Predictive value of history taking and physical examination in diagnosing arrhythmias in general practice

Family Practice

Volumn 24, Issue 6, 2007, Pages 636-641

  Hoefman, Emmy ^a   Boer, Kimberly R ^a   van Weert, Henk C P M ^a   Reitsma, Johannes B ^a   Koster, Rudolph W ^a   Bindels, Patrick J E ^a  

^a UNIVERSITY OF AMSTERDAM   (Netherlands)

Author keywords

Continuous event recorder; General practice; Light headedness; Palpitations; Triage

Indexed keywords

ANTIARRHYTHMIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM ANTAGONIST; DIGOXIN;

ADULT; ANAMNESIS; ARTICLE; BRADYCARDIA; CARDIOVASCULAR DISEASE; CARDIOVASCULAR RISK; CLINICAL FEATURE; COHORT ANALYSIS; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DISCRIMINANT ANALYSIS; DROWSINESS; ELECTROCARDIOGRAPHY; FEMALE; GENERAL PRACTICE; GENERAL PRACTITIONER; HEART ARRHYTHMIA; HEART PALPITATION; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MEDICAL ASSESSMENT; NETHERLANDS; PHYSICAL EXAMINATION; PREDICTION; PROBABILITY; PROFESSIONAL COMPETENCE; RISK ASSESSMENT; RISK FACTOR; SYMPTOM;

ADOLESCENT; ADULT; ARRHYTHMIAS, CARDIAC; COHORT STUDIES; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; NETHERLANDS; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS;

EID: 37749053651     PISSN: 02632136     EISSN: 14602229     Source Type: Journal    
DOI: 10.1093/fampra/cmm056     Document Type: Article

References (18)

1. Abbott AV. Ambulatory telemetry arrhythmia monitoring systems. Health Devices 1994; 23: 264-305.
2. Kinlay S, Leitch JW, Neil A, Chapman BL, Hardy DB, Fletcher PJ. Cardiac event recorders yield more diagnoses and are more cost-effective than 48-hour Holter monitoring in patients with palpitations. A controlled clinical trial. Ann Intern Med 1996; 124 (Pt 1): 16-20.
3. Summerton N, Mann S, Rigby A, Petkar S, Dhawan J. New-onset palpitations in general practice: Assessing the discriminant value of items within the clinical history. Fam Pract 2001; 18: 383-392.
4. Zwietering PJ, Knottnerus JA, Rinkens PE, Kleijne MA, Gorgels AP. Arrhythmias in general practice: Diagnostic value of patient characteristics, medical history and symptoms. Fam Pract 1998; 15: 343-353.
5. Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med 1996; 100: 138-148.
6. 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. A cost-effectiveness analysis. Ann Intern Med 1998; 128: 890-895.
7. Douglas P. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 7th edn. Philadelphia: WB Saunders CO, 2006.
8. Hoefman E, van Weert HC, Reitsma JB, Koster RW, Bindels PJ. Diagnostic yield of patient-activated loop recorders for detecting heart rhythm abnormalities in general practice: A randomised clinical trial. Fam Pract 2005; 22: 478-484.
9. Crawford MH, Bernstein SJ, Deedwania PC et al. ACC/AHA guidelines for ambulatory electrocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to revise the guidelines for ambulatory electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Coll Cardiol 1999; 34: 912-948.
10. Mayou R, Sprigings D, Birkhead J, Price J. Characteristics of patients presenting to a cardiac clinic with palpitation. QJM 2003; 96 115-123.
11. Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med 1996; 100: 130-148.
12. Reiffel JA, Schwarzberg R, Murry M. Comparison of autotriggered memory loop recorders versus standard loop recorders versus 24-hour Holter monitors for arrhythmia detection. Am J Cardiol 2005; 95: 01.
13. Aronow WS. Heart disease and aging. Med Clin North Am 2006; 90 849-862.
14. Galinier M, Balanescu S, Fourcade J et al. Prognostic value of ventricular arrhythmias in systemic hypertension. J Hypertens 1997; 15 (Pt 2): 1779-1783.
15. Palatini P, Longo D, Zaetta V, Perkovic D, Garbelotto R, Pessina AC. Evolution of blood pressure and cholesterol in stage 1 hypertension: role of autonomic nervous system activity. J Hypertens 2006; 24 1375-1381.
16. Straus SE. Bridging the gaps in evidence based diagnosis. BMJ 2006; 333: 405-406.
17. Frank C. Evidence based checklists for objective structured clinical examinations. BMJ 2006; 333: 546-548.
18. Wellens HJ. The value of the ECG in the diagnosis of supraventricular tachycardias. Eur Heart J 1996; 17 (suppl C): 10-20.