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CORRELATION BETWEEN DIATARY-BASED SYMPTOMS AND FREQUENCY OF ARRHYTHMIAS ON 24-HOUR HOLTER ELECTROCARDIOGRAPHIC MONITORING
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Abstract
Background: The electrocardiogram diary plays an important role in diagnosing the impact of cardiac disorders in arrhythmic patients assigned to attach the 24-hour Holter electrocardiogram. Data on the relationship between symptoms in the diary and arrhythmias recorded at the same time on the 24-hour Holter ECG are limited in Vietnam. Objective: The aim of our study was to describe the relationship between symptoms recorded in the diary and arrhythmias on the 24-hour Holter electrocardiogram. Materials and Methods: This was a descriptive cross-sectional study. The study included 312 patients with cardiovascular disease assigned to the Holter 24-hour electrocardiogram. Use the Philips Holter DigiTrak XT 5-electrode system for ECG recording and analysis. Results: Among the 312 patients, the mean age was 52.3 ± 16.1 years, male accounted for 54.5% (170/142). The most common complaints were palpitation (40.7%) and fatigue/headache (25%). The study recorded 99 patients (31.7%) with major arrhythmias on Holter 24-hour electrocardiogram, supraventricular arrhythmias, ventricular tachycardia, bradycardia, and frequent premature ventricular contraction had a ratio of 9.9, 4.8%, 10.3%, and 11.9%, respectively. There were 57 patients (18.3%) who complained of symptoms in the diary when attaching a 24-hour Holter ECG, the most common symptoms were chest pain (42.1%) and fatigue/headache (40.4%). Symptoms and arrhythmias co-occurred in 14 patients, accounting for 24.6% of symptomatic patients. There are no specific symptoms that predict a specific type of arrhythmia. Conclusions: Our study showd that approximately one third of the study patients had major arrhythmias on the 24-hour Holter ECG, one-fifth of the patients reported having at least one symptom in the diary. The results showed that 24.6% of the patients had symptoms in the diary associated with concurrent cardiac arrhythmias.
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Keywords
diatary, symptoms, 24-hour Holter ECG, arrthrymia
References
2. Hinkle L. E., Jr., Carver S. T., Stevens M. (1969), "The frequency of asymptomatic disturbances of cardiac rhythm and conduction in middle-aged men". Am J Cardiol, 24 (5), pp. 629-50.
3. Irfan G., Ahmad M., Khan A. R. (2009), "Association between symptoms and frequency of arrhythmias on 24-hour Holter monitoring". J Coll Physicians Surg Pak, 19 (11), pp. 686-9.
4. Priori S. G., Blomström-Lundqvist C., Mazzanti A., Blom N., Borggrefe M., et al. (2015), "2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: 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: Association for European Paediatric and Congenital Cardiology (AEPC)". Eur Heart J, 36 (41), pp. 2793-2867.
5. Winkle R. A., Derrington D. C., Schroeder J. S. (1977), "Characteristics of ventricular tachycardia in ambulatory patients". Am J Cardiol, 39 (4), pp. 487-92.
6. Zeldis S. M., Levine B. J., Michelson E. L., Morganroth J. (1980), "Cardiovascular complaints. Correlation with cardiac arrhythmias on 24-hour electrocardiographic monitoring". Chest, 78 (3), pp. 456-61.
7. Zipes D. P., Wellens H. J. (2000), "What have we learned about cardiac arrhythmias?". Circulation, 102 (20 Suppl 4), pp. Iv52-7.
8. Miller J.M., Zipes D.P. Diagnosis of cardiac arrhythmia. In: Braunwald E, Zipes DP, Libby P, Bonow R, editors. Branwald’s heart disease: a textbook of cardiovascular medicine. 7th ed. Philadelphia: Elsevier Sunders; 2004. p. 697- 712.