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Time to ditch Holter monitor for Syncope Dx. (Episodes Seldom Recur in 48 Hours).(diagnosis)

Publication: Internal Medicine News

Publication Date: 15-FEB-02

Author: Jancin, Bruce
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COPYRIGHT 2002 International Medical News Group

ANAHEIM, CALIF. -- Holter monitoring ought to be abandoned for initial assessment of syncope or presyncope, Dr. Andrew D. Krahn said at the annual scientific sessions of the American Heart Association.

Episodes seldom recur in the 48-hour window of Holter monitoring, he reported. External loop recording is more likely to capture an event, thereby ruling an arrhythmia either in or out. However, patients are seldom willing to endure the prolonged use of the device.

"This certainly goes against the grain. But in our experience, Holter monitoring has...

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