Predictive Use of Routine 24-hour Electrocardiography in Suspected Adams-Stokes Syndrome. Comparison with Cardiac Rhythm During Symptoms

Overview

Journal Br Heart J

Specialty Cardiology & Vascular Diseases

Date 1982 Jun 1

PMID 7082502

Citations 1

Authors

N J Abdon

B W Johansson

J Lessem

Affiliations

Soon will be listed here.

Abstract

Using strictly defined criteria of significant arrhythmias, long term electrocardiographic recording has been evaluated for confirmation of arrhythmias as the cause of cerebral symptoms in 81 patients with suspected Adams-Stokes syndrome. Extension of long term electrocardiographic recording for more than 24 hours gives marginal additional information at a high cost. Among 43 patients monitored until symptoms appeared, non cardiogenic causes were confirmed in 20 of 22 patients because the recording showed normal rhythm during symptoms. Fifteen of 21 patients with a significant arrhythmia during an asymptomatic 24 hour recording later had the same arrhythmia during symptoms. Of 38 patients who failed to develop symptoms, 21 had a significant arrhythmia detectable within 24 hours and 23 when 48 hours of recording were analysed.

Citing Articles

Evaluation of syncope.

Camm A, Levy A Br Med J (Clin Res Ed). 1983; 286(6368):895.

PMID: 6403129 PMC: 1547180. DOI: 10.1136/bmj.286.6368.895-b.

References

Zeldis S, Levine B, Michelson E, Morganroth J . Cardiovascular complaints. Correlation with cardiac arrhythmias on 24-hour electrocardiographic monitoring. Chest. 1980; 78(3):456-61. DOI: 10.1378/chest.78.3.456. View

Lipski J, Cohen L, Espinoza J, Motro M, Dack S, Donoso E . Value of Holter monitoring in assessing cardiac arrhythmias in symptomatic patients. Am J Cardiol. 1976; 37(1):102-7. DOI: 10.1016/0002-9149(76)90507-5. View

CORDAY E, BAZIKA V, LANG T, PAPPELBAUM S, Gold H, Bernstein H . DETECTION OF PHANTOM ARRHYTHMIAS AND EVANESCENT ELECTROCARDIOGRAPHIC ABNORMALITIES: USE OF PROLONGED DIRECT ELECTROCARDIOCORDING. JAMA. 1965; 193:417-21. DOI: 10.1001/jama.1965.03090060007001. View

Tzivoni D, Stern S . Pacemaker implantation based on ambulatory ECG monitoring in patients with cerebral symptoms. Chest. 1975; 67(3):274-8. DOI: 10.1378/chest.67.3.274. View

Boudoulas H, Schaal S, Lewis R, Robinson J . Superiority of 24-hour outpatient monitoring over multi-stage exercise testing for the evaluation of syncope. J Electrocardiol. 1979; 12(1):103-8. DOI: 10.1016/s0022-0736(79)80052-7. View

Engel U, Burckhardt D . [Proceedings: Frequency and form of arrhythmia and changes in ECG in juvenile healthy volunteers. Studies with long-term electrocardiography]. Schweiz Med Wochenschr. 1975; 105(44):1467-9. View

Clarke J, Hamer J, Shelton J, Taylor S, VENNING G . The rhythm of the normal human heart. Lancet. 1976; 1(7984):508-12. DOI: 10.1016/s0140-6736(76)90801-1. View

Goldberg A, Raftery E, Cashman P . Ambulatory electrocardiographic records in patients with transient cerebral attacks or palpitation. Br Med J. 1975; 4(5996):569-71. PMC: 1675919. DOI: 10.1136/bmj.4.5996.569. View

Clark P, Glasser S, Spoto Jr E . Arrhythmias detected by ambulatory monitoring. Lack of correlation with symptoms of dizziness and syncope. Chest. 1980; 77(6):722-5. DOI: 10.1378/chest.77.6.722. View

10.

MCHENRY Jr L, Toole J, Miller H . Long-term EKG monitoring in patients with cerebrovascular insufficiency. Stroke. 1976; 7(3):264-9. DOI: 10.1161/01.str.7.3.264. View

11.

Romero Jr C . Holter monitoring in the diagnosis and management of cardiac rhythm disturbances. Med Clin North Am. 1976; 60(2):299-313. DOI: 10.1016/s0025-7125(16)31911-3. View

12.

Van Durme J . Tachyarrhythmias and transient cerebral ischemic attacks. Am Heart J. 1975; 89(4):538-40. DOI: 10.1016/0002-8703(75)90164-7. View

13.

Johansson B . Long-term ECG in ambulatory clinical practice. Analysis and 2-year follow-up of 100 patients studied with a portable ECG tape recorder. Eur J Cardiol. 1977; 5(1):39-48. View

14.

Walter P, Reid Jr S, Wenger N . Transient cerebral ischemia due to arrhythmia. Ann Intern Med. 1970; 72(4):471-4. DOI: 10.7326/0003-4819-72-4-471. View

15.

Camm A, Evans K, Ward D, Martin A . The rhythm of the heart in active elderly subjects. Am Heart J. 1980; 99(5):598-603. DOI: 10.1016/0002-8703(80)90733-4. View

16.

KENNEDY H, Chandra V, Sayther K, Caralis D . Effectiveness of increasing hours of continuous ambulatory electrocardiography in detecting maximal ventricular ectopy. Continuous 48 hour study of patients with coronary heart disease and normal subjects. Am J Cardiol. 1978; 42(6):925-30. DOI: 10.1016/0002-9149(78)90677-x. View

17.

HINKLE Jr L, CARVER S, Stevens M . The frequency of asymptomatic disturbances of cardiac rhythm and conduction in middle-aged men. Am J Cardiol. 1969; 24(5):629-50. DOI: 10.1016/0002-9149(69)90451-2. View

18.

Adey H, BALLANTYNE D, BOSTOCK M, FLEISCHL P, Kurta A, LANGLEY R . The prevalence of disturbance of cardiac rhythm in healthy New Zealand Adults: a pilot study. N Z Med J. 1978; 88(625):433-5. View

19.

Brodsky M, Wu D, Denes P, Kanakis C, Rosen K . Arrhythmias documented by 24 hour continuous electrocardiographic monitoring in 50 male medical students without apparent heart disease. Am J Cardiol. 1977; 39(3):390-5. DOI: 10.1016/s0002-9149(77)80094-5. View

20.

Glasser S, Clark P, Applebaum H . Occurrence of frequent complex arrhythmias detected by ambulatory monitoring: findings in an apparently healthy asymptomatic elderly population. Chest. 1979; 75(5):565-8. DOI: 10.1378/chest.75.5.565. View