Cited by 245ECG Monitoring and AnalysisCardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record.

Cardiac Event Recorders Yield More Diagnoses and Are More Cost-effective than 48-Hour Holter Monitoring in Patients with Palpitations: A Controlled Clinical Trial

Kinlay, Scott, Leitch, James W., Neil, Amanda, Chapman, Barry L., Hardy, David B., Fletcher, Peter J.·1996·Annals of Internal Medicine

DOI 10.7326/0003-4819-124-1_part_1-199601010-00003

Open this paper in CoChat — free account

Abstract

OBJECTIVE: To compare the diagnostic yield and cost-effectiveness of transtelephonic event monitors with those of Holter monitoring in patients with intermittent palpitations. DESIGN: Randomized crossover trial. SETTING: Diagnostic service of a teaching hospital and surrounding primary care practices. PATIENTS: 43 patients with previously uninvestigated palpitations who were referred for Holter monitoring. MEASUREMENTS: Patients were randomly allocated to receive an event monitor or 48-hour Holter monitor and then to receive the other device. Event monitors were used for 3 months or until two recordings were obtained while symptoms occurred. The main end point was an electrogram recorded during symptoms. The incremental cost-effectiveness of obtaining a diagnostic rhythm strip from event monitors was compared with that of Holter monitoring. RESULTS: The mean (+/- SD) patient age was 45 +/- 19 years; 37 patients (88%) were women. Event monitors were twice as likely to provide a diagnostic rhythm strip electrocardiogram during symptoms as 48-hour Holter monitoring (29 patients [67%] and 15 patients [35%], respectively; P < 0.001). Event monitors detected 8 patients (19%) with clinically important arrhythmias (6 patients with supraventricular tachycardia and 2 with atrial fibrillation or flutter), whereas the Holter monitors detected no significant arrhythmia (P < 0.005). With the event monitors, most patients transmitted an electrocardiogram recording by 6 weeks. Event monitors were dominant and therefore more cost-effective than 48-hour Holter monitoring, resulting in a cost savings of $213 for each additional diagnostic rhythm strip obtained during symptoms. CONCLUSIONS: Holter monitoring is a poor diagnostic test for intermittent palpitations. Event recorders provide better data and are more cost-effective.

