Holter monitoring: are two days better than one?
نویسندگان
چکیده
The optimal duration of Holter monitoring (HM) to minimize costs and maximize yield is unknown. In a retrospective review of 164 patients referred to a tertiary care center for evaluation with 2 days of HM, we found that 48 hours was not cost effective when compared with the traditional 24-hour period.
منابع مشابه
Enhanced detection of paroxysmal atrial fibrillation by early and prolonged continuous holter monitoring in patients with cerebral ischemia presenting in sinus rhythm.
BACKGROUND AND PURPOSE Diagnosis of paroxysmal atrial fibrillation is difficult but highly relevant in patients presenting with cerebral ischemia yet free from atrial fibrillation on admission. Early initiation and prolongation of continuous Holter monitoring may improve diagnostic yield compared with the standard of care including a 24-hour Holter recording. METHODS In the observational Find...
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OBJECTIVES The aim of our study was to determine the incidence of asymptomatic recurrences of atrial fibrillation (AF) by daily transtelephonic (TT) electrocardiographic (ECG) monitoring, as compared with standard ECG and 24-h Holter recording, in patients who underwent radiofrequency catheter ablation (RCA) of AF. BACKGROUND The efficacy of RCA of AF is usually evaluated by means of patients...
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BACKGROUND AND PURPOSE Detection and treatment of atrial fibrillation is a major goal in secondary stroke prevention. Guidelines recommend at least 24 hours of ECG monitoring after stroke. However, it is unclear how often this is done in routine practice. METHODS In this longitudinal cohort study using data from the Ontario Stroke Registry, we analyzed consecutive patients presenting to desig...
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BACKGROUND Outpatient ambulatory cardiac rhythm monitoring is a routine part of the management of patients with paroxysmal atrial fibrillation (AF). Current systems are limited by patient convenience and practicality. METHODS We compared the Zio(®) Patch, a single-use, noninvasive waterproof long-term continuous monitoring patch, with a 24-hour Holter monitor in 74 consecutive patients with p...
متن کاملCardiac event recorders yield more diagnoses and are more cost-effective than 48-hour Holter monitoring in patients with palpitations. A controlled clinical trial.
OBJECTIVE To compare the diagnostic yield and cost-effectiveness of transtelephonic event monitors with those of Holter monitoring in patients with intermittent palpitations. DESIGN Randomized crossover trial. SETTING Diagnostic service of a teaching hospital and surrounding primary care practices. PATIENTS 43 patients with previously uninvestigated palpitations who were referred for Holt...
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عنوان ژورنال:
- The American journal of cardiology
دوره 86 5 شماره
صفحات -
تاریخ انتشار 2000