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Ambulatory electrocardiography. A clinical perspective.

H L Kennedy, D G Caralis

Annals of Internal Medicine

|December 1, 1977

Summary

Ambulatory electrocardiography, or Holter monitoring, allows for extended heart rhythm recording. This review details its current applications for diagnosing cardiac conditions like arrhythmias and ischemia.

Area of Science:

Cardiology
Medical Technology
Diagnostic Imaging

Background:

Modern technology enables prolonged electrocardiographic data recording in ambulatory individuals.
Cardiac dysrhythmias and myocardial ischemia are significant causes of morbidity and mortality.
There is increasing awareness and clinical utility of ambulatory electrocardiography.

Purpose of the Study:

To review the current state-of-the-art in ambulatory electrocardiography.
To summarize the clinical indications and utility of ambulatory electrocardiographic studies.
To provide guidance on when these diagnostic tests are indicated, warranted, or useful.

Main Methods:

Review and synthesis of the current literature on ambulatory electrocardiography.

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Clinical viewpoint analysis of diagnostic capabilities and applications.

Discussion of patient selection and study interpretation.

Main Results:

Ambulatory electrocardiography provides extended monitoring of heart activity.
The technology is increasingly used for diagnosing various clinical cardiac conditions.
Guidelines for appropriate use in specific patient populations are being established.

Conclusions:

Ambulatory electrocardiography is a valuable tool in modern cardiology.
Understanding its indications enhances diagnostic accuracy for cardiac dysrhythmias and ischemia.
This review offers a clinical perspective on the optimal use of this diagnostic technology.