Holter ECG Monitoring in Assessing Arrhythmias in Patients with Palpitation

• DOI: 10.3126/jaim.v12i2.62076
• Publication Date: 2024-01-22T09:35:16Z
• Authors: Brijesh Pandey; Prahlad Karki; Naveen Kumar Pandey; Jeet Prasad Ghimire; Achyut Gyawali; Shikha Pandey; Payal Gupta; Binam Shrestha; Manjesh Pandey; Sanjay Shrestha; Rajan Thapa; Bhuwan Thapa; Maiya Shrestha; Pawan Chaurasia
• Keywords: Palpitations; Holter monitor; Heart Rhythm

BACKGROUND Palpitation is one of the most common indications for Holter study. 24- hour monitoring helps to detect abnormal cardiac rhythm which can be managed earlier if picked up sooner. Spot ECG has less sensitivity pick episodic so longer time essential. Various treatment modalities thus planned non-benign and relatively benign arrhythmias like VT PSVT respectively.
 METHODS This was a single center prospective observational cross-sectional study conducted at BPKIHS, Dharan three months between July 2023 September 2023. The primary objective electrical events in patients having palpation. There were 38 palpitations that underwent 24-hour after fulfilling inclusion criteria. data recorded on an excel sheet analyzed using software SPSS 20.
 RESULTS 47.4% (18) males 52.6% (20) females. mean age 49.61± 17.63 years. 36.8% (14) group <45 years while 42.1% (16) 45 65 21.1% (8) >65 maximum minimum Heart rate 180 35 beats per minute respectively. 57.9% (22) had normal ECG. Most arrhythmia VPC 17(77.2%) our association Normal vs Abnormal statistically significant (P Value=0.023) (Table 8). DM co-morbid illness 5(13.2%), participant HTN along with Dyslipidemia other findings smoking (5.3%), dyslipidemia (5.3%). no comorbid conditions Value = 0.448).
 CONCLUSION Out participants (77.2%) arrhythmia. Age Value=0.023). benign. Diabetes risk factor present 50% subjects illness.