Sellier P, Proust F, Delebarre P, Guermonprez J L, Ourbak P, Maurice P
Arch Mal Coeur Vaiss. 1978 Jun;71(6):638-44.
The accuracy of continuous 24 hour recordings (Holter's method) in the diagnosis of coronary insufficiency has been studied in 115 patients, by comparison with coronary arteriography. The technique was highly specific, but only fairly sensitive under the conditions of the study, because of the relative inactivity of the patients or the absence symptoms during the recording. It has allowed us to detect certain painfree or relatively painless forms of myocardial ischaemia which may be severe, and to have a clearer understanding of the effect of treatment. Comparison with the exercise electrocardiogram has shown inconsistencies due to the limitations of the two techniques. Holter's method is a particularly simple way of detecting coronary insufficiency, and is most useful when exercise tests are impossible or contraindicated.
通过与冠状动脉造影术对比，对115例患者研究了连续24小时记录（动态心电图法）在诊断冠状动脉供血不足方面的准确性。该技术具有高度特异性，但在本研究条件下仅具有一定的敏感性，原因是患者相对不活动或记录期间无症状。它使我们能够检测到某些可能严重的无痛或相对无痛的心肌缺血形式，并能更清楚地了解治疗效果。与运动心电图对比显示，由于两种技术的局限性，结果存在不一致性。动态心电图法是检测冠状动脉供血不足的一种特别简单的方法，在运动试验无法进行或禁忌时最为有用。
