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Assessing the Effectiveness of Ambulatory Cardiac Monitoring for Specific Clinical Indications: Introduction

  • Miriam E. Adams (a1), Alexia Antczak-Bouckoms (a1), Howard S. Frazier (a1), Joseph Lau (a2), Thomas C. Chalmers (a1) and Frederick Mosteller (a1)...

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This introduction and the three essays that follow it examine ambulatory cardiac monitoring for specific clinical indications. They also examine the ways in which evidence from the literature may be synthesized through the framework of decision analysis to guide its appropriate use and identify areas in which more research is needed. The essays discuss ambulatory cardiac monitoring for evaluation of syncope in the elderly; detection of silent ischemia after a myocardial infarction; and selection of antiarrhythmic drugs for malignant ventricular arrhythmias.

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1.American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Ambulatory Electrocardiography). Guidelines for ambulatory electrocardiography. Circulation, 1989, 79, 206–15.
2.American College of Physicians. Ambulatory electrocardiographic (Holter) monitoring. Annals of Internal Medicine, 1990, 113, 7779.
3.Cumbee, S. R., Pryor, R. E., & Linzer, M.Cardiac Loop ECG Recording: A new noninvasive diagnostic test in recurrent syncope. Southern Medical Journal, 1990, 83, 3943.
4.Handelsman, H. Public Health Service Assessment: Real-time cardiac monitors, 1989. Health Technology Assessment Reports, No. 4. Washington, DC: National Center for Health Services Research and Health Care Technology Assessment, U.S. Department of Health and Human Services, Public Health Service.
5.Holter, N. J.New method for heart studies. Science, 1961, 134, 1214–20.
6.Linzer, M., Pritchett, E. L. C., Pontinen, M., & McCarthy, E.Incremental diagnostic yield of Loop Electrocardiographic Recorders in unexplained syncope. American Journal of Cardiology, 1990, 66, 214–19.

Assessing the Effectiveness of Ambulatory Cardiac Monitoring for Specific Clinical Indications: Introduction

  • Miriam E. Adams (a1), Alexia Antczak-Bouckoms (a1), Howard S. Frazier (a1), Joseph Lau (a2), Thomas C. Chalmers (a1) and Frederick Mosteller (a1)...

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