Diagnostic management of patients with palpitations of unknown origin

Italian Heart Journal

Volumn 5, Issue 8, 2004, Pages 581-586

  Giada, Franco ^a   Raviele, Antonio ^a  

^a Ospedale Umberto I   (Italy)

Author keywords

Dynamic electrocardiography; Electrophysiological study; Palpitations

Indexed keywords

AMBULATORY MONITORING; ANAMNESIS; DIFFERENTIAL DIAGNOSIS; ELECTROCARDIOGRAPHY; HEART ARRHYTHMIA; HEART FUNCTION TEST; HUMAN; INSTRUMENTATION; PHYSICAL EXAMINATION; REVIEW;

ARRHYTHMIA; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; ELECTROCARDIOGRAPHY, AMBULATORY; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; HUMANS; MEDICAL HISTORY TAKING; MONITORING, AMBULATORY; PHYSICAL EXAMINATION;

EID: 16644390095     PISSN: 1129471X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Zimetbaum P, Josephson ME. Evaluation of patients with palpitations. N Engl J Med 1998; 338: 1369-73.
2. Brugada P, Gursoy S, Brugada J, Andriess E. Investigation of palpitations. Lancet 1993; 341: 1254-8.
3. Weber BE, Kapoor WH. Evaluations and outcomes of patients with palpitations. Am J Med 1996; 100: 138-48.
4. Krahn AD, Klein GJ Raymond Y, Norris C. Final results from a pilot study with an implantable loop recorder to determine the etiology of syncope in patients with negative noninvasive and invasive testing. Am J Cardiol 1998; 82: 117-9.
5. Hlatky MA. Approach to the patient with palpitations. In: Goldman L, Braunwald E, eds. Primary cardiology. Philadelphia, PA: WB Saunders, 1998: 122-8.
6. Zipes DP, Miles WM, Klein LS. Assessment of patients with cardiac arrhythmia. In: Zipes DP, Jalife J, eds. Cardiac electrophysiology: from cell to bedside. Philadelphia, PA: WB Saunders, 1995: 1009-12.
7. Lessmeier TJ, Gamperling D, Johnson-Liddon V, et al. Unrecognized paroxysmal supraventricular tachycardia: potential for misdiagnosis as panic disorders. Arch Intern Med 1997; 157: 537-43.
8. Fogel RI, Evans JJ, Prystwsky EN. Utility and cost of event recorders in the diagnosis of palpitations, presyncope, and syncope. Am J Cardiol 1997; 79: 207-8.
9. Reiffel JA, Schulhof E, Joseph B, et al. Optimum duration of transtelephonic ECG monitoring when used for transient symptomatic event detection. J Electrocardiol 1991; 24: 165-8.
10. Kinlay S, Leitch JW, Neil A, et al. Cardiac event recorders yield more diagnoses and are more cost-effective than 48-hour Holter monitoring in patients with palpitations. Ann Intern Med 1996; 124: 16-20.
11. Zimetbaum PJ, Kim KY, Josephson ME, Goldberger AL, Cohen DJ. Diagnostic yield and optimal duration of continuous-loop event monitoring for the diagnosis of palpitations. Ann Intern Med 1998; 28: 890-5.
12. Brown AP, Dawkins KD, Davies JG. Detection of arrhythmias: use of a patient-activated ambulatory electrocardiogram device with a solid-state memory loop. Br Heart J 1987; 58: 251-3.
13. Zimetbaum P, Kim KY, Ho KK, Zebeda J, Josephson ME, Goldberger AL. Utility of patient-activated cardiac event recorders in general clinical practice. Am J Cardiol 1997; 79: 371-2.
14. Antman EM, Ludmer PL, McGowan N, Bosak Fredman PL. Transtelephonic electrocardiographic transmission for management of cardiac arrhythmias. Am J Cardiol 1988; 58: 1021-4.
15. Crawford MH, Bernstein SJ, Deedwania PC, et al. ACC/AHA guidelines for ambulatory electrocardiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the guidelines for ambulatory electrocardiography). Circulation 1999; 100: 886-9.
16. Kadish AH, Buxton AE, Kennedy HL, et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography. A report of the ACC/AHA/ACP-ASIM Task Force on Clinical Competence (ACC/ AHA Committee to develop clinical competence statement on electrocardiography and amblatory electrocardiography). J Am Coll Cardiol 2001; 38: 2091-100.
17. Linee guida per l'uso appropriato delle metodiche diagnostiche non invasive. Commissione ad hoc ANMCO-SIC-ANCE-GICR-SIEC. Ital Heart J Suppl 2000; 1: 811-29.
