Rendimiento diagnóstico y pronóstico del registro Holter de 24horas en pacientes con síncope
2016; Elsevier BV; Volume: 147; Issue: 4 Linguagem: Inglês
10.1016/j.medcli.2016.03.041
ISSN1578-8989
AutoresCayetana Barbeito‐Caamaño, Gabriel Sánchez‐Fernández, Alberto Bouzas‐Mosquera, Francisco J. Broullón, Nemesio Álvarez‐García, José Manuel Vázquez‐Rodríguez,
Tópico(s)Respiratory and Cough-Related Research
ResumoSyncope is a common condition and complex to diagnose. The yield of the 24h-Holter ECG in this context has not been clearly defined. The aim of this study was to evaluate its diagnostic and prognostic capacity in these patients.Retrospective study of 6,006 consecutive patients sent to our unit for 24h-Holter ECG monitoring for syncope. We registered the diagnostic findings and abnormal findings potentially related to an arrhythmic cause of syncope. The prognostic endpoint was a combination of death or the need for device implantation (pacemaker or defibrillator) within one year.242 patients (4%) presented diagnostic findings and 472 (7.9%) had some abnormal findings. In 328 cases device implantation was necessary within one year, but up to 66% of these patients did not have any relevant findings on the Holter monitoring. A total of 564 patients presented the combined event, including 36.8% of patients with diagnostic findings and 8.2% without them.24h-Holter ECG monitoring presents a limited diagnostic and prognostic yield in unselected patients with syncope.
Referência(s)