Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice
Abstract
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.
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In patients with symptoms of possible arrhythmic origin, mobile cardiac outpatient telemetry has higher diagnostic value than other external devices.
“Finally, in patients with symptoms of possible arrhythmic origin, mobile cardiac outpatient telemetry has been seen to exhibit a higher diagnostic value than the other external devices.71,84,85”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [84]
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Vegesna, A., Tran, M., Angelaccio, M., & Arcona, S. (2017) · Telemedicine and e-Health · doi:10.1089/tmj.2016.0051 · Cited by 404 · see citing works
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- Authors
- Hoefman, E., van Weert, H. C., Boer, K. R., Reitsma, J., Koster, R. W., & Bindels, P. J.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-10-18
- Volume
- 24
- Issue
- 1
- Pages
- 11-13
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2133052949
- Cited by
- 38
- References
- 7
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 1 · 2022: 1 · 2021: 2 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 3 · 2014: 3 · 2012: 2
- FWCI
- 1.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- arrhythmia diagnosis, palpitations, dizziness, lightheadedness, diagnostic yield, general practice
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Arrhythmias, Cardiac, Atrial Fibrillation, Dizziness, Family Practice, Female, Humans, Male, Middle Aged, Prospective Studies, Syncope, Tachycardia, Supraventricular, Telemetry, Time Factors, Electrocardiography, Ambulatory
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