Failure of continuous three-channel Holter monitoring to detect acute peri-operative myocardial infarction.
Continuous peri-operative three-channel Holter monitoring in a 70-year-old patient undergoing elective hip arthroplasty failed to show onset and progression of a lethal postoperative myocardial infarction, which was clearly visible in a 12-lead electrocardiogram. The modified bipolar leads used for Holter monitoring differed from the corresponding leads of the 12-lead electrocardiogram. The limitations of Holter monitoring applied to clinical management and research are highlighted.
Marsch
S C
SC
Department of Anaesthesia, University of Basel/Kantonsspital, Switzerland.
Castelli
I
I
Schaefer
H G
HG
Skarvan
K
K
D000368:Aged; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis*; D013997:Time Factors