Integrity signals

Registry

Crossref · 10.7326/0003-4819-124-1_part_1-199601010-00003

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Sorted by citations

Guidelines for the diagnosis and management of syncope (version 2009): The Task Force for the Diagnosis and Management of Syncope of the European Society of Cardiology (ESC)
Developed in collaboration with, European Heart Rhythm Association (EHRA), Heart Failure Association (HFA), and Heart Rhythm Society (HRS), societies, E. B. T. F., European Society of Emergency Medicine (EuSEM), European Federation of Internal Medicine (EFIM), European Union Geriatric Medicine Society (EUGMS), American Geriatrics Society (AGS), European Neurological Society (ENS), et al. (2009) · European Heart Journal · doi:10.1093/eurheartj/ehp298 · Cited by 2,040
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya, A., de Lange, F. J., Deharo, J.-C., Elliott, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martín, A., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy037 · Cited by 1,951
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.10.044 · Cited by 1,008
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000628 · Cited by 603
Comparison of 24-hour holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring
Barrett, P. M., Komatireddy, R., Haaser, S., Topol, S., Sheard, J., Encinas, J., Fought, A. J., & Topol, E. J. (2014) · The American Journal of Medicine · doi:10.1016/j.amjmed.2013.10.003 · Cited by 498
Long-term risk of recurrent atrial fibrillation as documented by an implantable monitoring device
Israel, C. W., Grönefeld, G., Ehrlich, J. R., Li, Y., & Hohnloser, S. H. (2004) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.08.027 · Cited by 478
2018 ESC Guidelines for the diagnosis and management of syncope
Brignole, M., Moya‐Mitjans, À., de Lange, F. J., Deharo, J., Elliot, P. M., Fanciulli, A., Fedorowski, A., Furlan, R., Kenny, R. A., Martiın, A., et al. (2018) · Kardiologia Polska · doi:10.5603/kp.2018.0161 · Cited by 475
Usefulness of Ambulatory 7-Day ECG Monitoring for the Detection of Atrial Fibrillation and Flutter After Acute Stroke and Transient Ischemic Attack
Jabaudon, D., Sztajzel, J. M., Sievert, K., Landis, T., & Sztajzel, R. F. (2004) · Stroke · doi:10.1161/01.str.0000131269.69502.d9 · Cited by 414
Indications for the use of diagnostic implantable and external ECG loop recorders
Task Force members, Brignole, M., Vardas, P., Hoffman, E., Huikuri, H., Moya, A., Ricci, R., Sulke, N., Wieling, W., EHRA Scientific Documents Committee, et al. (2009) · Europace · doi:10.1093/europace/eup097 · Cited by 362
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2018.10.043 · Cited by 337
Automatic Real Time Detection of Atrial Fibrillation
Dash, S. S., Chon, K. H., Lu, S., & Raeder, E. A. (2009) · Annals of Biomedical Engineering · doi:10.1007/s10439-009-9740-z · Cited by 314
ACC/AHA guidelines for ambulatory electrocardiography
Crawford, M. H., Bernstein, S. J., Deedwania, P. C., DiMarco, J. P., Ferrick, K. J., Garson, A., Green, L. A., Greene, H. L., Silka, M. J., Stone, P. H., et al. (1999) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(99)00354-x · Cited by 309
Guía de práctica clínica para el diagnóstico y manejo del síncope (versión 2009)
Moya‐Mitjans, À., Sutton, R., Ammirati, F., Blanc, J., Brignole, M., Dahm, J. B., Deharo, J., Gajek, J. J., Gjesdal, K., Krahn, A. D., et al. (2009) · Revista Española de Cardiología (English Edition) · doi:10.1016/s1885-5857(09)73541-8 · Cited by 277
Diagnostic utility of a novel leadless arrhythmia monitoring device.
Turakhia, M. P., Hoang, D. D., Zimetbaum, P., Miller, J. D., Froelicher, V. F., Kumar, U. N., Xu, X., Yang, F., & Heidenreich, P. A. (2013) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2013.04.017 · Cited by 258
ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography41This document was approved by the American College of Cardiology Board of Trustees in November 2001 and the American Heart Association Science Advisory and Coordinating Committee in August 2001.42When citing this document, the American College of Cardiology and the American Heart Association would appreciate the following citation format: Kadish AH, Buxton AE, Kennedy HL, Knight BP, Mason JW, Schuger CD, Tracy CM. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians-American Society of Internal Medicine Task Force on Clinical Competence (ACC/AHA Committee to Develop a Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography); J Am Coll Cardiol 2001;38:2091–100.43This document is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Reprints of this document may be purchased for $5.00 each by calling 1-800-253-4636 or by writing to the American College of Cardiology, Educational Services, 9111 Old Georgetown Road, Bethesda, Maryland 20814-1699.44© 2001 by the American College of Cardiology and American Heart Association, Inc.
