BACKGROUND AND PURPOSE Identifying paroxysmal atrial fibrillation/flutter is an essential part of the etiological workup of patients with ischemic stroke. However, there is controversy in the literature regarding the use of noninvasive cardiac rhythm monitoring with previous reviews reporting a low detection rate with routine monitoring. We performed a systematic review to determine the frequen...

We are reporting an extremely prolonged sinus arrest documented by Holter monitoring.

Ventricular arrhythmias are rare in childhood but may be associated with syncope and sudden death. This report describes 8 children with ventricular arrhythmias, 6 of whom suffered syncopal episodes. Ventricular tachycardia was documented in 5. One boy died suddenly. Complete cardiac investigation was carried out with exercise testing, Holter monitoring, echocardiography, cardiac catheterizatio...

The detection and characterization of transient arrhythmias is possible with continuous ambulatory electrocardiography (Holter monitoring) or cardiac event recording. These techniques have significantly increased our appreciation of transient arrhythmias, often undetected with routine echocardiography and have provided highly sensitive means to assess need and efficacy of antiarrhythmic therapy...

BACKGROUND Since 1942, when Goldberger introduced the 12-lead electrocardiography (ECG), this diagnostic method has not been changed. OBJECTIVES After 70 years of technologic developments, we revisit Holter ECG from recording to understanding. METHODS A fundamental change is fore-seen towards "computational ECG" (CECG), where continuous monitoring is producing big data volumes that are impo...

See related article, p 2689. Optimal treatment after stroke or transient ischemic attack (TIA) requires identification of atrial fibrillation (AF) if it is present. Standard antithrombotic therapy for patients not known to have AF consists of antiplatelet agents such as aspirin or clopidogrel.1 However, antiplatelet therapy is inferior to anticoagulant therapy for secondary stroke prevention in...

BACKGROUND AND PURPOSE Cardioembolism in paroxysmal atrial fibrillation (pxAF) is a frequent cause of ischemic stroke. Sensitive detection of pxAF after stroke is crucial for adequate secondary stroke prevention; the optimal diagnostic modality to detect pxAF on stroke units is unknown. We compared 24-hour Holter electrocardiography (ECG) with continuous stroke unit ECG monitoring (CEM) for pxA...

OBJECTIVES The aim of this study was to investigate the relation between "ischemic" sudden death (arrhythmic death preceded by ST segment shift) and autonomic nervous system activity. Background. Mechanisms precipitating sudden death are poorly known despite the importance of detecting functional factors that may contribute to such a fatal event. METHODS We analyzed the tapes of eight patient...

Six instances of sudden death were recorded by Holter monitoring, which showed ventricular fibrillation in five and a bradyarrhythmia in one. Complex ventricular ectopic activity preceded cardiac arrest in five patients, including the one with the bradyarrhythmic arrest. Two patients with chronic bifascicular block arrested as a result of ventricular fibrillation. Fifteen cases reports from the...

INTRODUCTION Twenty four-hour ambulatory blood pressure monitoring is a clinically validated procedure in evaluation of blood pressure (BP). We hypothesised that the discomfort during cuff inflation would increase the heart rate (HR) measured with 24-h ambulatory BP monitoring compared to a following HR measurement with a 24-h Holter monitor. METHODS The study population (n = 56) were recruit...