动态心电图监测。
Holter monitoring.
出版信息
Can Fam Physician. 1987 Apr;33:985-92.
Abstract
Twenty-four hour electrocardiographic (Holter) monitoring has been adopted in primary care for the assessment of patients with suspected cardiac arrhythmias. This article examines the clinical use of the Holter monitoring technique, outlines the range of arrhythmias recorded in healthy adults, and evaluates the merit of the investigation in a primary-care clinical setting. Holter monitoring is most valuable in assessing symptomatic patients with known coronary artery disease of in the postinfarction period. Although frequent and complex arrhythmias in such patients may be associated with sudden death, it is not yet known whether treatment decreases mortality.
摘要
24 小时心电图（动态心电图）监测已在初级保健中用于评估疑似心律失常的患者。本文研究了动态心电图监测技术的临床应用，概述了在健康成年人中记录的心律失常范围，并评估了在初级保健临床环境中进行该检查的价值。动态心电图监测在评估有已知冠心病或心肌梗死后的有症状患者时最有价值。尽管此类患者中频繁和复杂的心律失常可能与猝死有关，但尚不清楚治疗是否降低死亡率。
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