Do not request a Holter ECG in patients with palpitations or syncope less than once a week.

Do not request a Holter ECG in patients with palpitations or syncope less than once a week.

Type of practice

Cardiological tests

Age

Adult, Geriatric

Topic Area

Cardiology

The reduced frequency of episodes could lead to false negatives with an unfavorable cost-benefit balance.

Sources

1. Brignole M, Moya A, de Lange FJ, et al. 2018 ESC Guidelines for the diagnosis and management of syncope. Eur Heart J 2018;39:1883-1948 doi: 10.1093/eurheartj/ehy037
2. Steinberg JS, Varma N, Cygankiewicz I, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry. Heart Rhythm 2017;14:e55-96. doi: 10.1016/j.hrthm.2017.03.038.
3. Piccirilli S, Gallagher MM, Vellini M, et al. Appropriateness of ECG Holter re quests in an outpatient service: a prospec tive study. J Cardiovasc Med (Hagerstown) 2007;8:517-20. doi: 10.2459/01.JCM.0000278449.96988.82.

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Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.