Holter in monitoring of cardiac pacing.
The Holter function of implanted devices will record events with characteristics meeting criteria determined by the manufacturer or programmed by the physician. It does not show a continuous ECG. It is reliable, provided the basic functions of the device are operating correctly. This is an ideal tool for assessing the electrophysiologic profile of heart disease patients with implants and to assess the efficacy of various treatments (anti-arrhythmic drugs, ablation procedures). Combined with telemedicine technology, it can provide early alerts to the physician about deterioration in the rhythmic or hemodynamic status of their patients and thus prevent complications that would otherwise have led to costly hospitalizations. It is a very reliable tool to assess ICD function (diagnostic capabilities by the discrimination algorithms and efficacy of the delivered therapies). The technology will evolve and offer extended data in the future, such as sensor information or repolarization data (ST segment, QT duration, variability, &c.).
Service d'Electrophysiologie et de Stimulation Cardiaque Hôpital Haut-Lévêque, CHU de Bordeaux Avenue Magellan, France. Electronic address: ritterph@free.fr.
Philippe
P
Ritter
D000368:Aged; D000465:Algorithms; D000638:Amiodarone / Q000494:pharmacology; D000889:Anti-Arrhythmia Agents / Q000494:pharmacology; D002304:Cardiac Pacing, Artificial; D058406:Cardiac Resynchronization Therapy; D017115:Catheter Ablation; D017147:Defibrillators, Implantable; D015716:Electrocardiography, Ambulatory; D004567:Electrodes, Implanted; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D017180:Tachycardia, Ventricular / Q000175:diagnosis; D013686:Telemetry / Q000295:instrumentation / Q000379:methods
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone
AF; ATP; CRT; Cardiac pacing; Holter; ICD; ICDs; LV; Remote monitoring; V-A; VT; anti-tachycardia pacing; atrial fibrilaltion; cardiac resynchronization therapy; implantable cardioerters-defibrillators; left ventricle; ventricular tachycardia; ventriculo-atrial