Weinberg S L
Heart Lung. 1975 Jul-Aug;4(4):546-54.
Holter monitoring is a practical technique for determining rate, rhythm, contour, and conduction changes in the electrocardiogram of the ambulatory patient. This kind of information may be of great clinical importance in coronary artery disease with or without myocardial infarction, in patients with permanent pacemakers, in the presence of central nervous system symptoms, and perhaps in patients with chronic obstructive pulmonary disease. Correlating ambulatory electrocardiographic findings in patients with these diseases and syndromes provides insight into the severity of the process involved. It may also define the response to therapy and to specific social and work situations. Present instrumentation, although reasonably effective, may be considered in an early developmental stage. Future progress in terms of miniaturization, automatic patient warning systems, and activation of central recording units, may further broaden the implications for ambulatory electrocardiographic monitoring. The scope of these observations and the variety of unsuspected rhythm and contour abnormalities defined may ultimately rival the information gained in monitored hospitalized patients. It is hoped that this information will have an impact on the therapy of the ambulatory patient comparable to that which coronary-care unit monitoring has had on the hospitalized patient with acute myocardial infarction.
动态心电图监测是一种用于确定门诊患者心电图的心率、节律、波形和传导变化的实用技术。这类信息在伴有或不伴有心肌梗死的冠状动脉疾病患者、永久性起搏器患者、存在中枢神经系统症状的患者以及慢性阻塞性肺疾病患者中可能具有重要的临床意义。将这些疾病和综合征患者的动态心电图检查结果相互关联，有助于深入了解所涉及病情的严重程度。它还可以明确治疗反应以及对特定社会和工作状况的反应。目前的仪器虽然相当有效，但可能仍处于早期发展阶段。在小型化、自动患者警报系统以及中央记录单元激活方面的未来进展，可能会进一步拓宽动态心电图监测的应用范围。这些观察结果的范围以及所发现的各种未被怀疑的节律和波形异常，最终可能与监测住院患者所获得的信息相媲美。希望这些信息对门诊患者治疗的影响，能与冠心病监护病房监测对急性心肌梗死住院患者的影响相当。
