Abstract
Objective To correlate arrhythmic symptoms with the presence of significant arrhythmias through the external event monitoring (web-loop).Methods Between January and December 2011, the web-loop was connected to 112 patients (46% of them were women, mean age 52±21 years old). Specific arrhythmic symptoms were defined as palpitations, pre-syncope and syncope observed during the monitoring. Supraventricular tachycardia, atrial flutter or fibrillation, ventricular tachycardia, pauses greater than 2 seconds or advanced atrioventricular block were classified as significant arrhythmia. The association between symptoms and significant arrhythmias were analyzed.Results The web-loop recorded arrhythmic symptoms in 74 (66%) patients. Of these, in only 14 (19%) patients the association between symptoms and significant cardiac arrhythmia was detected. Moreover, significant arrhythmia was found in 11 (9.8%) asymptomatic patients. There was no association between presence of major symptoms and significant cardiac arrhythmia (OR=0.57, CI95%: 0.21-1.57; p=0.23).Conclusion We found no association between major symptoms and significant cardiac arrhythmia in patients submitted to event recorder monitoring. Event loop recorder was useful to elucidate cases of palpitations and syncope in symptomatic patients.
Highlights
Palpitations, dizziness, pre-syncope and syncope are common complaints in physicians’ offices that might be related to cardiac arrhythmias
The correlation of arrhythmic symptoms and electrocardiographic record of significant arrhythmias using external events monitoring, which is known as web-loop, is still not determined in our population
To assess the association between specific symptoms and identification of clinically significant arrhythmias through the web-loop, which is a specific type of external event monitor
Summary
Palpitations, dizziness, pre-syncope and syncope are common complaints in physicians’ offices that might be related to cardiac arrhythmias In some patients these symptoms can be triggered by stress and anxiety, but not associated with rhythmic disorders. 296 Epifanio HB, Katz M, Borges MA, Corrêa AG, Cintra FD, Grinberg RL, Ludovice AC, Valdigem BP, Silva NJ, Fenelon G and adequate treatment depend on electrocardiographic record during symptoms occurrence. This record is not always easy and in case of sporadic symptoms, the continuous electrocardiogram (ECG) record for 24 hours (Holter) might not be efficient.(1). To assess the association between specific symptoms (palpitations, pre-syncope and syncope) and identification of clinically significant arrhythmias through the web-loop, which is a specific type of external event monitor
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
