Significance of external loop recorders (ELR) in diagnosis of disturbances in heart rhythm
Journal Title: Family Medicine & Primary Care Review - Year 2015, Vol 17, Issue 3
Abstract
Background. Heart palpitations are frequently reported by patients but have non-specific character, which poses a principal diagnostic difficulty. There are several methods of ECG monitoring, however selection and duration of such recording should be guided by the expected time of repeated symptoms. External loop recorder (ELR ) represents an external recording instrument in patients who have an inter-symptom interval ≤ 4 weeks. Objectives. This study aimed at evaluation of ELR usefulness in patients with periodic manifestation of heart palpitations and at evaluation of prevalence of arrhythmias in this group of patients. Material and methods. The study was conducted on 48 patients, including 38 women and 10 men. Mean age of the patients was 48.5 ± 18 years. Duration of the monitoring period using ELR recorder varied from 3 to 10 days, depending on manifestation of subjective symptoms. Results. Abnormalities in ECG record were detected in 33 patients (68.75%). In the remaining 15 patients (31.25%) ECG records were normal. Most frequently (in 77.08% patients) benign alterations were disclosed, including sinus tachycardia, premature supraventricular complexes and premature ventricular complexes, a group of disturbances defined as clinically significant was manifested in 27.08% of examined patients. Alterations of ischemic character accounted for 20.83% of disturbances. Conclusions. External loop recorder is an easy tool for diagnosing heart palpitations in case when Holter monitoring is not conclusive. The group of people in whom external loop recorders should be specially applicable are elderly individuals, due to the physiological changes in conduction system in the course of the aging process.
Authors and Affiliations
Jagoda Młynarczyk, Małgorzata Poręba, Paweł Gać, Arkadiusz Derkacz, Agnieszka Brylka, Marta Jurdziak, Grzegorz Mazur, Witold Pilecki, Rafał Poręba
Keywords
Related Articles
- EP ID EP158923
- DOI -
- Views 65
- Downloads 0
The results of the “Blue Cards” questionnaire analysis with respect to the incidence of violence among the elderly
Background. Implementation of the “Blue Cards” procedure has resulted in an increase in reported acts of violence, including those concerning the elderly, not because violence has become more widespread, but because the...
Analiza rozpowszechnienia spożywania kofeiny wśród młodzieży akademickiej
Wstęp. Kofeina znajduje się w takich produktach, jak: kawa, herbata, napoje typu coca cola, czekolada, suplementy diety, napoje energetyczne, jest także składnikiem wielu leków wydawanych bez recepty. Cel pracy. Analiza...
Zastosowanie krioterapii w chorobach przewlekłych
Uruchomienie fizjologicznych reakcji obronnych organizmu, w odpowiedzi na powtarzające się działanie stresora zewnętrznego w postaci zimna, może być czynnikiem szeroko wykorzystywanym w medycynie, fizjoterapii, sporcie i...
Ważność działań marketingowych w placówkach POZ na terenie Szczecina w opinii społecznej pacjentów
Wstęp. W usługach medycznych na szczególną uwagę zasługują działania marketingowe, mające wpływ na budowanie trwałych relacji z pacjentem. Cel pracy. Ocena ważności wybranych działań marketingowych przez pacjentów placó...
Review of Ukrainian health care reformation on principles of family medicine
This article presents the steps of family medicine implementation in Ukraine, the results and problems of reorganization of the health system, educational and economic problems and the role of the Institute of Family Med...