Skip Navigation

European Heart Journal 1985 6(1):13-20;
Copyright © 1985 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by BROWN, A. K.
Right arrow Articles by DAVIES, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by BROWN, A. K.
Right arrow Articles by DAVIES, L.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1985 The European Society of Cardiology

A survey of patients selected by general practitioners for home care of suspected myocardial infarction: arrhythmia detection using Holter monitoring

A. K. BROWN, V. ANDERSON and L. DAVIES

Cardiac Department, Royal Lancaster Infirmary Lancaster, U.K.

Received 20 March 1984; revised 20 September 1984; .

Abstract

From the Lancaster district (pop. 50 000) 101 patients were selected for home care of suspected acute myocardial infarction (AMI) by their general practitioners (GPs) and 78% were seen within 6 h (44% within 2 h). Infarction was confirmed in 54 cases compared with 203 in the coronary case unit over the same period. Reasons given for home management were stable condition (48%), diagnostic doubt (34%), patient preference (18%).good home (15%), age (14%).

Holter ECGs from 97 patients were analysed to see if arrhythmias were undetected clinically and recordings of at least 20 h were obtained in 88 (91%). Symptoms drew attention to atrial arrhythmias in 5 patients. Ventricular premature beats were recorded in 96% of the AMI group (84% of the non-MI), ventricular tachycardia in 21% of the AMI patients (5% non-MI), atrial fibrillation in 25% of AMI (7% non-MI) and complex ventricular ectopic activity (Lown 3–5) was found in 81% of the AMI (58% of the non-MI).We conclude that the GPs in the Lancaster district select patients for home care of AMI on clinical and social grounds rather than time after onset. Holter ECG recordings reveal major arrhythmias which are usually undetected clinically and are at least as common as those found in CCU treated patients. Further studies involving larger numbers of home treated patients monitored early are required to identify criteria for home care.

Key Words: Acute myocardial infarction, • home care, • Holter monitoring.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.