An old diagnostic tool for new indications: inpatient Holter ECG for conditions other than syncope or stroke.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
02 08 2023
02 08 2023
Historique:
received:
25
02
2023
accepted:
31
07
2023
medline:
4
8
2023
pubmed:
3
8
2023
entrez:
2
8
2023
Statut:
epublish
Résumé
Holter electrocardiography (ECG) assists in the diagnosis of arrhythmias. Its use in the inpatient setting has been described solely for the evaluation of stroke and syncope. Our aim was to assess its diagnostic value for other conditions in the internal medicine department. We included all hospitalized patients between 2018 and 2021 in a tertiary referral center. The primary outcome was a diagnostic Holter recording a new arrhythmia that led to a change in treatment. Overall, 289 patients completed a 24-h inpatient Holter ECG for conditions other than syncope or stroke, with 39 (13%) diagnostic findings. The highest diagnostic value was found in patients admitted for pre-syncope (19%), palpitations (18%), and unexplained heart failure exacerbation/dyspnea (17%). A low diagnostic yield was found for the evaluation of chest pain (5%). Heart failure with preserved ejection fraction (adjusted OR 2.3, 95% CI 1.1-5.4, p = 0.04), and baseline ECG with either a bundle branch block (AOR 4.2, 95% CI 1.9-9.2, p < 0.01) or atrioventricular block (first or second degree, AOR 5, 95% CI 2.04-12.3, p < 0.01) were among the independent predictors for a diagnostic test. Inpatient Holter ECG monitoring may have value as a diagnostic tool for selected patients with conditions other than syncope or stroke.
Identifiants
pubmed: 37532808
doi: 10.1038/s41598-023-39803-1
pii: 10.1038/s41598-023-39803-1
pmc: PMC10397303
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
12510Informations de copyright
© 2023. The Author(s).
Références
Heart Rhythm. 2009 Feb;6(2):238-43
pubmed: 19187918
Heart Vessels. 2017 May;32(5):507-513
pubmed: 27714469
Ann Noninvasive Electrocardiol. 2008 Jan;13(1):39-43
pubmed: 18234005
Arch Intern Med. 1990 Nov;150(11):2309-12
pubmed: 2241439
J Am Coll Cardiol. 1991 Nov 15;18(6):1431-3
pubmed: 1939942
Circulation. 2010 Oct 19;122(16):1629-36
pubmed: 20956237
Europace. 2011 Feb;13(2):182-7
pubmed: 21138928
J Electrocardiol. 2014 Nov-Dec;47(6):831-5
pubmed: 25172186
Arrhythm Electrophysiol Rev. 2016 Aug;5(2):136-43
pubmed: 27617093
Eur Heart J. 2018 Jun 1;39(21):1883-1948
pubmed: 29562304
Chest. 2002 Aug;122(2):517-23
pubmed: 12171825
J Stroke Cerebrovasc Dis. 2022 Dec;31(12):106802
pubmed: 36252430
Am Heart J. 2005 Nov;150(5):1065
pubmed: 16290999
Cureus. 2018 Sep 13;10(9):e3300
pubmed: 30443470
Circulation. 2017 Nov 7;136(19):e273-e344
pubmed: 28974521
Heart. 2008 Dec;94(12):1620-6
pubmed: 18519550
Europace. 2011 Jul;13(7):920-34
pubmed: 21697315
Europace. 2017 Aug 1;19(8):1251-1271
pubmed: 28444180
CJEM. 2012 Jul;14(4):248-58
pubmed: 22813399
Am J Med. 2001 Jan;110(1):7-11
pubmed: 11152858
ESC Heart Fail. 2023 Jun;10(3):1555-1569
pubmed: 36495033
J Electrocardiol. 2017 May - Jun;50(3):287-293
pubmed: 28118928
Med Care. 2011 Dec;49(12):1068-75
pubmed: 21945976
J Clin Med. 2022 Aug 16;11(16):
pubmed: 36013018
BMC Cardiovasc Disord. 2014 Apr 01;14:41
pubmed: 24690488
QJM. 2007 Dec;100(12):771-7
pubmed: 18089543
J Gen Intern Med. 2018 Nov;33(11):1899-1904
pubmed: 30054888
Lancet Neurol. 2017 Apr;16(4):282-290
pubmed: 28187920
Open Heart. 2020 May;7(1):
pubmed: 32371464
Intern Emerg Med. 2015 Aug;10(5):595-601
pubmed: 25944128
Am J Emerg Med. 2012 Jan;30(1):203-6
pubmed: 21185670