Different Types of Cardiac Arrhythmias Shown In Holter ECG Monitoring of 100 Patients Studied in NICVD

Faruque,; Masum, Abu Shams Md Hasan Ali; Siddiqui, Mahmudur Rahman; Faruk, Tanveer; Rahman, Fazlur; Iqbal, Jabed; Uddin, Rubayat Sheikh Gias

doi:10.3329/medtoday.v26i2.24223

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…12,23 Another institute based study reported arrhythmia in Holter monitoring was reported in 100 patients from the total, accounting for 67% of the entire sample size. 24 With regards to the incidence of arrhythmia, statistically significant differences were observed for STEMI (40%), NSTEMI (25%) and UA (15%) groups with a p-value less than 0.001. 25…”

Section: Discussionmentioning

confidence: 89%

Arrhythmias in Patients With Acute Coronary Syndrome

Bhatti¹,

Khan²,

Khan³

et al. 2021

Pak Heart J

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Objective: To determine the frequency of arrhythmias in patients with acute coronary syndrome (ACS) in a tertiary care hospital, Karachi, Pakistan. Methodology: This cross-sectional study was conducted at cardiology department of a tertiary care hospital of Karachi, Pakistan. A total of 189 consecutive patients of either gender presented with ACS during six months of study period were included. Continuous cardiac monitoring (telemetry) was done to record any arrhythmia within 24 hours of onset of symptoms. Results: 189 patients with ACS were included, 152 patients (80.4%) were males with the mean age of 48.23 ± 6.717 years. This included 95 patients (50.3%) with unstable angina, 36 patients (19.1%) with ST elevation myocardial infarction (STEMI), and 58 patients (30.7%) with Non-STEMI. Arrhythmias were seen in 39 patients (20.6%), most commonly observed type of arrhythmia was premature ventricular contractions (12), atrial fibrillation (nine), ventricular tachycardia (seven), and ventricular fibrillation (five). Conclusion: Arrhythmias were reported in 39 patients from the total, accounting for 20.63% of the entire population. The incidence of cardiac arrhythmia was more in the age group 40-60 years and male population.

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Section: Discussionmentioning

confidence: 89%

Arrhythmias in Patients With Acute Coronary Syndrome

Bhatti¹,

Khan²,

Khan³

et al. 2021

Pak Heart J

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“…38% of the patients displayed ventricular ectopic, 11% had sick sinus syndrome, 5% had ventricular tachycardia, and 3% had total heart block, according to Faruque et al [12] Just 1% of individuals developed supraventricular ectopic, atrial flutter, atrial fibrillation, or Wolf Parkinson White syndrome.…”

Section: Discussionmentioning

confidence: 91%

The Diagnostic Significance of the Holter Monitoring in the Evaluation of Palpitation at Tanta University Hospitals

Ata,

Masry,

Shedoudy

et al. 2024

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Background: Palpitations are the second-most common cause of primary healthcare referrals to cardiologists and are linked to long-term morbidity. Despite the absence of a significant underlying cause, a considerable number of patients report fear and anxiety. The purpose of this study was to assess individuals who were evaluated for palpitation in order to ascertain the diagnostic yield of 24 or 48 hours of Holter monitoring. Methods: 105 participants participated in this prospective observational cross-sectional research, children and adults, with palpitations, dizziness and syncope, with Holter monitoring 24 or 48 hours. Every patient had a thorough medical history, clinical evaluation, and physical assessment, Resting Electrocardiography (ECG), Transthoracic Echocardiography, and Holter monitoring. Patients were further subdivided into two groups: Positive Holter group and Negative Holter group. Results: Symptoms among positive Holter response showed that 48.6% had palpitations, 34.2% had dizziness and 13.3% had syncope. Higher age, increased frequency of danger factors (Diabetes mellitus, Hypertension, Ischemic heart disease, cardiomyopathy), symptoms (Palpitations, Dizziness, Syncope), Premature ventricular contractions and lower Ejection fraction was observed in patients with positive Holter response compared to patients with negative Holter response. There was no significant association with sex, smoking, Atrial fibrillation, regular sinus rhythm, and premature atrial contractions (P ≤ 0.05). Conclusions: Holter Monitoring retains its value, despite the appearance of new investigations and considered the first line for assessment of palpitations as it is widespread and not expensive. It has a good outcome if the patient’s symptoms are suggestive for arrhythmia, syncope and dizziness.

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“…Arrhythmias were detected frequently in both symptomatic and asymptomatic patients and it is well known that any arrhythmia would cause palpitations now and then so one must be careful to avoid attributing a symptom to an arrhythmia until a close temporal relationship is demonstrated and Holter study was useful tool in this study. 13 In a case report, where a woman complained of palpitation was diagnosed as case of pseudo-AV block a rare rhythm disorder that respond to betablockers. Hereby it seems essential to study palpitation by Holter to reveal rare cardiac rhythm disorder as its etiology.…”

Section: Review Of Literaturementioning

confidence: 99%

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

Pandey,

Karki,

Pandey

et al. 2023

J Adv Intern Med

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BACKGROUND Palpitation is one of the most common indications for Holter study. 24- hour Holter monitoring helps to detect abnormal cardiac rhythm which can be managed earlier if picked up sooner. Spot ECG has less sensitivity to pick episodic abnormal rhythm so longer monitoring time is essential. Various treatment modalities can thus be planned for non-benign and relatively benign arrhythmias like VT and PSVT respectively. METHODS This was a single center prospective observational cross-sectional study conducted at BPKIHS, Dharan for three months between July 2023 to September 2023. The primary objective was to study abnormal cardiac electrical events in patients having palpation. There were 38 patients of palpitations that underwent 24-hour Holter study after fulfilling inclusion criteria. The data was recorded on an excel sheet and was analyzed using software SPSS 20. RESULTS There were 47.4% (18) males and 52.6% (20) females. The mean age was 49.61± 17.63 years. There were 36.8% (14) patients in age group <45 years while 42.1% (16) were in age group 45 to 65 years and 21.1% (8) were in the age group >65 years. The maximum and minimum Heart rate were 180 and 35 beats per minute respectively. There was abnormal Holter ECG in 57.9% (22) and 42.1% (16) had normal ECG. Most common arrhythmia was VPC 17(77.2%) in our study. The association between the age group and Normal vs Abnormal Holter ECG was statistically significant (P Value=0.023) (Table 8). DM was the most common co-morbid illness in 5(13.2%), one participant had DM and HTN along with Dyslipidemia and other findings were smoking (5.3%), dyslipidemia (5.3%). There was no association between comorbid conditions and normal vs abnormal ECG Holter rhythm (P Value = 0.448). CONCLUSION Out of 38 participants VPC was the most common (77.2%) arrhythmia. The association between Age group and Normal vs Abnormal Holter was statistically significant (P Value=0.023). Most of the arrhythmias were benign. Diabetes was the most common risk factor present while 50% of subjects had no co-morbid illness.

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Different Types of Cardiac Arrhythmias Shown In Holter ECG Monitoring of 100 Patients Studied in NICVD

Abstract: Abstract

Cited by 4 publications

References 10 publications

Arrhythmias in Patients With Acute Coronary Syndrome

Arrhythmias in Patients With Acute Coronary Syndrome

The Diagnostic Significance of the Holter Monitoring in the Evaluation of Palpitation at Tanta University Hospitals

Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

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