Holter Monitoring and Loop Recorders: From Research to Clinical Practice
- PMID: 27617093
- PMCID: PMC5013174
- DOI: 10.15420/AER.2016.17.2
Holter Monitoring and Loop Recorders: From Research to Clinical Practice
Abstract
Holter monitors are tools of proven efficacy in diagnosing and monitoring cardiac arrhythmias. Despite the fact their use is widely prescribed by general practitioners, little is known about their evolving role in the management of patients with cryptogenic stroke, paroxysmal atrial fibrillation, unexplained recurrent syncope and risk stratification in implantable cardioverter defibrillator or pacemaker candidates. New Holter monitoring technologies and loop recorders allow prolonged monitoring of heart rhythm for periods from a few days to several months, making it possible to detect infrequent arrhythmias in patients of all ages. This review discusses the advances in this area of arrhythmology and how Holter monitors have improved the clinical management of patients with suspected cardiac rhythm diseases.
Keywords: Holter monitoring; atrial fibrillation; cardiomyopathy; loop recorder; sudden death; syncope.
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References
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- Zimetbaum P, Goldman A. Ambulatory arrhythmia monitoring: choosing the right device. Circulation. 2010;122:1629. DOI: 10.1161/CIRCULATIONAHA.109.925610. - PubMed
-
- Brignole M, Vardas P, Hoffmann E, et al. Indications for the use of diagnostic implantable and external ECG loop recorders. Europace. 2009;11:671–87. DOI: 10.1093/europace/eup097. - PubMed
-
- Giada F, Bertaglia E, Reimers B, et al. Current and emerging indications for implantable cardiac monitors. Pacing Clin Electrophysiol. 2012;35:1169–78. DOI: 10.1111/j.1540-8159.2012.03411.x. - PubMed
-
- Bloch Thomsen PE, Jons C, Raatikainen MJ, et al. Cardiac Arrhythmias and Risk Stratification After Acute Myocardial Infarction Study Group. Long-term recording of cardiac arrhythmias with an implantable cardiac monitor in patients with reduced ejection fraction after acute myocardial infarction: The Cardiac Arrhythmias and Risk Stratification After Acute Myocardial Infarction (CARISMA) Study. Circulation. 2010;121:1258–64. DOI: 10.1161/CIRCULATIONAHA.109.902148. - PubMed
-
- Gladstone DJ, Spring M, Dorian P, et al. Atrial fibrillation in patients with cryptogenic stroke. N Engl J Med. 2014;370:2467–77. DOI: 10.1056/NEJMoa1311376. - PubMed
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