[Difficulties in the diagnosis of silent myocardial ischemia using continuous ambulatory electrocardiographic monitoring--the Holter method].
After a retrospective review of the silent myocardial ischemia (SMI) clinical interest and the technical evolution that enabled SMI detection and valuation over the last few years, the author reports the generic limitations of the Ambulatory Electrocardiographic Monitoring (AEM) and its specific difficulties in relation to the SMI, considering: 1. patient inherent difficulties; 2. patient ECG difficulties and 3. technical difficulties. Finally, a critical comparison between AEM and stress test utilities in the SMI setting is done and a strategy for the selection of the patients is proposed.
de Azevedo
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D003327:Coronary Disease / Q000175:diagnosis*; D015716:Electrocardiography, Ambulatory / Q000379:methods; D006801:Humans; D012189:Retrospective Studies
Dificuldades no diagnóstico da isquemia miocárdica silenciosa pela monitorização electrocardiográfica ambulatória contínua--método de Holter.