[Diagnostic value of the Holter monitoring of ischemic heart disease patients].

Holter-monitoring, for 24 hours, has been performed to with 47 patients (12 females and 35 males), average age 59,05 +/- 10,98. All patients had ischemic heart disease, 13 with myocardial infarction in a subacute stage, 10--with postinfarction cicatrix, 7 with unstable angina pectoris, 4 with the syndrome of the morbid sinus node and 13--with myocardial sclerosis. Rhythm disorders were recorded in only 12 patients (25.5%). Ventricular extra systoles were recorded in 31 patients (65.9%), 70.97% being from class III-V according to Lown. Ventricular tachycardia was established in 8 patients (25.8%), with 3 paroxysms within 24 hours on the average. Transitory absolute arrhythmia was established in 4 cases and in 12-atrial extrasystoles. The incidence and class of ventricular activity, according to nosological entities were analyzed. Ventricular tachycardia in 87.5% was triggered by relatively late extra-systoles. The antiarrhythmic treatment, administered in the moment, proved not to be effective in the majority of the patients. The importance of holter-monitoring was stressed on both for registration and documentation of the various rhythm disorders and for the evaluation of the effectiveness of the treatment.