McLeod A A, Jewitt D E
Br Med J. 1978 May 6;1(6121):1197-9. doi: 10.1136/bmj.1.6121.1197.
During 1976, 24-hour ambulatory electrocardiographic (ECG) monitoring was available to all physicians at this hospital, and 281 patients were investigated by 322 recordings. Cardiac arrhythmias requiring treatment were detected in 100 patients (36%). Some presented after symptoms such as faintness, giddiness, palpitations, collapse, or fits, but ominous arrhythmias were also found in asymptomatic patients. A demand pacemaker was implanted for episodic sinoatrial or atrioventricular conduction disorder in 30, while 70 patients (25%) required antiarrhythmic drug treatment for ventricular or atrial tachyarrhythmias. Facilities for ambulatory 24-hour ECG monitoring are necessary in any large hospital, and precise diagnosis in most of our patients studied could not have been achieved by any other investigation.
1976年期间，该医院的所有医生均可使用24小时动态心电图（ECG）监测设备，共对281例患者进行了322次记录。在100例患者（36%）中检测到需要治疗的心律失常。有些患者在出现头晕、目眩、心悸、虚脱或抽搐等症状后前来就诊，但在无症状患者中也发现了严重的心律失常。30例因发作性窦房结或房室传导障碍植入了按需起搏器，70例患者（25%）因室性或房性快速性心律失常需要抗心律失常药物治疗。任何大型医院都必须具备24小时动态心电图监测设备，对于我们研究的大多数患者而言，任何其他检查都无法实现精确诊断。
