Failure of continuous three-channel Holter monitoring to detect acute peri-operative myocardial infarction

Continuous peri-operative three-channel Holter monitoring in a 70-year-old patient undergoing elective hip arthroplasty failed to show onset and progression of a lethal postoperative myocardial infarction, which was clearly visible in a 12-lead electrocardiogram. The modified bipolar leads used for...

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Bibliographic Details
Published inAnaesthesia Vol. 47; no. 1; p. 34
Main Authors Marsch, S C, Castelli, I, Schaefer, H G, Skarvan, K
Format Journal Article
LanguageEnglish
Published England 01.01.1992
Subjects
Aged
Electrocardiography, Ambulatory - instrumentation
Hip Prosthesis
Humans
Male
Myocardial Infarction - diagnosis
Postoperative Complications - diagnosis
Time Factors
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Summary:Continuous peri-operative three-channel Holter monitoring in a 70-year-old patient undergoing elective hip arthroplasty failed to show onset and progression of a lethal postoperative myocardial infarction, which was clearly visible in a 12-lead electrocardiogram. The modified bipolar leads used for Holter monitoring differed from the corresponding leads of the 12-lead electrocardiogram. The limitations of Holter monitoring applied to clinical management and research are highlighted.
ISSN:0003-2409
DOI:10.1111/j.1365-2044.1992.tb01951.x