<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE root>
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">The Clinician</journal-id><journal-title-group><journal-title xml:lang="en">The Clinician</journal-title><trans-title-group xml:lang="ru"><trans-title>Клиницист</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1818-8338</issn><issn publication-format="electronic">2412-8775</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">288</article-id><article-id pub-id-type="doi">10.17650/1818-8338-2016-10-4-16-28</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEW</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОР</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">CURRENT METHODS OF AMBULATORY ELECTROCARDIOGRAM MONITORING. TECHNICAL ASPECTS</article-title><trans-title-group xml:lang="ru"><trans-title>СОВРЕМЕННЫЕ МЕТОДЫ АМБУЛАТОРНОГО МОНИТОРИРОВАНИЯ ЭЛЕКТРОКАРДИОГРАММЫ. ТЕХНИЧЕСКИЕ АСПЕКТЫ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Pervova</surname><given-names>E. V.</given-names></name><name xml:lang="ru"><surname>Первова</surname><given-names>Е. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Surgical Treatment of Complex Cardiac Rhythm Disorders and Cardiac Pacing; Research Laboratory Electrocardiology Research Department of Clinical Physiology of Circulation, Institute of Heart and Vessels.</p><p>25 Pavlovskaya St., Moscow 115093; 2 Akkuratova St., Saint Petersburg 197341</p></bio><bio xml:lang="ru"><p>Екатерина Владимировна Первова - Отделение хирургического лечения сложных нарушений ритма сердца и электрокардиостимуляции ГКБ № 4; НИЛ Электрокардиологии НИО Клинической физиологии кровообращения Института сердца и сосудов С-ЗФМИЦ.</p><p>115093 Москва, ул. Павловская, 25; 197341 Санкт-Петербург, ул. Аккуратова, 2</p></bio><email>ekaterina.pervova@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Moscow City Clinical Hospital No. 4, Moscow Healthcare Department</institution></aff><aff><institution xml:lang="ru">ГБУЗ г. Москвы «Городская клиническая больница № 4» Департамента здравоохранения г. Москвы</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Federal Almazov North-Western Medical Research Center</institution></aff><aff><institution xml:lang="ru">ФГБУ «Северо-Западный федеральный медицинский исследовательский центр им. В.А. Алмазова» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2017-01-15" publication-format="electronic"><day>15</day><month>01</month><year>2017</year></pub-date><volume>11</volume><issue>1</issue><issue-title xml:lang="en">Vol 10-11, № 4-1 (2016-2017)</issue-title><issue-title xml:lang="ru">Том 10-11, № 4-1 (2016-2017)</issue-title><fpage>16</fpage><lpage>28</lpage><history><date date-type="received" iso-8601-date="2017-07-18"><day>18</day><month>07</month><year>2017</year></date><date date-type="accepted" iso-8601-date="2017-07-18"><day>18</day><month>07</month><year>2017</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2017, Pervova E.V.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2017, Первова Е.В.</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="en">Pervova E.V.</copyright-holder><copyright-holder xml:lang="ru">Первова Е.В.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://klinitsist.abvpress.ru/Klin/article/view/288">https://klinitsist.abvpress.ru/Klin/article/view/288</self-uri><abstract xml:lang="en"><p>The review considers the main characteristics and diagnostic capabilities of current noninvasive and invasive methods of ambulatory electrocardiogram monitoring used in diagnosis of cardiac rhythm and conduction disturbances. Strength and weaknesses of different methods of long-term electrocardiogram monitoring are discussed.</p></abstract><trans-abstract xml:lang="ru"><p>В обзоре представлены технические характеристики и диагностические возможности современных неинвазивных и инвазивных методов амбулаторного мониторирования электрокардиограммы, применяемых в диагностике нарушений ритма сердца и проводимости. Показаны преимущества и недостатки различных методов длительного мониторирования электрокардиограммы.</p></trans-abstract><kwd-group xml:lang="en"><kwd>cardiac arrhythmia</kwd><kwd>syncope</kwd><kwd>electrocardiographic diagnostics</kwd><kwd>ambulatory electrocardiogram monitoring</kwd><kwd>hospital electrocardiographic monitoring</kwd><kwd>Holter monitor</kwd><kwd>cardiac event recorders</kwd><kwd>attachable electrocardiogram sensors</kwd><kwd>external loop recorders</kwd><kwd>implantable loop recorders</kwd><kwd>mobile cardiac outpatient telemetry</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>сердечная аритмия</kwd><kwd>синкопальное состояние</kwd><kwd>электрокардиографическая диагностика</kwd><kwd>амбулаторное мониторирование электрокардиограммы</kwd><kwd>внутригоспитальное электрокардиографическое мониторирование</kwd><kwd>холтеровское мониторирование</kwd><kwd>событийные регистраторы</kwd><kwd>накладные электрокардиографические мониторы</kwd><kwd>наружные петлевые регистраторы</kwd><kwd>имплантируемые петлевые регистраторы</kwd><kwd>мобильные системы амбулаторного сердечного мониторинга</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Crawford M.H., Bernstein S.J., Deedwania P.C. et al. ACC/AHA Guidelines for Ambulatory Electrocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Col Cardiol 1999;34(3):912–48.