Appropriateness of ECG Holter requests in an outpatient service: a prospective study

Piccirilli, Stefano; Gallagher, Mark M.; Vellini, Marina; Padula, Mina; Voumvourakis, Astrinos; Santini, Luca; Magliano, Giulia; Romeo, Francesco

doi:10.2459/01.jcm.0000278449.96988.82

Cited by 3 publications

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“…The clinical indication in 89 patients (28.7%) of the study group was class III according to the recommendations of ACC/AHA guidelines 10 for ambulatory ECG. Piccirilli et al 13 reviewed the clinical indications of 2,489 consecutive Holter ECG recordings and reported that 1,298 (52%) were clearly appropriate (class I), 311 (13%) as probably or possibly appropriate, and 880 (35%) as inappropriate (class III).…”

Section: Discussionmentioning

confidence: 99%

Heart rate variability and arrhythmic patterns of 24-hour Holter electrocardiography among Nigerians with cardiovascular diseases

Adebayo¹,

Ikwu²,

Balogun³

et al. 2015

VHRM

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BackgroundFacilities for Holter electrocardiography (ECG) monitoring in many Nigerian hospitals are limited. There are few published works in Nigeria on the use of 24-hour Holter ECG in cardiac arrhythmic evaluation of patients with cardiovascular diseases.ObjectiveTo study the clinical indications, arrhythmic pattern, and heart rate variability (HRV) among subjects referred for 24-hour Holter ECG at our Cardiac Care Unit.MethodsThree-hundred and ten patients (134 males and 176 females) were studied consecutively over a 48-month period using Schiller type (MT-101) Holter ECG machine.ResultsOut of the 310 patients reviewed, 134 were males (43.2%) and 176 were females (56.8%). The commonest indication for Holter ECG was palpitation followed by syncope in 71 (23%) and 49 (15.8%) of subjects, respectively. Premature ventricular complex and premature atrial complex were the commonest types of arrhythmia in 51.5% and 15% subjects, respectively. Ventricular arrhythmia was more prevalent in dilated cardiomyopathy patients (85.7%). The HRV of subjects with palpitation, stroke, and diabetes mellitus with autonomic neuropathy, using standard deviation of normal to normal intervals average (milliseconds), were 107.32±49.61, 79.15±49.15, and 66.50±15.54, respectively. The HRV, using standard deviation of averages of normal to normal intervals average (milliseconds), of patients with palpitation, stroke, and diabetes mellitus with autonomic neuropathy were 77.39±62.34, 57.82±37.05, and 55.50±12.71, respectively.ConclusionPalpitation and syncope were the commonest indications for Holter ECG among our subjects. The commonest arrhythmic patterns were premature ventricular complex and premature atrial complex, with ventricular arrhythmia being more prevalent in dilated cardiomyopathy. There was a reduction in HRV in patients with stroke and diabetic autonomic neuropathy.

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Section: Discussionmentioning

confidence: 99%

Heart rate variability and arrhythmic patterns of 24-hour Holter electrocardiography among Nigerians with cardiovascular diseases

Adebayo¹,

Ikwu²,

Balogun³

et al. 2015

VHRM

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“…The demographic details of our Holter ECG population have previously been described. 9 Patients were 49% male, aged 60 + 16 years. The majority of the study subjects were healthy persons referred for the evaluation of mild symptoms such as palpitation or dizzy spells, but 479 (21%) had evidence of structural heart disease ( Table 1).…”

Section: Clinical Characteristics and Electrocardiographic Findingsmentioning

confidence: 99%

Electrocardiographic markers of structural heart disease and predictors of death in 2332 unselected patients undergoing outpatient Holter recording

et al. 2007

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Clinical indications and arrhythmic patterns of 24-h holter electrocardiography among cardiovascular disease patients

et al. 2021

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Appropriateness of ECG Holter requests in an outpatient service: a prospective study

Abstract: Our data showed that the majority of Holter recordings prescribed in our region are appropriate. Tests prescribed by cardiologists constitute only 31% of the total volume, but are more often appropriately prescribed.

Cited by 3 publications

References 16 publications

Heart rate variability and arrhythmic patterns of 24-hour Holter electrocardiography among Nigerians with cardiovascular diseases

Heart rate variability and arrhythmic patterns of 24-hour Holter electrocardiography among Nigerians with cardiovascular diseases

Electrocardiographic markers of structural heart disease and predictors of death in 2332 unselected patients undergoing outpatient Holter recording

Clinical indications and arrhythmic patterns of 24-h holter electrocardiography among cardiovascular disease patients

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