Cited by 96ECG Monitoring and AnalysisCardiovascular Syncope and Autonomic DisordersCardiac electrophysiology and arrhythmias

Detection of arrhythmias: use of a patient-activated ambulatory electrocardiogram device with a solid-state memory loop

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Brown, A P, Dawkins, K D, Davies, J G·1987·Heart

Abstract

A patient-activated ambulatory electrocardiogram device with a solid-state memory loop was used to investigate 100 unselected patients experiencing palpitation, dizziness, or syncope. Clinically useful information was obtained in 68% of patients. Frequently, sinus rhythm had been restored by the time the patient activated the device, but the arrhythmia had been stored in the pre-event segment of the memory--a distinct advantage over many other patient-activated devices. This recorder is complementary to conventional 24 hour electrocardiographic monitoring in the investigation of possible arrhythmias and is particularly suitable for patients with infrequent symptoms. Because the stored data can be rapidly analysed by any commercially available electrocardiograph the device is suitable for use in district general hospitals.

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Crossref · 10.1136/hrt.58.3.251

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  • External and implantable loop recorders, mobile cardiac outpatient telemetry, and pacemakers and ICDs can detect asymptomatic clinically significant arrhythmias automatically, without patient activation.

    “The external and implantable loop recorders, mobile cardiac outpatient telemetry, and pacemakers and ICDs can detect asymptomatic clinically significant arrhythmias automatically (i.e. with no activation by the patient)”
  • External and implantable loop recorders, mobile cardiac outpatient telemetry, and pacemakers and ICDs provide a significantly higher yield than standard patient-activated loop recorders in patients with infrequent palpitations.

    “and provide a significantly higher yield than standard patient-activated loop recorders in patients with infrequent palpitations.49,73 -79”

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Research works printed but not linked: 5

  1. Petch MC. Lessons from ambulatory electro- cardiography. Br Med J 1985;291:617-8.
  2. Judson P, Holmes DR, Baker WP. Evaluation of out- patient arrhythmias utilizing transtelephonic mon- itoring. Am Heart J 1979;97:759-61.
  3. Ward DE, Camm AJ. Ambulatory monitoring of tran- sient arrhythmias. Hospital Update 1981;7:211-20.
  4. Camin AJ, Ward DE, Spurrell RAJ. Arrhythhiias in ambulatory persons: a review and experience of 1000 consecutive recordings. Biotelemetry 1978;5:167-81.
  5. Hardwin Mead R, Ruder MA, Winkle RA. The "In- stant Replay" transtelephonic monitor: utility in the diagnosis of intermittent symptomatic arrhythmias. PACE 1986;9:311. on July 14, 2023 by guest. Protected by copyright. http://heart.bmj.com/ Br Heart J: first published as 10.1136/hrt.58.3.251 on 1 September 1987. Downloaded from

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Authors
Brown, A. P., Dawkins, K. D., & Davies, J. G.
Affiliations
St George's Hospital (GB)
Venue
Heart
Publisher
BMJ
Published
1987-09-01
Volume
58
Issue
3
Pages
251-253
ISSN
1355-6037 (ISSN-L)
OpenAlex
W1997268748
Cited by
96
References
6
Citations by year
2026: 1 · 2022: 1 · 2021: 3 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 1
FWCI
1.83
Type
journal article
Language
en
Open access
Locations
  • Heart (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
  • Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords
arrhythmia detection, palpitations, dizziness, syncope, 24-hour electrocardiographic monitoring, sinus rhythm restoration
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Ambulatory Care, Arrhythmias, Cardiac, Electrocardiography, Humans, Microcomputers, Middle Aged, Monitoring, Physiologic

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