title: [Identification of paroxysmal, transient arrhythmias: Intermittent registration more efficient than the 24-hour Holter monitoring].
abstract: Many patients suffer from palpitations or dizziness/presyncope. These patients are often referred for Holter ECG (24 hour), although the sensitivity for detecting arrhythmias is low. A new method, short intermittent regular and symptomatic ECG registrations at home, might be a convenient and more sensitive alternative also suitable for primary health care. In this case report we present a patient who had contacted health care several times during a seven year period for paroxysmal palpitations. Routine examination with 24 hour Holter ECG and event recorder did not result in a diagnosis. Using intermittent handheld ECG registration at home, a paroxysmal supraventricular arrhythmia was diagnosed. Further investigation revealed that the patient had a concealed Wolff-Parkinson-White (WPW) syndrome.
authors.affiliation: Family Medicin - Public Health and Clinical Medicine Umeå, Sweden Family Medicin - Public Health and Clinical Medicine Umeå, Sweden.
authors.forename: Tijn
authors.initials: T
authors.lastname: Hendrikx
authors.affiliation: - , Sweden - , Sweden.
authors.forename: Mårten
authors.initials: M
authors.lastname: Rosenqvist
authors.affiliation: Family Medicin - Public Health and Clinical Medicine Umeå, Sweden Family Medicin - Public Health and Clinical Medicine Umeå, Sweden.
authors.forename: Herbert
authors.initials: H
authors.lastname: Sandström
authors.affiliation: Ersboda Health Care Centre - Umeå, Sweden - , Sweden.
authors.forename: Mats
authors.initials: M
authors.lastname: Persson
authors.affiliation: Clinical Physiology, Heart Centre and Department of Surgical and Perioperative Science, Umeå University - Umeå, Sweden Department of Surgical and Perioperative Science, Umeå University - Clinical Physiology, Heart Centre Umeå, Sweden.
authors.forename: Rolf
authors.initials: R
authors.lastname: Hörnsten
mesh_terms: D000328:Adult; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D006801:Humans; D008297:Male; D013614:Tachycardia, Paroxysmal / Q000175:diagnosis*; D013617:Tachycardia, Supraventricular / Q000175:diagnosis*; D014927:Wolff-Parkinson-White Syndrome / Q000175:diagnosis