Family practice · 2006
Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice.
СтатьяНазвание и аннотация: Перевод в очереди
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Hoefman Emmy, van Weert Henk C P M, Boer Kimberly R, Reitsma Johannes, Koster Rudolph W, Bindels Patrick J E
Аннотация
BACKGROUND: Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published.
METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice.
RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established.
CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary.
METHODS: During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice.
RESULTS: In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established.
CONCLUSION: The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary.