[Spanish Society of Cardiology practice guidelines on ambulatory monitoring of electrocardiogram and blood pressure].
In the present paper, a historical review and a clinical up-date are done on two procedures of great medical interest: Holter electrocardiography and ambulatory blood pressure monitoring. Technical and methodological characteristics of each procedure are carefully exposed, emphasizing each the lack of an international agreement in order to establish regulations that make all the equipment homogeneous and reliable in order to increase both accuracy and reliability in diagnosis. Based on published international scientific documents and the personal experience of the authors, guidelines for clinical applications, indications and limitations of each technique are analyzed in relation to capacities of the Spanish political and social public health system profile. New concepts and dynamics of developments such as; dynamic QT, RR variability or pulse wave velocity are exposed, in the frame of the present time and future for improving efficiency and clinical application.
Palma Gámiz
J L
JL
Servicio de Cardiología, Hospital Ramón y Cajal, Madrid.
Arribas Jiménez
A
A
González Juanatey
J R
JR
Marín Huerta
E
E
Martín-Ambrosio
E S
ES
D018660:Blood Pressure Monitoring, Ambulatory / Q000592:standards; D015716:Electrocardiography, Ambulatory / Q000592:standards; D006801:Humans