24-hour ambulatory electrocardiographic monitoring is unhelpful in the investigation of older persons with recurrent falls

Age and Ageing

Volumn 34, Issue 4, 2005, Pages 382-386

  Davison, John ^a   Brady, Steven ^a   Kenny, Rose Anne ^b,c  

^a ROYAL VICTORIA INFIRMARY   (United Kingdom)

^b NEWCASTLE UNIVERSITY   (United Kingdom)

^c NEWCASTLE GENERAL HOSPITAL   (United Kingdom)

Author keywords

Ambulatory electrocardiography; Elderly; Falls; Investigations; Older persons

Indexed keywords

AGED; AMBULATORY MONITORING; ANGINA PECTORIS; ARTICLE; BRADYCARDIA; CASE CONTROL STUDY; COMORBIDITY; COMPLETE HEART BLOCK; CONTROLLED STUDY; CORRELATION ANALYSIS; DIZZINESS; DYSPNEA; ECG ABNORMALITY; ELECTROCARDIOGRAPHY MONITORING; EMERGENCY WARD; EXTRASYSTOLE; FALLING; FATIGUE; FEMALE; GERIATRIC PATIENT; HEART ARRHYTHMIA; HEART BLOCK; HEART PALPITATION; HEART SUPRAVENTRICULAR ARRHYTHMIA; HEART VENTRICLE ARRHYTHMIA; HUMAN; MAJOR CLINICAL STUDY; MALE; PREVALENCE; PRIORITY JOURNAL; SYNCOPE; AGE; ELECTROCARDIOGRAPHY; PROSPECTIVE STUDY; RECURRENT DISEASE;

ACCIDENTAL FALLS; AGE FACTORS; AGED; AGED, 80 AND OVER; ARRHYTHMIA; CASE-CONTROL STUDIES; ELECTROCARDIOGRAPHY, AMBULATORY; FEMALE; HUMANS; MALE; PROSPECTIVE STUDIES; RECURRENCE;

EID: 26944441318     PISSN: 00020729     EISSN: 14682834     Source Type: Journal    
DOI: 10.1093/ageing/afi108     Document Type: Article

References (30)

1. Prudham D, Evans JG. Factors associated with falls in the elderly: A community study. Age Ageing 1981; 10: 141-6.
2. Cwikel J. Falls among elderly people living at home: Medical and social factors in a national sample. Isr J Med Sci 1992; 28: 446-53.
3. Tinetti ME, Williams CS. Falls, injuries due to falls, and the risk of admission to a nursing home. N Engl J Med 1997; 337: 1279-84.
4. Donald IP, Bulpitt CJ. The prognosis of falls in elderly people living at home. Age Ageing 1999; 28: 121-5.
5. Davies AJ, Kenny RA. Falls presenting to the accident and emergency department: Types of presentation and risk factor profile. Age Ageing 1996; 25: 362-6.
6. Shaw FE, Kenny RA. The overlap between syncope and falls in the elderly. Postgrad Med J 1997; 73: 635-9.
7. American Geriatrics Society, British Geriatrics Society, American Academy of Orthopaedic Surgeons Panel on Fall Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc 2001; 49: 664-72.
8. Brady, S. Audit of Clinical Indications for Ambulatory Electrocardiography 2003. Personal communication.
9. Kapoor WN. Diagnostic evaluation of syncope. Am J Med 1991; 90: 91-106.
10. Folstein MF, Folstein SE, McHugh PR. 'Mini mental state'. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189-98.
11. Davison J, Bond J, Dawson P, Steen IN, Kenny RA. Patients with recurrent falls attending Accident & Emergency benefit from multifactorial intervention - a randomised controlled trial. Age Ageing 2005; 34: 162-8.
12. Bass EB, Curtiss EI, Arena VC et al. The duration of Holter monitoring in patients with syncope. Is 24 hours enough? Arch Intern Med 1990; 150: 1073-8.
13. Manolio TA, Furberg CD, Rautaharju PM et al. Cardiac arrhythmias on 24-h ambulatory electrocardiography in older women and men: The Cardiovascular Health Study. J Am Coll Cardiol 1994; 23: 916-25.
14. Frishman WH, Heiman M, Karpenos A et al. Twenty-four-hour ambulatory electrocardiography in elderly subjects: Prevalence of various arrhythmias and prognostic implications (report from the Bronx Longitudinal Aging Study). Am Heart J 1996; 132 (2 Pt 1): 297-302.
15. Rai GS. Cardiac arrhythmias in the elderly. Age Ageing 1982; 11: 113-5.
16. Camm AJ, Evans KE, Ward DE, Martin A. The rhythm of the heart in active elderly subjects. Am Heart J 1980; 99: 598-603.
17. Kirkland JL, Lye M, Faragher EB, Dos SA. A longitudinal study of the prognostic significance of ventricular ectopic beats in the elderly. Gerontology 1983; 29: 199-201.
18. Ingerslev J, Bjerregaard P. Prevalence and prognostic significance of cardiac arrhythmias detected by ambulatory electrocardiography in subjects 85 years of age. Eur Heart J 1986; 7: 570-5.
19. Garcia A, Valdes M, Sanchez V et al. Cardiac rhythm in healthy elderly subjects. Clin Investigator 1992; 70: 130-5.
20. Ribera JM, Cruz AJ, Zamorano JL, Perez-Casar F. Cardiac rate and hyperkinetic rhythm disorders in healthy elderly subjects: Evaluation by ambulatory electrocardiographic monitoring. Gerontology 1989; 35: 158-64.
21. Martin A, Benbow LJ, Butrous GS, Leach C, Camm AJ. Five-year follow-up of 101 elderly subjects by means of long-term ambulatory cardiac monitoring. Eur Heart J 1984; 5: 592-6.
22. Fleg JL, Kennedy HL. Cardiac arrhythmias in a healthy elderly population: Detection by 24-hour ambulatory electrocardiography. Chest 1982; 81: 302-7.
23. Glasser SP, Clark PI, Applebaum HJ. Occurrence of frequent complex arrhythmias detected by ambulatory monitoring: Findings in an apparently healthy asymptomatic elderly population. Chest 1979; 75: 565-8.
24. Taylor IC, Stout RW. Is ambulatory electrocardiography a useful investigation in elderly people with 'funny turns'? Age Ageing 1983; 12: 211-6.
25. Kantelip JP, Sage E, Duchene-Marullaz P. Findings on ambulatory electrocardiographic monitoring in subjects older than 80 years. Am J Cardiol 1986; 57: 398-401.
26. Kala R, Viitasalo MT, Toivonen L, Eisalo A. Ambulatory ECG recording in patients referred because of syncope or dizziness. Acta Med Scand 1982; 668(Suppl): 13-9.
27. Gibson TC, Heitzman MR. Diagnostic efficacy of 24-hour electrocardiographic monitoring for syncope. Am J Cardiol 1984; 53: 1013-7.
28. Rosado JA, Rubenstein LZ, Robbins AS et al. The value of Holter monitoring in evaluating the elderly patient who falls. J Am Geriatr Soc 1989; 37: 430-4.
29. Gordon M. Falls in the elderly: More common, more dangerous. Geriatrics 1982; 37: 117-20.
30. Maurer MS, Bloomfield DM. Atrial fibrillation and falls in the elderly. Clin Geriatr Med 2002; 18: 323-37.