Kadish, A. H., Buxton, A. E., Kennedy, H. L., Knight, B. P., Mason, J. W., Schuger, C. D., Tracy, C. M., Winters, W. L., Boone, A. W., Elnicki, M., et al. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(01)01680-1 · Cited by 244
A new pacemaker algorithm for the treatment of atrial fibrillation
Carlson, M. D., Ip, J. E., Messenger, J. C., Beau, S. L., Kalbfleisch, S. J., Gervais, P., CAMERON, D. A., Duran, A., Val-Mejias, J. E., Mackall, J. A., et al. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(03)00780-0 · Cited by 237
Ambulatory Arrhythmia Monitoring: Choosing the Right Device
Zimetbaum, P., & Goldman, A. (2010) · Circulation · doi:10.1161/circulationaha.109.925610 · Cited by 209
The diagnosis of cardiac arrhythmias: a prospective multi-center randomized study comparing mobile cardiac outpatient telemetry versus standard loop event monitoring
ROTHMAN, S. A., LAUGHLIN, J. C., SELTZER, J., WALIA, J. S., BAMAN, R. I., SIOUFFI, S. Y., SANGRIGOLI, R. M., & KOWEY, P. R. (2007) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2006.00729.x · Cited by 194
ACC/AHA Clinical Competence Statement on Electrocardiography and Ambulatory Electrocardiography
Kadish, A. H., Buxton, A. E., Kennedy, H. L., Knight, B. P., Mason, J. W., Schuger, C. D., Tracy, C. M., Winters, W. L., Boone, A. W., Elnicki, M., et al. (2001) · Circulation · doi:10.1161/circ.104.25.3169 · Cited by 192
Role of transtelephonic electrocardiographic monitoring in detecting short-term arrhythmia recurrences after radiofrequency ablation in patients with atrial fibrillation
Senatore, G., Stabile, G., Bertaglia, E., Donnici, G., Simone, A. D., Zoppo, F., Turco, P., Pascotto, P., & FAZZARI, M. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2004.11.050 · Cited by 172
Evaluation of patients with palpitations
Zimetbaum, P., & Josephson, M. E. (1998) · New England Journal of Medicine · doi:10.1056/nejm199805073381907 · Cited by 172
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000627 · Cited by 161
Unrecognized Paroxysmal Supraventricular Tachycardia: Potential for Misdiagnosis as Panic Disorder
Lessmeier, T. J. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440260085013 · Cited by 157
Management of patients with palpitations: a position paper from the European Heart Rhythm Association
Raviele, A., Giada, F., Bergfeldt, L., Blanc, J. J., Blomstrom-Lundqvist, C., Mont, L., Morgan, J. M., Raatikainen, M. J. P., Steinbeck, G., Viskin, S., et al. (2011) · Europace · doi:10.1093/europace/eur130 · Cited by 149
Screening strategies for atrial fibrillation: a systematic review and cost-effectiveness analysis
Welton, N. J., McAleenan, A., Thom, H. H. Z., Davies, P. A., Hollingworth, W., Higgins, J. P. T., Okoli, G. N., Sterne, J. A. C., Feder, G. S., Eaton, D., et al. (2017) · Health Technology Assessment · doi:10.3310/hta21290 · Cited by 142
The Evolving Role of Ambulatory Arrhythmia Monitoring in General Clinical Practice
Zimetbaum, P. J., & Josephson, M. E. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-130-10-199905180-00020 · Cited by 139
Validation and clinical use of a novel diagnostic device for screening of atrial fibrillation
Tieleman, R. G., Plantinga, Y., Rinkes, D., Bartels, G. L., Posma, J. L., Cator, R., Hofman, C., & Houben, R. P. (2014) · Europace · doi:10.1093/europace/euu057 · Cited by 138
2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: Executive summary
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2018) · Heart Rhythm · doi:10.1016/j.hrthm.2018.10.036 · Cited by 138
Diagnostic Yield and Optimal Duration of Continuous-Loop Event Monitoring for the Diagnosis of Palpitations: A Cost-Effectiveness Analysis
Zimetbaum, P. J., Kim, K. Y., Josephson, M. E., Goldberger, A. L., & Cohen, D. J. (1998) · Annals of Internal Medicine · doi:10.7326/0003-4819-128-11-199806010-00002 · Cited by 133
“Because previous studies have shown loop recording to be less costly and more effective than Holter monitoring for the diagnosis of palpitations (1), we did not consider Holter monitoring as an alternative strategy in the cost-effectiveness analysis.”
BackgroundMethodInfluential
2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay
Kusumoto, F. M., Schoenfeld, M. H., Barrett, C., Edgerton, J. R., Ellenbogen, K. A., Gold, M. R., Goldschlager, N. F., Hamilton, R. M., Joglar, J. A., Kim, R. J., et al. (2019) · Heart Rhythm · doi:10.1016/j.hrthm.2018.10.037 · Cited by 131
Potential Health Effects of Odor from Animal Operations, Wastewater Treatment, and Recycling of Byproducts
Schiffman, S. S., Walker, J. M., Dalton, P., Lorig, T. S., Raymer, J. H., Shusterman, D. J., & Williams, C. M. (2000) · Journal of Agromedicine · doi:10.1300/j096v07n01_02 · Cited by 117
First experience with a Mobile Cardiac Outpatient Telemetry (MCOT) system for the diagnosis and management of cardiac arrhythmia
