Diagnostic value of 24-hour Holter monitoring and conventional electrocardiogram in arrhythmia.

Abstract

Objective: This paper aims to compare the diagnostic value of 24-hour Holter monitoring and conventional electrocardiogram (ECG) in arrhythmia.

Methods: The diagnostic results of 24-hour Holter monitoring and conventional ECG for these patients were compared. The diagnostic efficacy, including sensitivity, specificity, and accuracy, of the two types of ECGs was compared. Additionally, the detection rates of ventricular premature contractions in bigeminy and trigeminy, paired ventricular premature contractions, atrial premature contractions in bigeminy and trigeminy, paired atrial premature contractions, and atrioventricular conduction block by both methods were compared. Patient satisfaction with the diagnostic results of two methods was also compared.

Results: Compared to the conventional ECG, 24-hour Holter monitoring exhibited higher sensitivity, specificity, and accuracy; higher detection rates of ventricular premature contractions in bigeminy and trigeminy, paired ventricular premature contractions, atrial premature contractions in bigeminy and trigeminy, paired atrial premature contractions, and atrioventricular conduction block; higher patient satisfaction.

Conclusion: The 24-hour Holter monitoring demonstrates superior sensitivity, specificity, accuracy, and detection rate in diagnosing arrhythmia compared to conventional ECG. Additionally, it offers higher patient satisfaction, making it more valuable for clinical application.