Ambulatory ECG monitoring

Preview

The original—and still most frequent—use of ambulatory ECG monitoring is to detect and quantify arrhythmias. In this article, Dr Pepine discusses another application: detection and quantitation of transient myocardial ischemia. He considers such practical questions as, How does the technique differ from that used for arrhythmias? What ECG changes are characteristic of ischemic episodes? Do they reliably identify silent as well as painful episodes? and Is ambulatory monitoring an appropriate screening test for coronary heart disease?