Joshi, A. K., Kowey, P. R., Prystowsky, E. N., Benditt, D. G., Cannom, D. S., Pratt, C. M., McNamara, A., & Sangrigoli, R. M. (2005) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2004.12.015 · Cited by 110
Short-term ECG for out of hospital detection of silent atrial fibrillation episodes
Doliwa, P. S., Frykman, V., & Rosenqvist, M. (2009) · Scandinavian Cardiovascular Journal · doi:10.1080/14017430802593435 · Cited by 105
Frequent and Prolonged Asymptomatic Episodes of Paroxysmal Atrial Fibrillation Revealed by Automatic Long‐Term Event Recorders in Patients with a Negative 24‐Hour Holter
Roche, F., Gaspoz, J., Costa, A. D., Isaaz, K., Duverney, D., Pichot, V., Costes, F., Lacour, J.-R., & Barthélemy, J. (2002) · Pacing and Clinical Electrophysiology · doi:10.1046/j.1460-9592.2002.01587.x · Cited by 101
Management of atrial fibrillation: Figure 1
Lip, G. Y. H., & Tello-Montoliu, A. (2006) · Heart · doi:10.1136/hrt.2005.071555 · Cited by 99
Physiological Changes and Cardiovascular Investigations in Pregnancy
Morton, A. (2020) · Heart Lung and Circulation · doi:10.1016/j.hlc.2020.10.001 · Cited by 98
Event‐Recorder Monitoring in the Diagnosis of Atrial Fibrillation in Symptomatic Patients: Subanalysis of the SOPAT Trial
Patten, M., Maas, R., Karim, A., MÜLLER, H., SIMONOVSKY, R., & Meinertz, T. (2006) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2006.00609.x · Cited by 95
Diagnostic approach to palpitations.
Abbott, A. V. (2005) · PubMed · Cited by 83
Prospective, multicentre validation of a simple, patient-operated electrocardiographic system for the detection of arrhythmias and electrocardiographic changes
Kaleschke, G., Hoffmann, B., Drewitz, I., Steinbeck, G., Naebauer, M., Goette, A., Breithardt, G., & Kirchhof, P. (2009) · Europace · doi:10.1093/europace/eup262 · Cited by 81
“the time to diagnosis when compared with conventional Holter ECG recordings in patients with syncope and in other settings.(10,11) Infrequent palpitations can be recorded by patient-activated monitoring systems in 75% of the patients, most often within the first 4 weeks.”
BackgroundMethod
Utility of Patient-Activated Cardiac Event Recorders in General Clinical Practice
Zimetbaum, P., Kim, K. Y., Ho, K. K. L., Zebede, J., Josephson, M. E., & Goldberger, A. L. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)00766-7 · Cited by 77
Does this patient with palpitations have a cardiac arrhythmia?
Thavendiranathan, P. (2009) · JAMA · doi:10.1001/jama.2009.1673 · Cited by 75
Wearable Multiple Modality Bio-Signal Recording and Processing on Chip: A Review
Lin, Q., Song, S., Castro, I. D., Jiang, H., Konijnenburg, M., van Wegberg, R., Biswas, D., Stanzione, S., Sijbers, W., Hoof, C. A. V., et al. (2020) · IEEE Sensors Journal · doi:10.1109/jsen.2020.3016115 · Cited by 72
“time leads to missed arrhythmias [131], [132].”
Ambulatory Cardiac Monitoring for Discharged Emergency Department Patients with Possible Cardiac Arrhythmias
Schreiber, D., Sattar, A., Drigalla, D., & Higgins, S. (2014) · Western Journal of Emergency Medicine · doi:10.5811/westjem.2013.11.18973 · Cited by 65
Diagnostic yield of external electrocardiographic loop recorders in patients with recurrent syncope and negative tilt table test
SCHUCHERT, A., MAAS, R., KRETZSCHMAR, C., BEHRENS, G., KRATZMANN, I., & MEINERTZ, T. (2003) · Pacing and Clinical Electrophysiology · doi:10.1046/j.1460-9592.2003.t01-1-00277.x · Cited by 62
Diretrizes para Avaliação e Tratamento de Pacientes com Arritmias Cardíacas
Feitosa, G. S., Nicolau, J. C., Lorga, A. M., Filho, A. L., d’Ávila, A., Rassi, A., de Paola, Â. A. V., Pedrosa, A., da Costa, Á. B., Péres, A. K., et al. (2002) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2002001900001 · Cited by 71
Utility of Mobile Cardiac Outpatient Telemetry for the Diagnosis of Palpitations, Presyncope, Syncope, and the Assessment of Therapy Efficacy
OLSON, J. A., FOUTS, A. M., PADANILAM, B. J., & PRYSTOWSKY, E. N. (2007) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2007.00779.x · Cited by 59
External loop recorders: determinants of diagnostic yield in patients with syncope
Gula, L. J., Krahn, A. D., Massel, D. R., Skanes, A. C., Yee, R. K., & Klein, G. J. (2004) · American Heart Journal · doi:10.1016/j.ahj.2003.10.036 · Cited by 57
Long-term continuous external electrocardiographic recording: a review
Enseleit, F., & Duru, F. (2006) · EP Europace · doi:10.1093/europace/euj054 · Cited by 60
“This diagnostic yield can be roughly doubled by the use of a transtelephonic event recorder, and these devices are more cost-effective for this indication than Holter monitoring.(33,34) The latter two recent studies are in line with a study by Zimetbaum et al.”
Result
Comparison of the patient-activated event recording system vs. traditional 24 h Holter electrocardiography in individuals with paroxysmal palpitations or dizziness
