Aspects of the value of continuous ambulatory ECG monitoring in the detection and management of ischaemic heart disease. Case reports.
In 2 patients admitted for evaluation of chest pain occurring mainly at rest, organic disease of the nondominant circumflex artery only, with normal left anterior descending and right coronary arteries, was demonstrated in each case. Continuous ambulatory ECG monitoring by the Holter system revealed episodes of ST-segment elevation probably due to coronary artery spasm, allowing specific treatment to be instituted. Some aspects of the value of continuous ambulatory Holter monitoring in patients with ischaemic heart disease are discussed.
D000553:Ambulatory Care; D003327:Coronary Disease / Q000175:diagnosis* / Q000188:drug therapy; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D014700:Verapamil / Q000627:therapeutic use
D014700:Verapamil