AN OBSERVATIONAL STUDY OF HOLTER MONITORING IN PATIENTS ADMITTED TO A TERTIARY CARE HOSPITAL IN WESTERN MAHARASHTRA.

Dr. Hrishikesh Joshi; Dr. Nilima Mane

Volume : V, Issue : V, May - 2015

AN OBSERVATIONAL STUDY OF HOLTER MONITORING IN PATIENTS ADMITTED TO A TERTIARY CARE HOSPITAL IN WESTERN MAHARASHTRA.

Dr. Hrishikesh Joshi, Dr. Nilima Mane

Abstract :

INTRODUCTION: Holter ECG monitoring is a non invasive tool for evaluation of syncope, palpitations, various conduction and rhythm disturbances associated with systemic diseases. The aim of the study was to observe the pattern of rhythm abnormalities, frequency of their occurrence, their demographic profile and use it as a guide to subsequent therapy wherever necessary. Availability of holter monitoring facility at our charitable general hospital enabled us to design this observational study. MATERIALS AND METHODS: 24 hour Holter monitoring data for patients with syncope, giddiness, palpitations admitted in Smt. Kashibai Navale Medical college and General Hospital, Pune, Maharashtra, a teaching tertiary care hospital in western India from July 2014 to Feuary 2015 was collected and analyzed with respect to age, gender, cardiac rhythm abnormalities detected whether significant or insignificant clinically and any other non rhythm abnormalities if noticed during the study. RESULTS: Holter monitoring data for 106 patients was analyzed. 74(69.8%) patients were male, 32 (30.19%) patients were females. 36 (34%) patients were ≤ 41 years, 70(66%) were >41 years of age. Abnormal Significant rhythms were seen in 22(20.75%). Abnormal Insignificant diagnoses were detected in 45 (42.45%) patients. A normal holter study was seen in 39(36.8%) patients. CONCLUSION: Holter monitoring is a non invasive tool in evaluation of syncope and palpitations and may help in guiding therapy. Utility of holter monitoring for more than 24 hrs may have a limited role in symptomatic patients without significant rhythm disturbance for 24 hrs.