de Asmundis, C., Conte, G., Sieira, J., Chierchia, G.-B., Rodriguez-Manero, M., Di Giovanni, G., Ciconte, G., Levinstein, M., Baltogiannis, G., Saitoh, Y., et al. (2014) · Europace · doi:10.1093/europace/eut411 · Cited by 52
Characteristics of patients presenting to a cardiac clinic with palpitation
Mayou, R. (2003) · QJM · doi:10.1093/qjmed/hcg017 · Cited by 52
“In one study, the cardiac rhythm was different in 7/20 patients (35%) who made two recordings with an event monitor.(15) In this study, patients were assigned to the diagnostic category reflecting the dominant, but not necessarily exclusive, cause of their palpitation.”
Background
Transtelephonic electrocardiographic monitors for evaluation of children and adolescents with suspected arrhythmias
Saarel, E. V., Stefanelli, C. B., Fischbach, P. S., Serwer, G. A., Rosenthal, A., & Dick, M. (2004) · Pediatrics · doi:10.1542/peds.113.2.248 · Cited by 51
New-onset palpitations in general practice: assessing the discriminant value of items within the clinical history
Summerton, N., Mann, S., Rigby, A., Petkar, S., & Dhawan, J. (2001) · Family Practice · doi:10.1093/fampra/18.4.383 · Cited by 49
Ambulatory ECG Monitoring in Atrial Fibrillation Management
Rosero, S. Z., Kutyifa, V., Olshansky, B., & Zaręba, W. (2013) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2013.10.001 · Cited by 51
Efficacy of diagnostic tools for detecting cardiac arrhythmias: systematic literature search
Hoefman, E., Bindels, P., & van Weert, H. C. P. M. (2010) · Netherlands Heart Journal · doi:10.1007/s12471-010-0831-0 · Cited by 50
Diagnostic yield of patient-activated loop recorders for detecting heart rhythm abnormalities in general practice: a randomised clinical trial
Hoefman, E., van Weert, H. C. P. M., Reitsma, J. B., Koster, R. W., & Bindels, P. (2005) · Family Practice · doi:10.1093/fampra/cmi048 · Cited by 45
Prospective comparison of the diagnostic utility of a standard event monitor versus a ‘leadless’ portable ECG monitor in the evaluation of patients with palpitations
Scherr, D., Dalal, D., Henrikson, C. A., Spragg, D. D., Berger, R. D., Calkins, H., & Cheng, A. (2008) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-008-9251-0 · Cited by 45
“Not surprisingly, studies have shown that the diagnostic yield of these monitors varies directly with the duration of monitoring [3, 4].”
Background
Pharmacological Stress Testing of the His‐Purkinje System in Patients with Bifascicular Block
ENCLUND, A., Bergfeldt, L., & Rosenqvist, M. (1998) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1998.tb00017.x · Cited by 45
ECONOMIC EVALUATION OF DIAGNOSTIC TESTS
Severens, J. L., & van der Wilt, G. J. (1999) · International Journal of Technology Assessment in Health Care · doi:10.1017/s0266462399153169 · Cited by 42
Asymptomatic recurrences of atrial fibrillation after pulmonary vein isolation
Neumann, T., Erdoğan, A., Dill, T., Greiß, H., Berkowitsch, A., Sperzel, J., Kuniss, M., Kurzidim, K. W., Hamm, C. W., & Pitschner, H.-F. (2006) · EP Europace · doi:10.1093/europace/eul056 · Cited by 38
“These results support the published data on a superior detection of arrhythmias using ER systems compared with standard 24- or 48-h Holter-ECG recordings.(15,16) We observed an AF burden reduction of 84.”
Result
Longer Ambulatory ECG Monitoring Increases Identification of Clinically Significant Ectopy
Loring, Z., Hanna, P., & Pellegrini, C. N. (2016) · Pacing and Clinical Electrophysiology · doi:10.1111/pace.12852 · Cited by 40
Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice
Hoefman, E., van Weert, H. C., Boer, K. R., Reitsma, J., Koster, R. W., & Bindels, P. J. (2006) · Family Practice · doi:10.1093/fampra/cml065 · Cited by 38
Identification, diagnosis and assessment of atrial fibrillation
Dewar, R. I., & Lip, G. Y. H. (2006) · Heart · doi:10.1136/hrt.2006.099861 · Cited by 36
Diagnostic yield of automatic and patient‐triggered ambulatory cardiac event recording in the evaluation of patients with palpitations, dizziness, or syncope
Balmelli, N., Naegeli, B., & Bertel, O. (2003) · Clinical Cardiology · doi:10.1002/clc.4960260405 · Cited by 35
Updated Geriatric Cardiology Guidelines of the Brazilian Society of Cardiology - 2019
Moreira, A. A. C. D. M., Costa, E. F. D. A., Miranda, R. D., Wajngarten, M., Galera, S. C., Filho, A. C. D. A., Toledo, M. A. D. V., Alves, J. D. C., Moriguchi, E. H., Rodrigues, N. L., et al. (2019) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20190086 · Cited by 39
Clinical validation of a low-power and wearable ECG patch for long term full-disclosure monitoring
Torfs, T., Smeets, C. J. P. P., Geng, D., Berset, T., der Auwera, J. V., Vandervoort, P. M., & Grieten, L. (2014) · Journal of Electrocardiology · doi:10.1016/j.jelectrocard.2014.08.012 · Cited by 33
Diagnostic Yield of Patch Ambulatory Electrocardiogram Monitoring in Children (from a National Registry)
Bolourchi, M., & Batra, A. S. (2014) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2014.12.014 · Cited by 34
