Abstract
The adequacy of quality control is a basic tennant of any research endeavor. The definition of antiarrhythmic drug efficacy is based on quantitative data obtained by long-term electrocardiographic recordings. Three important elements of the quality control of such monitoring data include: 1) the adequacy of the recording instruments and the analyzer, 2) the quality of the data tape itself, and 3) the accuracy and repeatability of the analysis method. Quality control of the recorder and the analysis system requires careful attention to several technical components to ensure adequate recorder speed, frequency response of the instruments, synchronization of the ECG stylus, and linearity of the amplifiers. The data tape itself must be carefully scrutinized to determine that proper electrode application was performed to avoid excessive motion artifact and to ensure that the recorder was not faulty and that the battery had adequate power.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Winkle RA: Antiarrhythmic drug effect mimicked by spontaneous variability of ventricular ectopy. Circulation 57:1116, 1978.
Winkle RA, Gradman AH, Fitzgerald JW: Antiarrhythmic drug effect assessed from ventricular arrhythmia reduction in the ambulatory electrocardiogram and treadmill test: Comparison of propranolol, procainamide and quinidine. Am J Cardiol 42:473, 1978.
Velebit V, Podrid PJ, Graboys TB, Lown B: Aggravation of ventricular arrhythmia by antiarrhythmic drugs. Am J Cardiol 43:359, 1979.
Morganroth J, Michelson EL, Horowitz LN, Josephson ME, Pearlman AS, Dunkman WB: Limitations of routine long-term electrocardiographic monitoring to assess ventricular ectopic frequency. Circulation 58:408, 1978.
Michelson EL, Morganroth J: Spontaneous variability of complex ventricular arrhythmias detected by long-term electrocardiographic recording. Circulation 61:690, 1980.
Engler R, Ryan W, LeWinter M, et al: Assessment of long-term antiarrhythmic therapy: studies on the long-term efficacy and toxicity of tocainide. Am J Cardiol 43:612, 1979.
Sami M, Kraemer H, Harrison DC, Houston N, Shimasahi C, DeBusk RF: A new method for evaluating antiarrhythmic drug efficacy in individual patients. Circulation (in press) December 1980.
Morganroth J, Michelson EL: Precise determination of antiarrhythmic drug efficacy in individual patients based on individual rather than pooled patient data. Circulation 62:III:305, 1980 (abstract)
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 Martinus Nijhojf Publishers bv, The Hague.
About this chapter
Cite this chapter
Morganroth, J. (1981). Long-Term Ambulatory Electrocardiographic Recording in the Determination of Efficacy of New Antiarrhythmic Agents. In: Morganroth, J., Moore, E.N., Dreifus, L.S., Michelson, E.L. (eds) The Evaluation of New Antiarrhythmic Drugs. Developments in Cardiovascular Medicine, vol 11. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8270-3_8
Download citation
DOI: https://doi.org/10.1007/978-94-009-8270-3_8
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-009-8272-7
Online ISBN: 978-94-009-8270-3
eBook Packages: Springer Book Archive