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[Continous electrocardiography recording in coronary insufficiency. Diagnostic value]
Archives Des Maladies Du Coeur Et Des Vaisseaux
|June 1, 1978
Summary
Continuous 24-hour Holter monitoring accurately diagnoses coronary insufficiency, detecting even painless ischemia. This method is valuable when exercise tests are not feasible.
Area of Science:
- Cardiology
- Diagnostic Medicine
Context:
- Assessing diagnostic accuracy of Holter's method for coronary insufficiency.
- Compared Holter's method with coronary arteriography in 115 patients.
Purpose:
- Evaluate the accuracy of 24-hour Holter monitoring for diagnosing coronary insufficiency.
- Compare Holter's method with exercise electrocardiogram.
Summary:
- Holter's method demonstrated high specificity but moderate sensitivity for diagnosing coronary insufficiency.
- The technique identified pain-free myocardial ischemia and aided in treatment assessment.
- Identified limitations of Holter's method and exercise electrocardiogram.
Impact:
- Holter's method is a valuable, simple tool for detecting coronary insufficiency, especially when exercise tests are not feasible.
- Provides insights into pain-free ischemic events and treatment efficacy.