Management of cardiovascular complications of bruton tyrosine kinase inhibitors
Tang, C. P. S., Lip, G. Y. H., McCormack, T., Lyon, A. R., Hillmen, P., Iyengar, S., Martínez‐Calle, N., Parry‐Jones, N., Patten, P., Schuh, A., et al. (2021) · British Journal of Haematology · doi:10.1111/bjh.17788 · Cited by 29
“In patients with suspected paroxysmal AF undetected by standard 12 lead resting ECG recording, a 48-hour ambulatory ECG monitor, seven-day event recorder or 7–14 day ECG patch recording device should be used based on the frequency of suspected symptomatic episodes.(29,30) A confirmed diagnosis of AF should prompt a ca…”
Method
Non-Episode-Dependent Assessment of Paroxysmal Atrial Fibrillation Through Measurement of RR Interval Dynamics and Atrial Premature Contractions
Hickey, B. E., Heneghan, C., & de Chazal, P. (2004) · Annals of Biomedical Engineering · doi:10.1023/b:abme.0000030233.39769.a4 · Cited by 29
Guías de práctica clínica de la Sociedad Española de Cardiología en la monitorización ambulatoria del electrocardiograma y presión arterial
Gámiz, J. L. P., Jiménez, A., González‐Juanatey, J. R., Huerta, E. M., & Martín-Ambrosio, E. S. (2000) · Revista Española de Cardiología · doi:10.1016/s0300-8932(00)75066-4 · Cited by 28
Utility of patient-activated cardiac event recorders in the detection of cardiac arrhythmias
Wu, C.-C., Hsieh, M.-H., Tai, C.-T., Chiang, C.-E., Yu, W.-C., Lin, Y.-K., Tsao, H.-M., Ding, P. Y.-A., & Chen, S.-A. (2003) · Journal of Interventional Cardiac Electrophysiology · doi:10.1023/a:1023604816368 · Cited by 27
“5% vs 11–18%) or ventricular tachycardia (1% vs 4%) was relatively low in our study [1,5,7].”
Background
Accuracy of an automatic and patient-triggered long-term solid memory ambulatory cardiac event recorder
Roche, F., Gaspoz, J.-M., Pichot, V., Costes, F., Isaaz, K., Ferron, C., Roche, C., Geyssant, A., Lacour, J.-R., & Barthélémy, J.-C. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(97)00614-0 · Cited by 26
The Diagnostic Significance of the Holter Monitoring in the Evaluation of Palpitation
Paudel, B., & Paudel, K. (2013) · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · doi:10.7860/jcdr/2013/4923.2802 · Cited by 32
“Ventricular pre- Condition Kinlay et al [7] (N=100)% Zimetbaum et al [8] (N=105)% Zimetbaum et al [9] (N= 408)% Paudel B et al (N=335)% Sinus rhythm 35 18 39 24.8 Ventricular ectopic 12 20 36 57.0 Atrial ectopics 0 8 13 36.7 Atrial fibrillation 6 17 2 7.8 Ventricular achycardia 0 2 1 5.7 Sinus tachycardia 29 7 5 40 Su…”
BackgroundInfluential
Asymptomatic Atrial Fibrillation on Device Interrogation
Lim, H. S., & Lip, G. Y. H. (2008) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2008.01194.x · Cited by 26
Palpitations in Athletes
Lawless, C. E., & Briner, W. W. (2008) · Sports Medicine · doi:10.2165/00007256-200838080-00006 · Cited by 25
First experience of monitoring with cardiac event recorder electrocardiography Omron system in childhood population for sporadic, potentially arrhythmia-related symptoms
Park, M. H. K., de Asmundis, C., Chierchia, G., Sarkozy, A., Benatar, A. A., & Brugada, P. (2011) · EP Europace · doi:10.1093/europace/eur159 · Cited by 23
“Documentation of sinus rhythm during symptoms can help to avoid further investigations with costly and invasive diagnostic procedures.(9,10,15,16) If we compare the Omron HeartScan to conventional 24 h Holter ECG, we observed that a more prolonged and patientactivated monitor can provide more helpful information.”
Cardiac monitoring for patients with palpitations
Pascual, J. F., Romero, J. C., Pérez‐Rodon, J., Benito, B., Santos‐Ortega, A., Maldonado, J., González, I. F., & Rivas‐Gándara, N. (2021) · World Journal of Cardiology · doi:10.4330/wjc.v13.i11.608 · Cited by 23
Assessment of palpitations
Gale, C. P., & Camm, A. J. (2016) · BMJ · doi:10.1136/bmj.h5649 · Cited by 21
Clinical Approach to Patients with Palpitations
Giada, F., & Raviele, A. (2018) · Cardiac Electrophysiology Clinics · doi:10.1016/j.ccep.2018.02.010 · Cited by 21
Screening for paroxysmal atrial fibrillation using atrial premature contractions and spectral measures
Hickey, B. E., & Heneghan, C. (2003) · Computers in cardiology · doi:10.1109/cic.2002.1166746 · Cited by 22
Predictive value of history taking and physical examination in diagnosing arrhythmias in general practice
Hoefman, E., Boer, K. R., van Weert, H. C., Reitsma, J. B., Koster, R. W., & Bindels, P. J. (2007) · Family Practice · doi:10.1093/fampra/cmm056 · Cited by 20
“(2,7,9) The advantage of the CER over other diagnostic instruments is that the registration of an event is directly linked to experience of symptoms.”
Background
Utility of event loop recorders for the management of arrhythmias in young ambulatory patients
Martinez, T., & Sztajzel, J. M. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.11.004 · Cited by 19
