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Lakartidningen. 2015 Jan 6;112. pii: C6SE.

[Identification of paroxysmal, transient arrhythmias: Intermittent registration more efficient than the 24-hour Holter monitoring].

[Article in Swedish]

Author information

1
Family Medicin - Public Health and Clinical Medicine Umeå, Sweden Family Medicin - Public Health and Clinical Medicine Umeå, Sweden.
2
- , Sweden - , Sweden.
3
Ersboda Health Care Centre - Umeå, Sweden - , Sweden.
4
Clinical Physiology, Heart Centre and Department of Surgical and Perioperative Science, Umeå University - Umeå, Sweden Department of Surgical and Perioperative Science, Umeå University - Clinical Physiology, Heart Centre Umeå, Sweden.

Abstract

Many patients suffer from palpitations or dizziness/presyncope. These patients are often referred for Holter ECG (24 hour), although the sensitivity for detecting arrhythmias is low. A new method, short intermittent regular and symptomatic ECG registrations at home, might be a convenient and more sensitive alternative also suitable for primary health care. In this case report we present a patient who had contacted health care several times during a seven year period for paroxysmal palpitations. Routine examination with 24 hour Holter ECG and event recorder did not result in a diagnosis. Using intermittent handheld ECG registration at home, a paroxysmal supraventricular arrhythmia was diagnosed. Further investigation revealed that the patient had a concealed Wolff-Parkinson-White (WPW) syndrome.

PMID:
25584602
[Indexed for MEDLINE]
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