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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: An audit of utilisation of Holter tape facilities at Glasgow Royal Infirmary.
    Author: Sedgewick ML, Khalid I, Cunningham M, Cobbe SM.
    Journal: Scott Med J; 1994 Feb; 39(1):24-6. PubMed ID: 8720754.
    Abstract:
    Holter tape analysis is widely used to both confirm and exclude the presence of significant arrhythmias. We have studied the utilisation of the Holter service at Glasgow Royal Infirmary over a period of 6 months. During this period 305 x 24 hour Holter tapes were recorded. Out patient referrals generated 95% of these requests with only 5% of requests for in patient recordings. The median delay from request date to dispatch to the referring doctor was 14 days. No arrhythmia was detected in 77% and only 3% had a detectable symptomatic significant arrhythmia. The recording was felt to demonstrate the presence of a relevant arrhythmia in 17% of cases and to help exclude a possible arrhythmia in 61%. The capital cost per tape was 20.82 Pounds. In conclusion Holter monitoring is an inexpensive way of analysing the heart rhythm over an extended period which is probably underused.
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