Long-Term Ambulatory Electrocardiography

ISBN-13: 9789400975729 / Angielski / Miękka / 2011 / 255 str.

J. R. Roelandt; P. G. Hugenholtz

Opis

Recent technological developments have brought long-term ambulatory electro- cardiography to the front of clinical cardiology. Its application for solving clinical problems potentially related to cardiac arrhythmias is rapidly increasing. In the meantime, the method has found widespread use in the identification of patients at risk for cardiac death as well as in the assessment of therapeutic interventions. It was the purpose of this symposium to bring together an international group of authorities in order both to provide an overall view of the field and to discuss critically the value of clinical, epidemiological and research applications of long- term ambulatory electrocardiography in the light of new concepts and recent advances. The first section of this volume discusses the methodology and the performance criteria of the equipment and analysis systems. In the second section, the potentials and problems encountered in the use of long-term ambulatory electrocardiography for solving clinical questions and for predicting the occurrence of clinically important arrhythmias are extensively as continuous ST segment monitoring, blood dealt with. New applications such pressure measurement and other physiologic parameters are also included. Prevalence variability and prognostic aspects of ventricular arrhythmias, both in normals and in patients with cardiac disease, are the subject of section 3. The last section provides a critical review of the use of the method for the evaluation of therapeutic interventions with drugs. The editors feel that this volume represents the 'state of the art' in this newly important area of clinical cardiology.

Recenzje

`The text is well conceived and the chapters are well ordered with rated experts providing their opinions. This short monograph on long-term ambulatory electrocardiography will be useful to clinicians, as well as investigators who utilize this technique in patient care or for clinical research.'
Chest (1983)

Spis treści

Section 1. Methodology and Performance Criteria of the Recording and Analysis Systems.- 1. Holter Monitoring — How should it be performed?.- 2. Equipment Specifications and Performance Criteria: Clinical Evaluation.- 3. Clinical Importance of Computer Assisted Longterm ECG Analysis.- Section 2. Clinical Usefulness of Long-Term Ambulatory Recordings of the Electrocardiogram, Blood Pressure and Other Physiological Parameters.- 4. Holter Monitoring in the evaluation of Palpitations, Dizziness and Syncope.- 5. Clinical Relevance of Supraventricular Arrhythmias detected by Holter Electrocardiography.- 6. Heart Rate Trend Analysis: Patterns and Clinical Significance.- 7. Techniques for Recording and the Clinical Relevance of Ventricular Arrhythmias in Ambulatory Patients.- 8. Comparison between Repetitive Ventricular Extrasystoles Induced by programmed Electrical Stimulation and their Spontaneous Occurrence on Ambulatory Electrocardiography.- 9. The role of Ambulatory Electrocardiographic Monitoring, Exercise Stress Testing and Electrophysiologic Studies in the Management of Patients with Malignant Ventricular Arrhythmia.- 10. Continuous ST-Segment Monitoring: Indications and Limitations.- 11. Continuous Blood Pressure Measurement.- 12. Application of Holter Electrocardiography to Physiological Measurements in Man.- Section 3. Epidemiologic and Prognostic Aspects of Ventricular Arrhythmias.- 13. Prevalence of Cardiac Arrhythmias in the Normal Active Population.- 14. The Spontaneous Variability of Ventricular Arrhythmias.- 15. Classification of Cardiac Arrhythmias and Conduction Defects for Risk Assessment.- 16. Prognostic Aspects of Ventricular Arrhythmias in Patients with Coronary Artery Disease.- Section 4. Value of Long-Term Ambulatory Electrocardiography in the Evaluation of Therapeutic Interventions for the Prevention of Premature Cardiac Death.- 17. Design of Secondary Preventive Trials with Anti-Arrhythmic Agents: The Right Question with the wrong Answer.- 18. Testing the Efficacy of Antiarrhythmic Therapy.- 19. Translating Results of Clinical Trials into Clinical Relevance.- Index of subjects.