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Using TTM (Cardiac Event Monitoring) in patients with Palpitations

Cardiac Event Recorders Yield More Diagnoses and Are More Cost-effective than 48-Hour Holter Monitoring in Patients with Palpitations; Annals of Internal Medicine 1 January 1996. 124:16-20.

TTM has an edge over Holter monitoring in many patients because of paroxysmal and infrequent nature of symptoms. It reduces patient - physician contact time. The time to institute specific therapy is also reduced and this is of great value, especially in acute myocardial infarction or malignant arrhythmias.

In case of insignificant changes, unnecessary hospitalization and expenditure can be avoided. Hospital stay of patient is reduced after AMI, PCI and CABG, since TTM can help in managing the symptomatic or asymptomatic ectopics or arrhythmias. Patients on anti-arrhythmic drugs while working on duty or at home can be assessed through TTM for any change in rate of rhythm, ischemia, or conduction defect. The information, after comparing with previous data, can be analyzed. Drug dosage can be adjusted, or otherwise, patient can be advised.

Pediatrics

Electrocardiography and 24-Hour Electrocardiographic Ambulatory Recording (Holter Monitor) Studies in Children Infected with Human Immunodeficiency Virus Type 1