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  • Title: [Diagnostic value of the continuous electrocardiographic monitoring (Holter) and of the electrophysiologic testings in patients with sino-atrial node dysfunction (author's transl)].
    Author: Masini G, Dianda R, Zanetti L.
    Journal: G Ital Cardiol; 1979; 9(10):1126-30. PubMed ID: 261958.
    Abstract:
    A twenty-four hours electrocardiographic recording and an electrophysiological study were performed in 48 patients with sinus bradycardia, 21 of them with symptoms suggesting a sino-atrial dysfunction. Both methods, and independently one each other, were not diagnostic in all symptomatic patients; on the contrary, they showed sinus dysfunction in patients without symptoms related to sino-atrial node dysfunction. These results induce to conclude that the two methods are complementary and that their results must be ever critically accepted, especially when a permanent cardiac pacing is indicated. Because of their not high sensitivity, some patients with sinus dysfunction are not recognised; there-after, the diagnosis is only possible, in these cases, on the base of clinical-signs.
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