ECG Holter Guide to Electrocardiography
ECG Holter Guide to Electrocardiography pdf download
ECG Holter Guide to
Electrocardiographic Interpretation
by Richard Adamec, Jan Adamec
For
centuries the analysis of the heart
rhythm has belonged to the
foundations of medical art. We know
that doctors in ancient Tibet used
the interpretation of the heart rate
to draw prognostic
conclusions—somehow a modern
rationale—that deserves further
attention. The rapid advancement of
science is providing more and more
information about the details, but
the subatomic resolution of
structures hides the risk and the
complex procedures are fragmented
into static impressions. The same
has happened to the ECG. The
revolutionary development,
acknowledged by the Nobel Prize for
Einthoven, led from the analysis of
the dynamic heart rate to the static
analysis of the heart stream curve.
It is only with the ECG Holter
recording over longer periods that
the cardiologists rediscovered the
old dynamic. With the continuous
recording of the heart rate and its
periodicity, it became accessible to
a new dimension, a dimension that
requires technically well-de?ned
foundations for accurate data
collection, detailed knowledge of
the electrocardiologic
particularities of arrhythmia, and
medical knowledge for the
translation of the results into a
diagnostic synthesis. With the ECG
Holter the issue is no longer just
to detect an arrhythmia, but also to
determine the dynamic circumstance
in which the critical event
occurred. In fact, we investigate
the trigger, the event, and the
context, and we have to integrate
all of that information within the
clinical picture, from the pathology
right through to the symptom—indeed
a multi-dimensional task.
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