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Article
August 9, 1965

Detection of Phantom Arrhythmias and Evanescent Electrocardiographic AbnormalitiesUse of Prolonged Direct Electrocardiocording

Author Affiliations

From the Institute for Medical Research, Cedars-Sinai Medical Center, Cedars of Lebanon Hospital Division (Drs. Bazika and Pappelbaum), Department of Medicine, University of California, Los Angeles (Drs. Corday, Gold, and Bernstein), and Los Angeles County Heart Association (Dr. Lang).

JAMA. 1965;193(6):417-421. doi:10.1001/jama.1965.03090060007001
Abstract

Phantom arrhythmias and evanescent cardiac abnormalities may cause distressing symptoms, but unless the electrocardiogram is recorded during the event, the diagnosis will escape the clinician. The recent introduction of the Holter monitor for electrocardiographic monitoring for periods up to ten hours in the patient's native environment allows the clinician to detect these pathological states. Instances of neurological symptoms due to cerebrovascular insufficiency and chest pain due to coronary insufficiency detected by this monitoring system suggests that many episodes of hemodynamic crises escape detection by the clinician.

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