The value of Holter monitoring in evaluating the elderly patient who falls.

Abstract:

:Ambulatory cardiac (Holter) monitoring is often recommended in the routine evaluation of patients who fall; however, the prevalence of arrhythmias in old people is high, and the usefulness of such monitoring is unproven. As part of a large study of institutionalized elderly fallers, we compared Holter findings of fallers (N = 51) with a group of nonfallers (N = 27) having similar medical and demographic characteristics. Prevalence of ventricular arrhythmias was 82% in each group, and all patients had supraventricular arrhythmias. The mean number of ventricular and supraventricular couplets and runs did not differ between groups. There was no difference in severity of arrhythmias between fallers and nonfallers; in fact, fallers had slightly fewer Lown 4B arrhythmias than nonfallers (10% vs 18%, NS). Prevalence of heart disease was 78% in both groups and was associated with increased ventricular ectopy in the form of runs and couplets (P less than .05). No symptoms were reported during the Holter monitoring. We conclude that Holter monitoring should not be a routine part of the work-up of the patient who falls.

journal_name

J Am Geriatr Soc

authors

Rosado JA,Rubenstein LZ,Robbins AS,Heng MK,Schulman BL,Josephson KR

doi

10.1111/j.1532-5415.1989.tb02639.x

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

430-4

issue

5

eissn

0002-8614

issn

1532-5415

journal_volume

37

pub_type

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