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
Keywords
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