title: Recommendations of the Brazilian Society of Cardiac Arrhythmias for holter monitoring services.
abstract: BACKGROUND
  There are innumerous indicators to assure the quality of a service. However, medical competence and the proper performance of a procedure determine its final quality. The Brazilian Society of Cardiac Arrhythmias recommends minimum parameters necessary to guarantee the excellence of ambulatory electrocardiographic monitoring services.
  
  
  OBJECTIVE
  To recommend minimum medical competences and the information required to issue a Holter monitoring report.
  
  
  METHODS
  This study was grounded in the concept of evidence-based medicine and, when evidence was not available, the opinion of a writing committee was used to formulate the recommendation. That committee consisted of professionals with experience on the difficulties of the method and management in providing services in that area.
  
  
  RESULTS
  The professional responsible for the Holter monitoring analysis should know cardiovascular pathologies and have consistent formation on electrocardiography, including cardiac arrhythmias and their differential diagnoses. The report should be written in a clear and objective way. The minimum parameters that comprise a Holter report should include statistics of the exam, as well as quantification and analysis of the rhythm disorders observed during monitoring.
  
  
  CONCLUSIONS
  Ambulatory electrocardiographic monitoring should be performed by professionals knowledgeable about electrocardiographic analysis, whose report should comprise the minimum parameters mentioned in this document.
authors.forename: Adalberto
authors.initials: A
authors.lastname: Lorga Filho
authors.forename: Fatima Dumas
authors.initials: FD
authors.lastname: Cintra
authors.forename: Adalberto
authors.initials: A
authors.lastname: Lorga
authors.forename: Cesar José
authors.initials: CJ
authors.lastname: Grupi
authors.forename: Claudio
authors.initials: C
authors.lastname: Pinho
authors.forename: Dalmo Antonio Ribeiro
authors.initials: DA
authors.lastname: Moreira
authors.forename: Dario C
authors.initials: DC
authors.lastname: Sobral Filho
authors.forename: Fabio Sandoli
authors.initials: FS
authors.lastname: de Brito
authors.forename: José Claudio Lupi
authors.initials: JC
authors.lastname: Kruse
authors.forename: José
authors.initials: J
authors.lastname: Sobral Neto
mesh_terms: D001145:Arrhythmias, Cardiac / Q000175:diagnosis*; D001938:Brazil; D002309:Cardiology / Q000592:standards; D015716:Electrocardiography, Ambulatory / Q000592:standards*; D019317:Evidence-Based Medicine; D006801:Humans; D012955:Societies, Medical / Q000592:standards
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