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CHARACTERISTICS OF CARDIAC ARRHYTHMIAS ON 24-HOUR HOLTER ECG IN OUTPATIENTS AT THE HEART INSTITUTE OF HO CHI MINH CITY
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Abstract
Background: Cardiac arrhythmias are frequently transient and missed by standard ECGs, necessitating Holter monitoring for detection. However, systematic data regarding arrhythmias in stable outpatients in Vietnam remain limited. Objective: To determine the prevalence of various cardiac arrhythmias and describe the clinical characteristics and underlying conditions on 24-hour Holter ECG. Methods: A descriptive cross-sectional study was conducted on outpatients aged ≥ 18 years at the Heart Institute of Ho Chi Minh City. Patients with recording duration < 20 hours, recent anti-arrhythmic drug use were excluded. Data were analyzed using SPSS 27 to determine prevalence and identify independent risk factors via multivariate regression.Results: Among 376 patients included, fatigue was the most common symptom (54%), significantly exceeding palpitations (25%). Severe and dangerous arrhythmias were detected in 28.5% and 22.1% of patients, respectively. Multivariate analysis identified heart failure (OR = 9.92) and ventricular premature beats as major independent risk factors for dangerous arrhythmias. Conclusion: A significant burden of arrhythmias exists in stable outpatients, with heart failure and ventricular premature beats serving as key independent predictors. Holter ECG is vital for early diagnosis and risk stratification.
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Keywords
Cardiac arrhythmias; Holter ECG; 24-hour ECG; predictive model.
References
2. Nguyễn Văn Sĩ, Lê Văn Minh, Nguyễn Quang Cảnh. Đặc điểm holter điện tâm đồ 24 giờ tại phòng khám tổng quát. Tạp chí Y học Việt Nam. 2025;548(3). doi.org/10.51298/vmj.v548i3.13719
3. Brignole M, Moya A, De Lange FJ, Deharo J-C, Elliott PM, Fanciulli A, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. 2018;76(8):1119-98.
4. Kusumoto FM SM, Barrett C, et al. ACC/AHA/HRS Guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay. Circulation. 2019;140(8):e382-e482. doi:10.1161/CIR.0000000000000628.
5. Steinberg JS, Varma N, Cygankiewicz I, Aziz P, Balsam P, Baranchuk A, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry. 2017;14(7):e55-e96.
6. Van Gelder IC, Rienstra M, Bunting KV, Casado-Arroyo R, Caso V, Crijns HJGM, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): Developed by the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC), with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO). European Heart Journal. 2024;45(36):3314-414.
7. Zeppenfeld K, Tfelt-Hansen J, De Riva M, Winkel BG, Behr ER, Blom NA, et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: Developed by the task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European Society of Cardiology (ESC) Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC). 2022;43(40):3997-4126.