Choosing Wisely Italia
  • Campaign
  • Recommendations
  • Societies
  • Citizens
  • CW International
  • Documents
  • Italian
Select Page
Do not systematically request an ECG-Holter in patients with sporadic palpitation if structural heart disease has already been excluded.

Do not systematically request an ECG-Holter in patients with sporadic palpitation if structural heart disease has already been excluded.

by Valeria Confalonieri | Jan 12, 2023

The 24-hour dynamic ECG according to Holter represents a simple and non-invasive but time consuming diagnostic tool. In clinical practice we often see inappropriate prescriptions. Palpitations are the most common indication (up to 20% of prescriptions). Holter ECG is...
Do not systematically request an ECG-Holter in patients with sporadic palpitation if structural heart disease has already been excluded.

Do not perform an ischemia induction test in the follow-up of chronic coronary syndromes in the stable and asymptomatic patient.

by Valeria Confalonieri | Jan 12, 2023

In chronic coronary syndromes, with preserved left ventricular function, coronary revascularization aims to control symptoms and does not affect the prognosis. In stable and asymptomatic patients, ischemia research tests are not indicated and increase the risk of...
Don’t perfom Holter electrocardiographic monitoring in patients suffering from syncope, near syncope o dizziness, in whom a non arrhytmic origin has been documented

Don’t perfom Holter electrocardiographic monitoring in patients suffering from syncope, near syncope o dizziness, in whom a non arrhytmic origin has been documented

by cristiano | Oct 17, 2018

Holter monitoring is indicated if the likelyhood of arrhytmia causing a syncope is elevated. Monitoring devices should be choosen according to syncope frequency: Holter for daily symptoms, external loop recorder for weekly, and subcutaneous implantable device for...
Don’t perform exercise stress test as screening of ischemic heart disease in asymptomatic patients at low cardiovascular risk

Don’t perform exercise stress test as screening of ischemic heart disease in asymptomatic patients at low cardiovascular risk

by cristiano | Oct 17, 2018

In asymptomatic patients without risk factors, the likelihood of coronary heart disease is very low. The stress test increases risk of false positives and induces further diagnostic tests to rule out the doubts raised by the test.
Don’t perform exercise stress test as screening of ischemic heart disease in asymptomatic patients at low cardiovascular risk

Don’t perform 24 hour Holter monitoring in patients with effort chest pain who can perform exercise stress test, unless arrhythmias should be investigated.

by cristiano | Oct 17, 2018

Since during Holter monitoring the amount of stress could not be calibrated, sensitivity and specificity for detecting ischemia in patients with chest pain are low. In these conditions stress test is superior.
« Older Entries

Search

Recent Posts

  • New recommandations for Green Choosing Wisely Italy on Green Endoscopy
  • New recommendations on SARS-CoV-2 infection in pediatric-adolescent age
  • Choosing Wisely International Presents: In Conversation with Dr. Don Berwick
  • The new website dedicated to Gianfranco Domenighetti
  • The recommendations of Italian Medical Students’ Association APS (SISM) have been developed

Recent Comments

    Archives

    • April 2023
    • March 2021
    • September 2020
    • June 2020
    • May 2020
    • April 2020
    • October 2019

    Categories

    • Italy
    • World

    Meta

    • Log in
    • Entries feed
    • Comments feed
    • WordPress.org

    The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine

    Registered office: Corso Vittorio Emanuele II 52, 10123, Torino (TO)
    Fiscal code: 97587690153 P.IVA: 11321140011
    Contacts: info@slowmedicine.it

    • Privacy & Cookie Policy
    Privacy Policy – Cookie Policy
    Gestisci Consenso Cookie
    To provide the best experiences, we use technologies like cookies to store and/or access device information. Consenting to these technologies will allow us to process data such as browsing behavior or unique IDs on this site. Not consenting or withdrawing consent, may adversely affect certain features and functions.
    Functional Always active
    L'archiviazione tecnica o l'accesso sono strettamente necessari al fine legittimo di consentire l'uso di un servizio specifico esplicitamente richiesto dall'abbonato o dall'utente, o al solo scopo di effettuare la trasmissione di una comunicazione su una rete di comunicazione elettronica.
    Preferences
    L'archiviazione tecnica o l'accesso sono necessari per lo scopo legittimo di memorizzare le preferenze che non sono richieste dall'abbonato o dall'utente.
    Statistics
    L'archiviazione tecnica o l'accesso che viene utilizzato esclusivamente per scopi statistici. The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
    Marketing
    L'archiviazione tecnica o l'accesso sono necessari per creare profili di utenti per inviare pubblicità, o per tracciare l'utente su un sito web o su diversi siti web per scopi di marketing simili.
    Manage options Manage services Manage vendors Read more about these purposes
    View preferences
    {title} {title} {title}