[Retrospective analysis of a series of 330 Holter recordings. Diagnostic value of the method and correlation with symptomology].
We have studied a series of 330 Holter recordings (HR) (including 5 double observations) 189 men and 136 women, mean age 58,4 years Old. The analysis of this series shows that: --105 HR were performed on patients with focal ischemia attacks of suputed embolic origin; the HRT was positive in 35 patients (33 p. 100) with 25 supraventricular arrhythmias (SVA) 16 ventricular arrhythmias, associated in 9 cases, and 3 conduction blocks second degrees type 2. These arrhythmias are rare in patients under 40, increasing with age, and reaching 53 p. 100 in patients greater than 70 years. --86 HR were performed in ischemic heart disease (IHD): 52 HR for ST segment analysis, positive in 5 cases, and coexisting with chest pain in 4 cases; 34 HR for detecting arrhythmias in IHD, positive in 18 cases with 14 VA and 4 SVA. In 83 p. 100 the arrhythmias occur without IHD. They were positive in 70 cases, with 49 SVA, 34 VA, associated in 17 cases, and 4 blocks second degrees type 2. --10 cardiomyopathies were recorded; the HR was positive in 6, with 4 SVA, 3 VA associated in 1 case. --8 mitral valve prolapses were recorded with 5 VA and 1 SVA. In conclusion, the HR was positive in 45 p. 100 of the cases, and show especially the great incidence of asymptomatic VA in patients with IHD.
D000293:Adolescent; D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000175:diagnosis*; D002545:Brain Ischemia / Q000209:etiology; D002544:Cerebral Infarction / Q000209:etiology; D002648:Child; D003327:Coronary Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006349:Heart Valve Diseases / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Analyse rétrospective d'une série de 330 enregistrements de Holter. Valeur diagnostique de la méthode et corrélation avec la symptomatologie.