| Shownotes |
Diagnostic evaluation of intermittent rapid heart beating (i.e., 'palpitations') is a frequent clinical problem. Typically, after the initial clinical assessment comprising a medical history, physical examination, ECG, and if deemed appropriate an echocardiogram, the key tool for diagnosis of palpitations is ambulatory ECG monitoring (AECG). The indisputable diagnostic 'gold standard' is ECG-symptom correlation. The specific type of monitoring (i.e., Holter, wearable event recorders, implantable event recorders [ILRs]) is determined by the expected frequency of symptoms in the given individual. Recently, as the importance of ECG - symptom correlation has been increasingly accepted, the ILR has become recognized as an essential tool for establishing diagnoses efficiently and cost-effectively. |
