Different Types of Cardiac Arrhythmias Shown In Holter ECG Monitoring of 100 Patients Studied in NICVD

Authors

  • Md Faruque Professor of Cardiology, Anwar Khan Modern Medical College, Dhaka
  • Abu Shams Md Hasan Ali Masum Registrar, Department of Medicine, Anwar Khan Modern Medical College, Dhaka
  • Md Mahmudur Rahman Siddiqui Assistant Professor of Medicine, Anwar Khan Modern Medical College, Dhaka
  • Md Tanveer Faruk Lecturer, Department of Physiology, Marks Medical College, Dhaka
  • Fazlur Rahman Professor of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Jabed Iqbal Junior consultant, Cardiology, Anwar Khan Modern Medical College, Dhaka
  • Rubayat Sheikh Gias Uddin Assistant Professor of Medicine, Anwar Khan Modern Medical College, Dhaka

DOI:

https://doi.org/10.3329/medtoday.v26i2.24223

Keywords:

electrocardiographic Holter monitoring, arrhythmia

Abstract

Ambulatory ECG monitoring is suitable for patients with symptoms which may be caused by arrhythmia such as palpitation, light-headedness, syncope or chest discomfort. Patients with symptoms occurring daily or almost daily or those who have syncope without warning may be evaluated with a 24 hour Holter monitoring. Objective of this study is to determine incidences of various arrhythmias on 24-hour electrocardiographic Holter monitoring. This retrospective cross-sectional descriptive study was carried out in the cardiology department of NICVD by reviewing the Holter monitoring report to study different types of cardiac arrhythmias. Adult patients of either gender, referred for Holter monitoring with symptoms of palpitation, dizziness and syncope were evaluated for arrhythmia. The data analysis of the 100 patients who were studied, showed that there were 75 (75%) males and 25 (25%) females. 25% of patients were below 40 years whereas 75% were above 40 years of age. 67(67%) patients developed arrhythmia and others were normal. 38% report showed ventricular ectopic, 11% sick sinus syndrome, 5% ventricular tachycardia, 3% complete heart block. Supraventricular ectopic, atrial flutter, atrial fibrillation and Wolf Parkinson White syndrome each developed in only 1% of patients. Twenty four hour Holter monitoring is an important investigation for evaluation of patients with palpitation, dizziness and syncope. Arrhythmias were detected frequently in both symptomatic and asymptomatic patients. One must be careful to avoid attributing a symptom to an arrhythmia until a close temporal relationship is demonstrated.

Medicine Today 2014 Vol.26(2): 71-74

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Published

2015-07-16

How to Cite

Faruque, M., Ali Masum, A. S. M. H., Siddiqui, M. M. R., Faruk, M. T., Rahman, F., Iqbal, M. J., & Uddin, R. S. G. (2015). Different Types of Cardiac Arrhythmias Shown In Holter ECG Monitoring of 100 Patients Studied in NICVD. Medicine Today, 26(2), 71–74. https://doi.org/10.3329/medtoday.v26i2.24223

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Original Articles