| Clinical logistics in 24-hour ambulatory electrocardiographic monitoring. | |
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MedLine Citation:
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PMID: 14565634 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In total, 493 ambulatory ECG recordings were studied. Women were preponderant (62.3% vs 37.7%). The average age of women and men patients was 66.9 and 64.7 years, respectively. Of the ECGs studied, 71.4% showed abnormalities and 28.6% appeared completely normal. Urgent abnormalities were noted in 1.4% of the recordings and significant abnormalities were present in 14.6%. Subjective complaints were noted in their logbooks by 18.8% of patients, but correlation of complaints with the electrocardiographic abnormalities was noted in only 1.2% of cases. The attending cardiologist concluded that 23.9% of the tests supported reasons of valid necessity for performance. Two hundred seventy-three recordings were classified as electrocardiographically abnormal (55.4%) but were clinically insignificant. General practitioners requested 59.8% of the tests versus 40.2% by specialists. Preponderant abnormalities included premature atrial and ventricular contractions, supraventricular tachycardia, and atrial fibrillation. Less frequent abnormalities included ventricular tachycardia (4.6%), atrial flutter, atrioventricular block, artificial pacemaker rhythm, nodal rhythm, and intermittent bundle branch block. |
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Authors:
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Basil M RuDusky |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Angiology Volume: 54 ISSN: 0003-3197 ISO Abbreviation: Angiology Publication Date: 2003 Sep-Oct |
Date Detail:
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Created Date: 2003-10-20 Completed Date: 2003-11-04 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 587-91 Citation Subset: IM |
Affiliation:
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Northeast Cardiovascular Clinic and Research Center, Wilkes-Barre, PA, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arrhythmias, Cardiac / diagnosis Electrocardiography, Ambulatory / utilization* Female Health Services Misuse Humans Male Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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