Goldstein M A, Hesslein P, Dunnigan A
Department of Pediatrics, Variety Club Children's Hospital, University of Minnesota, Minneapolis 55404.
Am J Dis Child. 1990 Feb;144(2):178-82. doi: 10.1001/archpedi.1990.02150260058028.
The results of transtelephonic electrocardiography for transient symptomatic event recording in 61 consecutive pediatric patients (aged 4 months to 21 years) were reviewed. In 13 (21%) of 61 patients, previous arrhythmia diagnoses had been made by electrophysiologic study; monitoring was utilized to evaluate symptoms before or after pharmacological/surgical therapy. Transtelephonic electrocardiography was used to study undocumented symptomatic events consistent with an arrhythmia in the remaining 48 (79%) of 61 patients. Adequate transmissions during symptoms were obtained in 36 (59%) of 61 patients. Goals of monitoring were achieved in all 13 patients with previous diagnoses. Of the 25 of 48 patients without prior diagnoses who provided transmissions during symptoms, 15 had sinus rhythm, while 10 manifested an arrhythmia. Abnormal transmissions were most common in patients with palpitations and never evident in patients with symptoms of chest pain.
回顾了连续61例儿科患者（年龄4个月至21岁）通过电话传输心电图记录短暂症状性事件的结果。61例患者中有13例（21%）之前通过电生理研究已确诊心律失常；监测用于评估药物/手术治疗前后的症状。电话传输心电图用于研究其余48例（79%）61例患者中与心律失常相符的未记录症状性事件。61例患者中有36例（59%）在症状发作时获得了充分的心电图传输。之前确诊的所有13例患者均实现了监测目标。48例之前未确诊的患者中有25例在症状发作时进行了心电图传输，其中15例为窦性心律，10例表现为心律失常。异常传输在心悸患者中最为常见，而在胸痛症状患者中从未出现。
