Document Detail


The use of temporary atrial electrodes to improve diagnostic capabilities with Holter monitoring after cardiac surgery.
MedLine Citation:
PMID:  3942427     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of temporary atrial electrodes implanted during cardiac surgery has been advocated for diagnosis and treatment of cardiac arrhythmias in the postoperative period. We have adapted this technique to allow continuous ambulatory electrocardiographic (Holter) recording of atrial activity in patients after coronary artery surgery. The electrodes of one of the two leads of the Holter recorder were attached as a surface electrocardiographic lead, while the electrodes of the other were each attached to one of the two implanted atrial wires. The Holter record was then obtained in the usual way. A satisfactory recording of the atrial electrocardiogram and the simultaneous surface electrocardiogram was obtained in all 6 patients and resulted in improved diagnostic capabilities, specifically in differentiating supraventricular and ventricular arrhythmia. As has proven to be true in the post-myocardial infarction setting, arrhythmias that were not noted clinically despite continuous electrocardiographic monitoring were demonstrated on Holter records.
Authors:
I D Malcolm; D A Cherry; J E Morin
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  41     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1986 Jan 
Date Detail:
Created Date:  1986-02-12     Completed Date:  1986-02-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  103-5     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / diagnosis*,  etiology
Cardiac Surgical Procedures*
Electrocardiography / instrumentation*
Electrodes
Heart Atria*
Humans
Monitoring, Physiologic / instrumentation*
Postoperative Complications
Postoperative Period

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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