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Identifiering av paroxysmala, kortvariga arytmier: intermittent registrering mer effektiv än 24-timmars Holter-EKG
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Family Medicine.
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2015 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, no 1-2, C6SEArticle in journal (Refereed) Published
Abstract [en]

Many patients suffer from palpitations or dizziness/presyncope. These patients are often referred for Holter ECG (24 hour), although the sensitivity for detecting arrhythmias is low. A new method, short intermittent regular and symptomatic ECG registrations at home, might be a convenient and more sensitive alternative also suitable for primary health care. In this case report we present a patient who had contacted health care several times during a seven year period for paroxysmal palpitations. Routine examination with 24 hour Holter ECG and event recorder did not result in a diagnosis. Using intermittent handheld ECG registration at home, a paroxysmal supraventricular arrhythmia was diagnosed. Further investigation revealed that the patient had a concealed Wolff-Parkinson-White (WPW) syndrome.

Place, publisher, year, edition, pages
Stockholm: Sveriges läkarförbund , 2015. Vol. 112, no 1-2, C6SE
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Family Medicine
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URN: urn:nbn:se:umu:diva-118044PubMedID: 25584602OAI: oai:DiVA.org:umu-118044DiVA: diva2:910984
Available from: 2016-03-10 Created: 2016-03-10 Last updated: 2016-08-22Bibliographically approved

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Hendrikx, TijnSandström, HerbertHörnsten, Rolf
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Family MedicineDepartment of Surgical and Perioperative Sciences
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