Transtelephonic monitoring in pediatric patients with clinically suspected arrhythmias
Open accessAbstract
Evaluation of patients with symptoms suggestive of cardiac arrhythmias is difficult using standard studies if the episodes are infrequent and have a short duration. Transtelephonic electrocardio graphic recorders were provided for 41 patients with suspected arrhythmic episodes. None had previously documented arrhythmia. There were 18 males and 23 females (age range 14 months to 19 years; mean 10.9 years). The interval prior to a diagnostic transmission was 0.5 to 8 months (mean 2.5 months). Twenty-one of 41 patients (51%) provided transmissions during a typical episode, nine of which were abnormal. Paroxysmal supraventricular tachycardia was found in eight patients and unsuspected intermittent complete heart block in one patient. The remaining 12 patients had normal sinus rhythm. Twenty patients did not transmit because episodes either were too brief or did not recur. Transtelephonic monitoring was effective in the diagnosis of certain arrhythmias that are infrequent and short in duration. Normal transmitted electrocar diograms during a typical symptomatic episode excluded cardiac arrhythmias.
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Sinus tachycardia is identified in nearly 50% of pediatric patients with palpitations.
“sinus tachycardia is identified in nearly 50% of patients with the same symptoms”
From 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry (2017) · cites this paper as Fyfe, Holmes, Neubauer, & Feldt, 1984
The Results report that 21 of 41 patients (51%) had a clinical diagnosis of paroxysmal supraventricular tachycardia before monitoring—not an identification of sinus tachycardia. Among the 21 who transmitted recordings during symptoms, eight had paroxysmal supraventricular tachycardia, one had heart block, and 12 had normal sinus rhythm (Results; Abstract, page unavailable). The paper does not report sinus tachycardia in nearly 50% of patients with palpitations. (LLM, conf=0.87)
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Cites
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- Authors
- Fyfe, D. A., Holmes, D. R., Neubauer, S. A., & Feldt, R. H.
- Affiliations
- Mayo Clinic (US)
- Venue
- Clinical Pediatrics
- Publisher
- SAGE Publications
- Published
- 1984-03
- Volume
- 23
- Issue
- 3
- Pages
- 139-143
- ISSN
- 0009-9228 (ISSN-L)
- 1938-2707
- OpenAlex
- W2116682341
- Cited by
- 19
- References
- 8
- Citations by year
- 2025: 1 · 2017: 2 · 2014: 1 · 2013: 1
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Pediatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Keywords
- transtelephonic monitoring, Holter monitoring, cardiac arrhythmias, paroxysmal supraventricular tachycardia, pediatric patients, arrhythmia diagnosis
- MeSH terms
- Adolescent, Adult, Arrhythmias, Cardiac, Child, Child, Preschool, Electrocardiography, Female, Heart Block, Humans, Infant, Male, Monitoring, Physiologic, Tachycardia, Paroxysmal, Telephone
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