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Silent myocardial ischemia on ambulatory Holter monitoring and exercise testing: detection, characteristics and significance

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Book cover Electrocardiography and Cardiac Drug Therapy

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 92))

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Abstract

The pioneer of ambulatory long-term monitoring of the electrocardiogram Norman J. Holter [1] described already in his first publication in 1961 ischemic changes during daily activities. A few years later, Norland and Semler [2] and Corday and coworkers [3] stressed that not only arrhythmias but also angina pectoris can be documented by telemetry. In spite of this, for almost 10 years no further advance was made in this field, mainly due to the caution advocated in 1967 by Hinkle [4] concerning the poor low-frequency response of the recorders available at that time. However, improvements and modifications made by manufacturers led to an adequate low-frequency response in the newer tape recorders [5]. Since then many investigators started to use the Holter tapes to study the frequency of ischemic episodes under dynamic conditions.

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Author information

Authors and Affiliations

  1. The Heiden Department of Cardiology, Bikur Cholim Hospital and The Hebrew University-Hadassah Medical School, Jerusalem, Israel

    Shlomo Stern & Dan Tzivoni

Authors
  1. Shlomo Stern
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  2. Dan Tzivoni
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Editor information

Editors and Affiliations

  1. Department of Cardiology-Angiology-Pneumology, University Hospital Ulm, Ulm, Germany

    V. Hombach

  2. Department of Cardiology - Angiology - Pneumology, University of Cologne, Cologne, Germany

    H. H. Hilger

  3. Division of Cardiology, St. Louis University, School of Medicine, St. Louis, Missouri, USA

    H. L. Kennedy

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© 1989 Kluwer Academic Publishers

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Stern, S., Tzivoni, D. (1989). Silent myocardial ischemia on ambulatory Holter monitoring and exercise testing: detection, characteristics and significance. In: Hombach, V., Hilger, H.H., Kennedy, H.L. (eds) Electrocardiography and Cardiac Drug Therapy. Developments in Cardiovascular Medicine, vol 92. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1081-2_7

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  • DOI: https://doi.org/10.1007/978-94-009-1081-2_7

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6976-2

  • Online ISBN: 978-94-009-1081-2

  • eBook Packages: Springer Book Archive

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