Cited by 45ECG Monitoring and AnalysisCardiac electrophysiology and arrhythmiasCardiac Arrhythmias and Treatments

Cardiac event recording yields more diagnoses than 24-hour Holter monitoring in patients with palpitations

Scalvini, S, Zanelli, E, Martinelli, G, Baratti, D, Giordano, A, Glisenti, F·2005·Journal of Telemedicine and Telecare

Abstract

Palpitation is a common symptom that sometimes results from a substantial cardiac arrhythmia. We compared the diagnostic yield of trans-telephonic event monitors with those of Holter monitoring in patients with intermittent palpitations. In all, 310 patients were randomly assigned to receive an event recorder or 24-hour Holter monitoring. Event recorders were used for seven days or until two recordings were obtained while symptoms occurred. The main end-point was an electrocardiogram (ECG) recorded during symptoms. The patients with palpitation recorded the one-lead ECG trace and sent it to a telemedicine call centre, where a nurse responded. There were 119 symptomatic patients in the event recorder group and 74 in the Holter group. The total costs were 6019 for event recording and 9605 for Holter monitoring. The average costs were 51 per symptomatic patient detected by event recorder monitoring and 130 per symptomatic patient detected by Holter monitoring. More patients therefore received a clear diagnosis, and more quickly, when using event recording than with Holter monitoring. For this reason, event recorders are preferable to Holter monitors for patients with palpitations.

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Crossref · 10.1258/1357633054461930

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7 of 7 references verified0 citation errors · 0 not checkable

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  • 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”
  • 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)”

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Authors
Scalvini, S., Zanelli, E., Martinelli, G., Baratti, D., Giordano, A., & Glisenti, F.
Affiliations
  • Cardiology Division, S Maugeri Foundation, IRCCS, Gussago, Brescia
  • Health Telematic Network S.p.A., Brescia, Italy
Corresponding author
Scalvini, S
Venue
Journal of Telemedicine and Telecare
Published
2005-07
Volume
11
Issue
1_suppl
Pages
14-16
ISSN
  • 1357-633X (ISSN-L)
  • 1758-1109
OpenAlex
W1974503807
Cited by
45
References
7
Citations by year
2025: 2 · 2024: 3 · 2023: 2 · 2021: 3 · 2020: 2 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 1 · 2012: 4
FWCI
1.60
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Telemedicine and Telecare (publishedVersion)
  • PubMed (publishedVersion)
Funders
Eidgenössische Technische Hochschule Zürich
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 Arrhythmias and Treatments
Keywords
24-hour Holter monitoring, palpitations, cardiac arrhythmias, telemedicine, event monitors, diagnostic yield, cost comparison
MeSH terms
Arrhythmias, Cardiac, Female, Heart, Humans, Male, Middle Aged, Telephone, Electrocardiography, Ambulatory, Health Care Costs, Telemedicine, Monitoring, Ambulatory

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