A Novel Patch for Heart Rhythm Monitoring: is the Holter Monitor obsolete?
Higgins, S. L. (2013) · Future Cardiology · doi:10.2217/fca.13.13 · Cited by 19
Emerging Role of Digital Technology and Remote Monitoring in the Care of Cardiac Patients
Banchs, J. E., & Scher, D. M. (2015) · Medical Clinics of North America · doi:10.1016/j.mcna.2015.02.013 · Cited by 19
Use of Transesophageal Atrial Pacing for Documentation of Arrhythmias Suspected in Infants and Children
Ko, J. K., Ryu, S. J., Ban, J., Kim, Y. H., & Park, I. S. (2004) · Japanese Heart Journal · doi:10.1536/jhj.45.63 · Cited by 18
NExUS-Heart: Novel examinations using smart technologies for heart health—Data sharing from commercial wearable devices and telehealth engagement in participants with or at risk of atrial fibrillation
Nuvvula, S., Ding, E., Saleeba, C., Shi, Q., Wang, Z., Kapoor, A., Saczynski, J. S., Lubitz, S. A., Kovell, L. C., McKee, M. D., et al. (2021) · Cardiovascular Digital Health Journal · doi:10.1016/j.cvdhj.2021.08.001 · Cited by 16
Utility of Holter Electrocardiogram in Iron‐Overloaded Hemoglobinopathies
Qureshi, N., Avasarala, K., Foote, D., & Vichinsky, E. P. (2005) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1345.064 · Cited by 17
Arrhythmia Detection in Pediatric Patients: ECG Quality and Diagnostic Yield of a Patient-Triggered Einthoven Lead-I Event Recorder (Zenicor EKG-2™)
Usadel, L., Haverkämper, G., Herrmann, S., Löber, R., Weiß, K., Opgen‐Rhein, B., Berger, F. F., & Will, J. C. (2015) · Pediatric Cardiology · doi:10.1007/s00246-015-1304-4 · Cited by 15
“Symptoms that may be caused by arrhythmia are a common finding in children, but due to the paroxysmal occurrence standard pediatric outpatient care is often not able to reveal the tachycardia [1, 5, 6, 10, 14, 18, 21].”
Background
The Teenager with Palpitations
Sedaghat-Yazdi, F., & Koenig, P. (2013) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2013.09.010 · Cited by 13
Management of atrial fibrillation-0
Kakar, P., Boos, C. J., & Lip, G. Y. H. (2011) · PubMed Central · doi:10.6084/m9.figshare.18958 · Cited by 14
Suspected Cardiac Syncope in Elderly Patients: Use of the 12-Lead Electrocardiogram to Select Patients for Holter Monitoring
Manchanda, S., & Ehsanullah, M. (2001) · Gerontology · doi:10.1159/000052798 · Cited by 14
Relevance of Monitoring Atrial Fibrillation in Clinical Practice
Lewalter, T., & Boriani, G. (2012) · Arrhythmia & Electrophysiology Review · doi:10.15420/aer.2012.1.54 · Cited by 13
Emergency Physicians' Perceptions and Decision-making Processes Regarding Patients Presenting with Palpitations
Probst, M. A., Kanzaria, H. K., Hoffman, J. R., Mower, W. R., Moheimani, R. S., Sun, B., & Quigley, D. D. (2015) · Journal of Emergency Medicine · doi:10.1016/j.jemermed.2015.02.013 · Cited by 12
An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future
Pingitore, A., Peruzzi, M., Clarich, S. C., Palamà, Z., Sciarra, L., & Cavarretta, E. (2023) · Clinical Cardiology · doi:10.1002/clc.24073 · Cited by 11
Ambulatory Arrhythmia Monitoring in Pregnant Patients with Palpitations
Cruz, M., Hibbard, J. U., Alexander, T., & Briller, J. E. (2012) · American Journal of Perinatology · doi:10.1055/s-0032-1321500 · Cited by 12
Early Detection of Symptomatic Paroxysmal Cardiac Arrhythmias by Trans‐Telephonic ECG Monitoring: Impact on Diagnosis and Treatment of Atrial Fibrillation
ANCZYKOWSKI, J., Willems, S., Hoffmann, B. A., Meinertz, T., Blankenberg, S., & Patten, M. (2016) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.13025 · Cited by 12
Minimally invasive approach to the child with palpitations
Rajagopalan, K., Potts, J. E., & Sanatani, S. (2006) · Expert Review of Cardiovascular Therapy · doi:10.1586/14779072.4.5.681 · Cited by 12
Using a Cardiac Event Recorder in Children with Potentially Arrhythmia‐Related Symptoms
Saygı, M., Ergül, Y., Özyılmaz, İ., Şengül, F. S., Güvenç, O., Aslan, E., Güzeltaş, A., Akdeniz, C., & Tuzcu, V. (2016) · Annals of Noninvasive Electrocardiology · doi:10.1111/anec.12339 · Cited by 12
The diagnostic significance of NT-proBNP and troponin I in emergency department patients presenting with palpitations
Ocak, T., Erdem, A., Duran, A., Tekelioğlu, Ü. Y., Öztürk, S., Ayhan, S. S., Özlü, M. F., Tosun, M., Koçoğlu, H., & Yazıcı, M. (2013) · Clinics · doi:10.6061/clinics/2013(04)17 · Cited by 12
“In previous studies, 50% of palpitation cases were traced to cardiac causes (10,11).”
Background
Das Herz Handy®—ein neues telemedizinisches Servicekonzept für Herzpatienten
Sack, S., von Hehn, A., Krukenberg, A., Wieneke, H., & Erbel, R. (2005) · Herzschrittmachertherapie + Elektrophysiologie · doi:10.1007/s00399-005-0478-5 · Cited by 11
Quality of life and sleep quality amongst climacteric women seeking medical advice in Northern Taiwan
Wu, H.-C., Lai, J., & Hwang, J.-S. (2012) · Sleep Medicine · doi:10.1016/j.sleep.2012.04.008 · Cited by 11

