindmanMC, Wagner GS,JaroM, AitkinsJM, Scheinman MM, De Sanctis RW, Hutter AH, Yeatman L, Rubenfire M, Pujura C, Rubin M, Morris JJ: The clinical significance of bundle branch block complicating acute myocardial infarction. 2. Indication for temporary and permanent pacemaker insertion. Circulation 58: 689–699, 1978.Google Scholar
- 13.Leclercq JF, Slama R: Chnical relevance of supra-ventricular arrhythmias detected by Holter elec-trocardiography. In: RoelandtJ, Hugenholtz PG (eds) Long-term ambulatory electrocardiography. The Hague: Martinus Nijhoff, 1982, pp 40–50.Google Scholar
- 14.Stern S, Tzivoni D: Evaluation for ischemic ST-T changes. In: Wenger NK, Mock MB, Ringqvist I (eds) Ambulatory electrocardiographic recording. Chicago: Year Book, 1980, pp 353–360.Google Scholar
- 17.Coumel P: Heart rate trend analysis: patterns and clinical significance. In: RoelandtJ, Hugenholtz PG (eds) Long-term ambulatory electrocardiography. The Hague: Martinus Nijhoff, 1982, pp 51–61.Google Scholar