The ST Segment During Ambulatory Electrocardiographic Monitoring
Authors: William F. Armstrong, Stephen N. Morris
Journal: Annals of Internal Medicine (1983)

Editorials1 February 1983The ST Segment During Ambulatory Electrocardiographic MonitoringWILLIAM F. ARMSTRONG, M.D., STEPHEN N. MORRIS, M.D.WILLIAM F. ARMSTRONG, M.D.Search for more papers by this author, STEPHEN N. MORRIS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-98-2-249 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptContinuous ambulatory electrocardiographic monitoring was introduced in the 1960s and has become a common technique for evaluating arrhythmias in patients with a wide variety of cardiac diseases. The frequency response of early generation recorders was not adequate for accurate reproduction of low-frequency events, such as the ST segment or T wave, and the systems were intended only for evaluation of the cardiac rhythm. Although most of the recording and playback systems available today do not fully meet standards suggested by the American Heart Association for signal reproduction, they are probably adequate for evaluation of ST-segment depression or elevation as currently...References1. BRAGG-REMSCHELANDERSONWINKLE DCR. Frequency response characteristics of ambulatory ECG monitoring systems and their implications for ST segment analysis. Am Heart J. 1982;103:20-31. CrossrefMedlineGoogle Scholar2. ALLENGETTESPHALANAVINGTON RLCM. Painless ST-segment depression in patients with angina pectoris: correlation with daily activities and cigarette smoking. Chest. 1976;69:467-73. CrossrefMedlineGoogle Scholar3. SCHANGPEPINE SC. Transient asymptomic S-T segment depression during daily activity. Am J Cardiol. 1977;39:396-402. CrossrefMedlineGoogle Scholar4. STERNTZIVONISTERN SDZ. Diagnostic accuracy of ambulatory ECG monitoring in ischemic heart disease. Circulation. 1975;52:1045-9. CrossrefMedlineGoogle Scholar5. CRAWFORDMENDOZAO'ROURKEWHITEBOUCHERGORWIT MCRDCJ. Limitations of continuous ambulatory electrocardiogram monitoring for detecting coronary artery disease. Ann Intern Med. 1978;89:1-5. LinkGoogle Scholar6. ARMSTRONGJORDANMORRISMCHENRY WJSP. Prevalence and magnitude of S-T segment and T wave abnormalities in normal men during continuous ambulatory electrocardiography. Am J Cardiol. 1982;49:1638-42. CrossrefMedlineGoogle Scholar7. TZIVONISTERNKERENSTERN DZAS. Electrocardiographic characteristics of neurocirculatory asthenia during everyday activities. Br Heart J. 1980;44:426-32. CrossrefMedlineGoogle Scholar8. LACHMANSEMLERGUSTAFSON AHR. Postural ST-T wave changes in the radioelectrocardiogram simulating myocardial ischemia. Circulation. 1965;31:557-63. CrossrefMedlineGoogle Scholar9. LEVYABINADER NE. Continuous electrocardiographic monitoring with Holter electrocardiocorder throughout all stages of gastroscopy. Dig Dis. 1977;22:1091-6. CrossrefGoogle Scholar10. TAGGARTPARKINSONCARRUTHERS PPM. Cardiac responses to thermal, physical, and emotional stress. Br Med J. 1972;3:71-6. CrossrefMedlineGoogle Scholar11. CHIERCHIABRUNELLISIMONETTILAZZARIMASERI SCIMA. Sequence of events in angina at rest: primary reduction in coronary flow. Circulation. 1980;61:759-68. CrossrefMedlineGoogle Scholar12. KUNKESPICHARDSMITHGORLINHERMANKUPERSMITH SAHRMJ. Silent ST segment deviations and extent of coronary artery disease. Am Heart J. 1980;100:813-20. CrossrefMedlineGoogle Scholar13. JOHNSONMAURITSONWINNIFORD SDM. Continuous electrocardiographic monitoring in patients with unstable angina pectoris: identification of high-risk subgroup with severe coronary disease, variant angina, and/or impaired early prognosis. Am Heart J. 1982;103:4-12. CrossrefMedlineGoogle Scholar14. JOHNSONMAURITSONCORBETTWOODWARDWILLERSONHILLIS SDJWJL. Double-blind, randomized, placebo-controlled comparison of propranolol and verapamil in the treatment of patients with stable angina pectoris. Am J Med. 1981;71:443-51. CrossrefMedlineGoogle Scholar15. DARGIELYNCHKRIKLERHARRISKRIKLER HPDLS. Nifedipine and propranolol: a beneficial drug interaction. Am J Med. 1981;71:676-82. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: WILLIAM F. ARMSTRONG, M.D.; STEPHEN N. MORRIS, M.D.Affiliations: Krannert Institute of Cardiology Indiana University School of Medicine Indianapolis, Indiana PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byA Randomized, Double-Blind Comparison of Lercanidipine 10 and 20 mg in Patients with Stable Effort AnginaKlinischer TeilClinical evaluation of cardiac function by ambulatory ventricular scintigraphic monitoring (VEST): Validation and study of the effects of nitroglycerin and nifedipine in patients with and without coronary artery diseaseKlinischer TeilContinuous Monitoring of Left Ventricular Function by an Ambulatory Radionuclide Detector in Patients With Coronary Artery DiseasePrévention de l'ischémie myocardique peret postopératoire en chirurgie non cardiaque par le diltiazem intraveineuxAnalysis of ambulatory electrocardiograms in 14 patients who experienced sudden cardiac death during monitoringComputerised analysis of ST segment changes in ambulatory electrocardiogramsReproducibility and validity of ambulatory ST segment monitoring in patients with chronic stable angina pectorisSilent Myocardial Ischemia as a Mechanism of Sudden Cardiac DeathTreatment of Silent Myocardial IschemiaMechanisms and therapy of silent myocardial ischemia and the effect of transdermal nitroglycerinAmbulatory electrocardiographic monitoring: Can we predict sudden death?Acute nifedipine withdrawal: Consequences of preoperative and late cessation of therapy in patients with prior unstable anginaMyocardial Ischemia and Ambulatory MonitoringFORD BALLANTYNE, M.D. 1 February 1983Volume 98, Issue 2Page: 249-251KeywordsArrhythmiaElectrocardiographyHeartHeart diseasesReproductive system ePublished: 1 December 2008 Issue Published: 1 February 1983 PDF downloadLoading ...