Authors: Kinlay, S., Leitch, J. W., Neil, A., Chapman, B. L., Hardy, D. B., & Fletcher, P. J.
Affiliations: John Hunter Hospital (AU)
Corresponding author: Kinlay, Scott
ORCID: Kinlay, Scott
Neil, Amanda
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 1996-01-01
Volume: 124
Issue: 1_Part_1
Pages: 16-20
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-124-1_part_1-199601010-00003
OpenAlex: W2028013985
Cited by: 245
References: 0
Citations by year: 2026: 5 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 4 · 2018: 9 · 2017: 7 · 2016: 6 · 2015: 9 · 2014: 9 · 2013: 14 · 2012: 8
FWCI: 6.08
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 Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords: Holter monitoring, cost-effectiveness, diagnostic yield, supraventricular tachycardia, atrial fibrillation, arrhythmia detection, transtelephonic monitoring, electrocardiogram
MeSH terms: Adult, Arrhythmias, Cardiac, Atrial Fibrillation, Cost-Benefit Analysis, Electrocardiography, Female, Humans, Male, Middle Aged, Electrocardiography, Ambulatory, Cross-Over Studies

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Cardiac Event Recorders Yield More Diagnoses and Are More Cost-effective than 48-Hour Holter Monitoring in Patients with Palpitations: A Controlled Clinical Trial

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cited by

Related

Metadata

Record

About these checks