Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter?
One hundred and forty four ambulatory, non-emergent human subjects from 20-88 years of age were investigated following routine 24 hour Holter monitoring referred by primary and tertiary care centers primarily for evaluation of palpitations and syncope. The patients were grouped into 3 different age...
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doaj-0282ea8bd2854eee8c569e8689ea293f2020-11-24T21:55:19ZengBarcaray InternationalInternational Cardiovascular Forum Journal2410-26362409-34242013-01-01129095https://doi.org/10.17987/icfj.v1i2.28Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter?Samir Kanti Saha0Anatoli Kiotsekoglou1Erling Englund2Jonas Appelberg3Department of Clinical Physiology, Sundsvall Hospital, 85186 Sundsvall, SwedenDepartment of Clinical Physiology, Sundsvall Hospital, 85186 Sundsvall, SwedenDepartment of Research and Development, Västernorrland County Council, Sundsvall, SwedenDepartment of Research and Development, Västernorrland County Council, Sundsvall, SwedenOne hundred and forty four ambulatory, non-emergent human subjects from 20-88 years of age were investigated following routine 24 hour Holter monitoring referred by primary and tertiary care centers primarily for evaluation of palpitations and syncope. The patients were grouped into 3 different age categories: A) 20-59 years of age (16%), B) 60-69 years of age (26.4%) and C) > 70 years of age (57.6%). Heart rate profile, RR intervals, symptoms, frequency of premature supra ventricular and ventricular complexes were registered. The data show that though the occurrence and frequency of premature atrial and ventricular contractions over a period of 24 hours did not differ between the groups, the younger subjects documented more subjective discomforts during the Holter monitoring. Extra-systoles in excess of 1000 beats / 24 hour occured incessantly throughout the registration. Patients with syncope and those without did not differ as regards the Holter variables. However, subjects with atrial fibrillation had acceptable rate control and had significantly lower incidence of syncope than those with sinus rhythm. The findings suggest that in a county setting, Holter monitoring for evaluation of syncope may not be the first hand mode of investigation in a non emergent setting. On the contrary, the modality appears to be valuable for monitoring patients with atrial fibrillation. Even mild symptoms in the elderly population may warrant closer clinical follow up to prevent cardiac events and/or syncope leading to serious physical injury.http://icfjournal.org/index.php/icfj/article/view/28/pdf-1Syncopeatrial fibrillationHolter monitoringambulatory electrocardiographypremature atrialventricular contractions |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Samir Kanti Saha Anatoli Kiotsekoglou Erling Englund Jonas Appelberg |
spellingShingle |
Samir Kanti Saha Anatoli Kiotsekoglou Erling Englund Jonas Appelberg Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? International Cardiovascular Forum Journal Syncope atrial fibrillation Holter monitoring ambulatory electrocardiography premature atrial ventricular contractions |
author_facet |
Samir Kanti Saha Anatoli Kiotsekoglou Erling Englund Jonas Appelberg |
author_sort |
Samir Kanti Saha |
title |
Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? |
title_short |
Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? |
title_full |
Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? |
title_fullStr |
Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? |
title_full_unstemmed |
Relationship between 24- hour Holter variables, chest discomfort and syncope: Does age matter? |
title_sort |
relationship between 24- hour holter variables, chest discomfort and syncope: does age matter? |
publisher |
Barcaray International |
series |
International Cardiovascular Forum Journal |
issn |
2410-2636 2409-3424 |
publishDate |
2013-01-01 |
description |
One hundred and forty four ambulatory, non-emergent human subjects from 20-88 years of age were investigated following routine 24 hour Holter monitoring referred by primary and tertiary care centers primarily for evaluation of palpitations and syncope. The patients were grouped into 3 different age categories: A) 20-59 years of age (16%), B) 60-69 years of age (26.4%) and C) > 70 years of age (57.6%). Heart rate profile, RR intervals, symptoms, frequency of premature supra ventricular and ventricular complexes were registered. The data show that though the occurrence and frequency of premature atrial and ventricular contractions over a period of 24 hours did not differ between the groups, the younger subjects documented more subjective discomforts during the Holter monitoring. Extra-systoles in excess of 1000 beats / 24 hour occured incessantly throughout the registration. Patients with syncope and those without did not differ as regards the Holter variables. However, subjects with atrial fibrillation had acceptable rate control and had significantly lower incidence of syncope than those with sinus rhythm. The findings suggest that in a county setting, Holter monitoring for evaluation of syncope may not be the first hand mode of investigation in a non emergent setting. On the contrary, the modality appears to be valuable for monitoring patients with atrial fibrillation. Even mild symptoms in the elderly population may warrant closer clinical follow up to prevent cardiac events and/or syncope leading to serious physical injury. |
topic |
Syncope atrial fibrillation Holter monitoring ambulatory electrocardiography premature atrial ventricular contractions |
url |
http://icfjournal.org/index.php/icfj/article/view/28/pdf-1 |
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