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Holter Monitoring in the Evaluation of Palpitations, Dizziness and Syncope

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Long-Term Ambulatory Electrocardiography

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 20))

Abstract

Long-term ambulatory electrocardiographic (Holter) monitoring is widely used to evaluate patients presenting with palpitations, dizziness and syncope (1). Most of the reports in the literature show a high prevalence of arrhythmias in patients studied for these indications and conclude that the method is very useful (2–5). However, a strong link between symptoms and arrhythmias has only been shown in a small proportion of cases (6, 7) and the value of the method must be weighed against its costs (7).

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References

  1. Harrison DC, Fitzgerald JW, Winkle RA: Ambulatory electrocardiography for diagnosis and treatment of cardiac arrhythmias. N Engl J Med 294: 373–380, 1976.

    Article  PubMed  CAS  Google Scholar 

  2. Lipski J, Cohen L, Espinoza J et al: Value of Holter monitoring in assessing cardiac arrhythmias in symptomatic patients. AM J Cardiol 37: 102–107, 1976.

    Article  PubMed  CAS  Google Scholar 

  3. Bordoulas H, Dalamangas G, Schaal SF et al: Superiority of 24-hour monitoring over multistage exercise testing for evaluation of syncope. Circulation 54 suppl 2: 9, 1976.

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  4. Hetzeanu H, Yahini JH, Neufeld NH: Holter monitoring in dizziness and syncope. Acta Cardiol 34: 375–383, 1979.

    Google Scholar 

  5. Walter PF, Reid SD, Kass Wenger N: Transient cerebral ischemia due to arrhythmia. Ann Int Med 72: 471–474, 1970.

    PubMed  CAS  Google Scholar 

  6. Zeldis SM, Levine BJ, Michelson EL et al: Cardiovascular Complaints: Correlation with cardiac arrhythmias on 24-hour electrocardiographic monitoring. Chest 78: 456–462, 1978.

    Article  Google Scholar 

  7. Clark PI, Glasser SP, Spots E: Arrhythmias detected by ambulatory monitoring. Lack of correlation with symptoms of dizziness and syncope. Chest 77: 722–725, 1980.

    Article  PubMed  CAS  Google Scholar 

  8. Braunwald E (ed.). Heart Disease, p. 796. Philadelphia, WB Saunders Co., 1980.

    Google Scholar 

  9. Kennedy HL, Chandra V, Sayther KL et al: Effectiveness of increasing hours of continuous ambulatory electrocardiography in detecting maximal ventricular ectopy. Am J Cardio 142: 925–930, 1978.

    Article  Google Scholar 

  10. Hasin Y, David D, Rogel S: Diagnostic and therapeutic assessment by telephone electrocardiographic monitoring of ambulatory patients. Brit Med J II: 609–612, 1976.

    Article  Google Scholar 

  11. Monahan JP et al: Portable Electrocardiographic monitoring. Arch Int Med 135: 1188, 1975.

    Article  CAS  Google Scholar 

  12. Grodman RS, Capone RJ, Most AS: Arrhythmia surveillance by transtelephonic monitoring: Comparison with Holter monitoring in symptomatic ambulatory patients. Am Heart j 98: 459–464, 1979.

    Article  PubMed  CAS  Google Scholar 

  13. Kunz G, Raeder E, Burckhardt D: What does the symptom “palpitation” mean? Correlation between symptoms and the presence of cardiac arrhythmias in the ambulatory ECG. Z Kardiol 66: 138–141, 1977.

    PubMed  CAS  Google Scholar 

  14. Bleifer SB, Bleifer DJ, Hansmann DR et al: Diagnosis of occult Arrhythmias by Holter Electrocardiography. Prog Cardiovasc Dis 16: 569–599, 1974.

    Article  PubMed  CAS  Google Scholar 

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© 1982 Martinus Nijhoff Publishers, The Hague

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Burckhardt, D., Luetold, B.E., Jost, M.V., Hoffmann, A. (1982). Holter Monitoring in the Evaluation of Palpitations, Dizziness and Syncope. In: Roelandt, J., Hugenholtz, P.G. (eds) Long-Term Ambulatory Electrocardiography. Developments in Cardiovascular Medicine, vol 20. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-7570-5_4

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  • DOI: https://doi.org/10.1007/978-94-009-7570-5_4

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-009-7572-9

  • Online ISBN: 978-94-009-7570-5

  • eBook Packages: Springer Book Archive

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