Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice
Background. Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. Methods. During a period of 30 days, we prospectivel...
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| Veröffentlicht in: | Family practice 2007-02, Vol.24 (1), p.11-13 |
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| creator | Hoefman, Emmy van Weert, Henk CPM Boer, Kimberly R. Reitsma, Johannes Koster, Rudolph W. Bindels, Patrick JE |
| description | Background. Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. Methods. During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. Results. In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. Conclusion. The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary. |
| doi_str_mv | 10.1093/fampra/cml065 |
| format | Article |
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Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. Methods. During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. Results. In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. Conclusion. The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary.</description><identifier>ISSN: 0263-2136</identifier><identifier>EISSN: 1460-2229</identifier><identifier>DOI: 10.1093/fampra/cml065</identifier><identifier>PMID: 17158181</identifier><identifier>CODEN: FAPREH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arrhythmias, Cardiac - complications ; Arrhythmias, Cardiac - diagnosis ; Atrial fibrillation ; Atrial Fibrillation - diagnosis ; cardiology ; diagnostic tests ; Dizziness - etiology ; duration ; Electrocardiography, Ambulatory - methods ; Family Practice ; Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Syncope - etiology ; Tachycardia, Supraventricular - diagnosis ; telemedicine ; Telemetry - methods ; Time Factors</subject><ispartof>Family practice, 2007-02, Vol.24 (1), p.11-13</ispartof><rights>The Author 2006. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2007</rights><rights>Copyright Oxford University Press(England) Feb 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-aa0c0349cb93b4f3043cdb9c1306b1f1a2c5752498e41bbeeddb4b46518fc70c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17158181$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoefman, Emmy</creatorcontrib><creatorcontrib>van Weert, Henk CPM</creatorcontrib><creatorcontrib>Boer, Kimberly R.</creatorcontrib><creatorcontrib>Reitsma, Johannes</creatorcontrib><creatorcontrib>Koster, Rudolph W.</creatorcontrib><creatorcontrib>Bindels, Patrick JE</creatorcontrib><title>Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice</title><title>Family practice</title><addtitle>Fam Pract</addtitle><description>Background. Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. Methods. During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. Results. In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. Conclusion. The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arrhythmias, Cardiac - complications</subject><subject>Arrhythmias, Cardiac - diagnosis</subject><subject>Atrial fibrillation</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>cardiology</subject><subject>diagnostic tests</subject><subject>Dizziness - etiology</subject><subject>duration</subject><subject>Electrocardiography, Ambulatory - methods</subject><subject>Family Practice</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Syncope - etiology</subject><subject>Tachycardia, Supraventricular - diagnosis</subject><subject>telemedicine</subject><subject>Telemetry - methods</subject><subject>Time Factors</subject><issn>0263-2136</issn><issn>1460-2229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1rFTEUxYMo9lldupXgQtyMzdd8ZCkPbYVCN08tbkImufMmdSYZk4zav8F_2rTvoeDG1eXC75x7OQeh55S8oUTys0HPS9RnZp5IUz9AGyoaUjHG5EO0IazhFaO8OUFPUrohhLRt3T5GJ7SldUc7ukG_rpbsZj1hu0adXfA4DBi-g884ggnROr_HQ4jYOr33Ibl0B-gYx9s8zk4n7DxeirIoEv7h8li2aXH53ixh7S2e3H7M1QjagvWQ7iV5BLwHD7GcLv-b7Aw8RY8GPSV4dpyn6OP7d7vtRXV5df5h-_ayMoJ1udKaGMKFNL3kvRg4EdzYXhrKSdPTgWpm6rZmQnYgaN8DWNuLXjQ17QbTEsNP0auD7xLDtxVSVrNLBqZJewhrUm3Jrek6VsCX_4A3YY2-_KaolLVkjaQFqg6QiSGlCINaYkk03ipK1F1F6lCROlRU-BdH07Wfwf6lj50U4PUBCOvyX6_jbZcy_PwD6_hVNS1va3Vx_UV92onP1-c7qbb8Nw4wrwM</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Hoefman, Emmy</creator><creator>van Weert, Henk CPM</creator><creator>Boer, Kimberly R.</creator><creator>Reitsma, Johannes</creator><creator>Koster, Rudolph W.</creator><creator>Bindels, Patrick JE</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice</title><author>Hoefman, Emmy ; van Weert, Henk CPM ; Boer, Kimberly R. ; Reitsma, Johannes ; Koster, Rudolph W. ; Bindels, Patrick JE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-aa0c0349cb93b4f3043cdb9c1306b1f1a2c5752498e41bbeeddb4b46518fc70c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arrhythmias, Cardiac - complications</topic><topic>Arrhythmias, Cardiac - diagnosis</topic><topic>Atrial fibrillation</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>cardiology</topic><topic>diagnostic tests</topic><topic>Dizziness - etiology</topic><topic>duration</topic><topic>Electrocardiography, Ambulatory - methods</topic><topic>Family Practice</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Syncope - etiology</topic><topic>Tachycardia, Supraventricular - diagnosis</topic><topic>telemedicine</topic><topic>Telemetry - methods</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoefman, Emmy</creatorcontrib><creatorcontrib>van Weert, Henk CPM</creatorcontrib><creatorcontrib>Boer, Kimberly R.</creatorcontrib><creatorcontrib>Reitsma, Johannes</creatorcontrib><creatorcontrib>Koster, Rudolph W.</creatorcontrib><creatorcontrib>Bindels, Patrick JE</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoefman, Emmy</au><au>van Weert, Henk CPM</au><au>Boer, Kimberly R.</au><au>Reitsma, Johannes</au><au>Koster, Rudolph W.</au><au>Bindels, Patrick JE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice</atitle><jtitle>Family practice</jtitle><addtitle>Fam Pract</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>24</volume><issue>1</issue><spage>11</spage><epage>13</epage><pages>11-13</pages><issn>0263-2136</issn><eissn>1460-2229</eissn><coden>FAPREH</coden><abstract>Background. Patient-activated continuous-loop event recorders (CER) are useful as a diagnostic tool in new episodes of palpitations and/or dizziness. So far, no analysis of optimal duration for monitoring in unselected patients has been published. Methods. During a period of 30 days, we prospectively evaluated the time until diagnosis using CER in patients with symptoms of palpitations and/or dizziness in general practice. Results. In total, 127 patients received an event recorder for a maximum duration of 30 days. Events were recorded by 104 patients (82%), of whom 83 (78%) showed an arrhythmia. After 2 weeks, 75% of all diagnoses and 83.3% of all clinically relevant diagnoses could be established. Conclusion. The yield of event recording in general practice diminishes with recording time. A minimum recording time of 2 weeks seems necessary.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>17158181</pmid><doi>10.1093/fampra/cml065</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Arrhythmias, Cardiac - complications Arrhythmias, Cardiac - diagnosis Atrial fibrillation Atrial Fibrillation - diagnosis cardiology diagnostic tests Dizziness - etiology duration Electrocardiography, Ambulatory - methods Family Practice Female Humans Male Middle Aged Prospective Studies Syncope - etiology Tachycardia, Supraventricular - diagnosis telemedicine Telemetry - methods Time Factors |
| title | Optimal duration of event recording for diagnosis of arrhythmias in patients with palpitations and light-headedness in the general practice |
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