18. Zimtbaum PJ, Josephson ME. The evolving role of ambulatory arrhythmia monitoring in general practice. Ann Intern Med 1999; 150: 848-56.
19. Di Marco JP, Philbrick JT. Use of ambulatory electrocardiographic (Holter) monitoring. Ann Intern Med 1990; 113: 53-68.
20. Krahn AD, Klein GJ, Yee R, Manda V. The high cost of syncope: cost implications of a new insertable loop recorder in the investigation of recurrent syncope. Am Heart J 1999; 137: 870-7.
21. Krahn AD, Klein GJ, Yee R, Skanes AC. Randomized assessment of syncope trial: conventional diagnostic testing versus a prolonged monitoring strategy. Circulation 2001; 104: 46-56.
22. Waktare JEP, Camm AJ. Holter and event recordings for arrhythmia detection. In: Zareba W, Maison-Blanche P, Locati EH, eds. Noninvasive electrocardiology in clinical practice. Armonk, NY: Futura Publishing Company, 2001: 3-30.
23. Zipes DP, DiMarco JP, Gillette PC, et al. Guidelines for clinical intracardiac electrophysiological and catheter ablation procedures: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on clinical intracardiac electrophysiologic and catheter ablation procedures), developed in collaboration with the North American Society of Pacing and Electrophysiology. J Am Coll Cardiol 1995; 26: 555-73.
24. Hyucke EC, Lai WT, Nguyen NX, et al. Role of intravenous isoproterenol in electrophysiologic induction of atrioventricular node reentrant tachycardia in patients with dual atrioventricular node pathways. Am J Cardiol 1989; 64: 1131-7.
25. Bonso A, Delise P, Corò L, et al. Palpitazioni d'origine sconosciuta: qual è l'utilità della stimolazione atriale transesofagea? In: Piccolo E, Raviele A, eds. Aritmie cardiache. Milano: Centro Scientifico Editore, 1991: 229-36.
26. Morady F, Shapiro W, Shen E, et al. Programmed ventricular stimulation in patients without spontaneous ventricular tachycardia. Am Heart J 1984; 107: 875-82.
27. Delise P, Bonso A, Allibardi PL, et al. Clinical and prognostic value of atrial vulnerability. Evaluation using endocavitary and transesophageal electrophysiologic study. G Ital Cardiol 1990; 20: 533-42.
28. Brembilla-Perrot B, Spatz F, Khaldi E, et al. Value of esophageal pacing in evaluation of supraventricular tachycardia. Am J Cardiol 1990; 65: 322-30.
29. Brembilla-Perrot B. Value of oesophageal pacing in evaluation of atrial arrhythmias. Eur Heart J 1994; 15: 1085-8.
30. Delise P, Bonso A, Corò L, et al. Endocavitary and transesophageal electrophysiology findings in idiopathic atrial fibrillation. G Ital Cardiol 1991; 21: 1093-9.
31. Fujimura O, Yee R, Klein G, Sharma A, Boahene A. The diagnostic sensitivity of electrophysiologic testing in patients with syncope caused by transient bradycardia. N Engl J Med 1989; 321: 1701-7.
32. Brignole M, Menozzi C, Bottoni N, et al. Mechanisms of syncope caused by transient bradycardia and the diagnostic value of electrophysiologic testing and cardiovascular reflexivity maneuvers. Am J Cardiol 1995; 76: 273-8.
33. Wellens HJ, Brugada P, Bar FW. Indications for use of intracardiac electrophysiologic studies for the diagnosis of site of origin and mechanism of tachycardias. Circulation 1987; 75 (Suppl III): 110-5.
34. Denes P, Wu D, Dhingra R, et al. Demonstration of dual AV nodal pathways: a common electrophysiologic response. Br Heart J 1975; 37: 1069-76.
35. Ross DL, Farre J, Bar FW, et al. Comprehensive clinical electrophysiologic studies in the investigation of documented or suspected tachycardias. Circulation 1980; 61: 1010-6.
36. Brembilla-Perrot B, Marcon F, Bosser G, et al. Paroxysmal tachycardia in children and teenagers with normal sinus rhythm and without heart disease. Pacing Clin Electrophysiol 2001; 24: 41-5.
37. Pongiglione G, Saul JP, Dunningam A, et al. Role of transesophageal pacing in evaluation of palpitations in children and adolescents. Am J Cardiol 1988; 62: 566-70.