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Cited by 177ECG Monitoring and AnalysisCardiac electrophysiology and arrhythmiasHeart Rate Variability and Autonomic Control

The DOI matches its Crossref record; 134 of the 134 references it cites were found in a registry or an index.

Use of Ambulatory Electrocardiographic (Holter) Monitoring

DiMarco, John P., Philbrick, John T.·1990·Annals of Internal Medicine
DOI 10.7326/0003-4819-113-1-53
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Abstract

PURPOSE: To evaluate the clinical efficacy of ambulatory electrocardiographic (ECG) monitoring and to develop guidelines for its use in clinical practice. DATA IDENTIFICATION: Studies reported since January 1978 were identified both through computer searches using Index Medicus and extensive manual searching of bibliographies of identified articles. STUDY SELECTION: Only studies that fulfilled methodologic criteria designed to limit bias were reviewed. DATA EXTRACTION: Information describing population and study results was assessed in four major categories (variability, diagnosis, prognosis, and therapy guidance) for both arrhythmia monitoring and ST-segment analysis. RESULTS OF DATA ANALYSIS: The day-to-day variability of arrhythmia and myocardial ischemia detected by ambulatory ECG monitoring may be considerable in an individual patient. Caution must therefore be used in interpreting serial tests. Ambulatory ECG monitoring with diary correlation permits documentation of cardiac arrhythmias causing symptoms, but the diagnostic yield is low unless symptoms are frequent. Such monitoring can provide information about prognosis in patients after acute myocardial infarction. The amount of prognostic information obtained is modest and is outweighed by other measures. There is insufficient information to make conclusions about such monitoring and prognosis in other conditions. Serial ambulatory ECG monitoring may be used to assess the effect of an antiarrhythmic drug in patients with frequent and reproducible ventricular ectopy. The effect of arrhythmia suppression on survival is uncertain. Because of its low sensitivity and specificity, analysis of ST-segment changes during ambulatory ECG monitoring is inaccurate in establishing or excluding the presence of coronary disease. Although anti-ischemic interventions reduce the frequency and duration of ST-segment changes on monitoring, there are no data on the utility of using reduction or elimination of the changes as the endpoint of therapy. CONCLUSIONS: Ambulatory ECG monitoring can provide diagnostic, prognostic, and therapeutic information in many situations, but similar information often may be better obtained in other ways.

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Crossref · 10.7326/0003-4819-113-1-53

Cites

134 of 134 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 16

  1. Sheffield L, 1985, Circulation., 71, 626A
  2. Hertzeanu H, 1979, Acta Cardiol., 34, 375
  3. Gendelman H, 1983, N Y State J Med., 83, 1161
  4. Eagle K, 1983, Yale J Biol Med., 56, 1
  5. Diamond T, 1983, S Afr Med J., 63, 5
  6. DiMarco J, 1987, Circulation., 75, III
  7. 10.1001/jama.1967.03120030092017 · DOI
  8. Lie K, 1974, Eur J Cardiol., 1, 379
  9. Lovell R, 1971, Lancet., 2, 1055
  10. Hugenholtz P, 1978, Management of Ventricular Tachycardia:Role of Mexiletine., 572
  11. Nicklas J, 1988, Circulation., 78, II27A
  12. Lichstein E, 1983, Circulation., 67, I
  13. Tamaki N, 1986, J Nucl Med., 27, 911A
  14. 1975, Circulation., 52, 11
  15. 10.1016/S0140-6736(83)92295-X · DOI
  16. 10.1001/jama.1988.03720070030029 · DOI

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Metadata

Authors
DiMarco, J. P., & Philbrick, J. T.
Affiliations
University of Virginia Medical Center (US)
Corresponding author
DiMarco, John P.
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
1990-07-01
Volume
113
Issue
1
Pages
53-68
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-113-1-53
OpenAlex
W1979276457
Cited by
177
References
134
Citations by year
2026: 3 · 2025: 8 · 2024: 8 · 2023: 4 · 2022: 9 · 2021: 9 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 2 · 2014: 6 · 2013: 8 · 2012: 1
FWCI
0.73
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (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 › Heart Rate Variability and Autonomic Control
Keywords
Holter monitoring, arrhythmia monitoring, myocardial ischemia, ST-segment changes, antiarrhythmic drugs, ventricular ectopy, serial ECG monitoring, anti-ischemic therapy
MeSH terms
Arrhythmias, Cardiac, Coronary Disease, Humans, Predictive Value of Tests, Prognosis, Reproducibility of Results, Electrocardiography, Ambulatory

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