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

Marsch, S C; Castelli, I; Schaefer, H G; Skarvan, K · Anaesthesia · 1992

case_report · Level V

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Abstract

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.

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