Diagnostic Evaluation of Syncope By 24 hour Holter Monitoring
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 2
Abstract
The aim & objective was diagnostic evaluation by Holter Monitroing of Patient with clinical diagnosis of syncope referred to Department of Cardiology at SAIMS & PG Institute, Indore. We evaluated a total of 360 patients with clinical diagnosis of Syncope all subjects underwent 24 hours Holter monitoring with Philips Holter 1810 with Zymed Algorithm. All patients were of age between 50yrs to 70 yrs. During the monitoring period recurrence of syncope or symptoms of near syncope are correlated with monitoring findings. Out of total 360 patient who undergone 24hours of Holter monitoring 216 patients reported normal. In rest of patient during recording 80.56 % were asymptomatic, 19.44% were symptomatic of which syncopal episodes were seen in 2.78% and presyncopal episodes in 16.66%. A Sinus pauses of >2.5 Sec. was documented in 12.22%. Intermittent complete AV block in 5.5% & Mobiz type II AV block in 3.3% .Non sustained VT (Ventricular Tachycardia) and Intermittent AF (Atrial Fibrillation) 10.5%. Holter monitoring should be used as a test for evaluation of cardiovascular causes of syncope. It will play a important role to detect a cardiac cause of syncope in most of patients.
Authors and Affiliations
Sarkar NC, Bajpai P, Jain S, Tilkar M, Subrata Mandal
Assessing the Suitability of Current Swasthavritta Syllabus of Bachelor of Ayurvedic Medicine and Surgery (BAMS) For Meeting the Public Health Technical and Leadership Skill Requirements
Ayurveda workforces are increasingly being recognized by many segments of the society and have been put in several programmes be it curative or preventive aspects of health care. This does not happen universally across a...
Clinical Study of Dengue Fever in Jalandhar, North India
Abstract: Dengue fever, a vector borne viral disease has emerged as a major public health problem of international concern because of its severe manifestations such as dengue haemorrhagic fever and dengue shock syndrome....
Role of Tramadol in Labor Analgesia
The aim of the present study to assess the efficacy and safety of intramuscular tramadol hydrochloride as an analgesic during labor. Its efficacy has compared with placebo group. This is a prospective study conducted for...
Evaluation of Inhaler Technique among Patients with Obstructive Airway Diseases – An Observational Study
Abstract: Both asthma and COPD caused significant morbidity and mortality worldwide. Mainstay treatment for both the diseases includes inhalation therapy. But majority of the patients do not use inhalers properly resulti...
Study of Serum Electrolytes and Blood Urea Levels with Cardiac Markers in Acute Myocardial Infarction
Myocardial infarction is now considered part of a spectrum referred to as acute coronary syndrome. This refers to a spectrum of acute myocardial ischaemia that also includes unstable angina and non-ST segment elevation m...