Cited by 209ECG Monitoring and AnalysisCardiac electrophysiology and arrhythmiasCardiac pacing and defibrillation studies

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Ambulatory Arrhythmia Monitoring: Choosing the Right Device

Zimetbaum, Peter, Goldman, Alena·2010·Circulation

DOI 10.1161/circulationaha.109.925610

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Abstract

R emote cardiac telemetry was developed to allow home ECG monitoring of patients with suspected cardiac arrhythmias.It was first introduced by the American biophysicist Norman J. Holter (1914 -1983) in the 1940s.The original Holter monitor was a 75-lb backpack with a reel-to-reel FM tape recorder, analog patient interface electronics, and large batteries.1,2 It could record a single ECG lead for several hours and provided the first opportunity to record and analyze ambulatory ECG data outside a standard hospital or outpatient care setting.The clinical need to monitor outpatients has resulted in advances in technology that now allow us to monitor heart rhythms remotely through a wide variety of devices, including ambulatory external monitors, implantable event recorders, pacemakers, and cardioverter-defibrillators.The rapid expansion of ambulatory monitoring technologies affords the clinician the obvious diagnostic advantage of more comprehensive and real-time data.It also presents the challenge of creating systems to handle and pay for this increased information and the potential liability associated with a continuous data stream.This review focuses on the available technology and factors that guide the choice of monitor.

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Authors: Zimetbaum, P., & Goldman, A.
Affiliations: Beth Israel Deaconess Medical Center (US)
ORCID: Zimetbaum, Peter
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2010-10-19
Volume: 122
Issue: 16
Pages: 1629-1636
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.109.925610
OpenAlex: W1991071650
Cited by: 209
References: 35
Citations by year: 2026: 13 · 2025: 9 · 2024: 11 · 2023: 16 · 2022: 12 · 2021: 23 · 2020: 10 · 2019: 20 · 2018: 10 · 2017: 18 · 2016: 16 · 2015: 14 · 2014: 14 · 2013: 13 · 2012: 6
FWCI: 1.24
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
Keywords: Holter monitoring, cardiac arrhythmias, electrocardiogram
MeSH terms: Arrhythmias, Cardiac, Electrocardiography, Humans, Monitoring, Physiologic, Pacemaker, Artificial, Electrocardiography, Ambulatory, Defibrillators, Implantable

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