</mixed-citation><mixed-citation xml:lang="ru">Crawford M.H., Bernstein S.J., Deedwania P.C. et al. ACC/AHA Guidelines for Ambulatory Electrocardiography. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the Guidelines for Ambulatory Electrocardiography). Developed in collaboration with the North American Society for Pacing and Electrophysiology. J Am Col Cardiol 1999;34(3):912–48.</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">National Russian guidelines on application of the methods of Holter monitoring in clinical practice. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2014;2(106):6–71. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Национальные российские рекомендации по применению методики холтеровского мониторирования в клинической практике. Российский кардиологический журнал 2014;2 (106):6–71.</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><mixed-citation>Holter N.J. New method for heart studies: сontinuous electrocardiography of active subjects over long periods is now practical. Science 1961;134(3486):1214–20.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Fung E., Järvelin M.R., Doshi R.N. et al. Electrocardiographic patch devices and contemporary wireless cardiac monitoring. Front Physiol 2015;6:149. DOI: 10.3389/fphys. 2015.00149.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Raviele A., Giada F., Bergfeldt L. et al. Management of patients with palpitations: A position paper from the European Heart Rhythm Association. Europace 2011;13(7):920–34. DOI: 10.1093/europace/eur130.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Task Force for the Diagnosis and Management of Syncope; European Society of Cardiology (ESC); European Heart Rhythm Association (EHRA); Heart Failure Association (HFA) et al. Guidelines for the diagnosis and management of syncope (version 2009). Eur Heart J 2009;30(21):2631–71. DOI: 10.1093/eurheartj/ehp298.</mixed-citation></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">Kligfield P., Gettes L.S., Bailey J.J. et al. Recommendations for the standardization and interpretation of the electro-cardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation 2007;115(10):1306–24. DOI: 10.1161/CIRCULATIONAHA.106.180200. PMID: 17322457.</mixed-citation><mixed-citation xml:lang="ru">Kligfield P., Gettes L.S., Bailey J.J. et al. Recommendations for the standardization and interpretation of the electro-cardiogram: part I: The electrocardiogram and its technology: a scientific statement from the American Heart Association Electrocardiography and Arrhythmias Committee, Council on Clinical Cardiology; the American College of Cardiology Foundation; and the Heart Rhythm Society: endorsed by the International Society for Computerized Electrocardiology. Circulation 2007;115(10):1306–24. DOI: 10.1161/CIRCULATIONAHA.106.180200.PMID: 17322457.</mixed-citation></citation-alternatives></ref><ref id="B8"><label>8.</label><citation-alternatives><mixed-citation xml:lang="en">The user’s manual. A set of wearable monitors computerized daily monitoring of ECG, BP, SP. KMkn – “Union” – “LCA”. Job description with the monitor. Moscow: LCA Advanced technology, 2008. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Руководство по эксплуатации. Комплект мониторов компьютеризированных носимых суточного мониторирования ЭКГ, АД, ЧП. КМкн – «Союз» – «ДМС». Описание работы с монитором. М.: ДМС Передовые технологии, 2008.</mixed-citation></citation-alternatives></ref><ref id="B9"><label>9.</label><mixed-citation>Homaeinezhada M.R., Ghaffari A., Najjaran Toosi H. et al. Ambulatory Holter ECG individual events delineation via segmentation of a wavelet-based information-optimized 1-D feature. Scientia Iranica 2011;18(1):86–104.</mixed-citation></ref><ref id="B10"><label>10.</label><citation-alternatives><mixed-citation xml:lang="en">Pervova E.V. Modern pacing on Holter ECG monitor: a practical guide. Moscow: Medika, 2011. 368 p. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Первова Е.В. Современная кардиостимуляция на холтеровском мониторе ЭКГ: практическое руководство. М.: Медика, 2011.</mixed-citation></citation-alternatives></ref><ref id="B11"><label>11.</label><mixed-citation>Balady G.J., Bufalino V.J., Gulati M. et al. COCATS 4 Task Force 3: Training in Electrocardiography, Ambulatory Electrocardiography, and Exercise Testing. J Am Coll Cardiol 2015;65(17):1763–77. DOI: 10.1016/j.jacc.2015.03.021.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Mittal S., Movsowitz C., Steinberg J.S. Ambulatory external electrocardiographic monitoring: focus on atrial fibrillation. J Am Coll Cardiol 2011;58(17):1741–9. DOI: 10.1016/j.jacc.2011.07.026.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Saadi D.B., Sørensen H.B. D., Hansen I.H., et al. ePatch® – A Clinical Overview: DTU Orbit – The Research Information System proposals. Annual report year: 2014. Available at: http://orbit.dtu.dk/en/publications/epatcha-clinical-overview (5a3e37a2-76a8-4240-aae6-781269a8ca2a)/export.html.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Tung C.E., Su D., Turakhia M.P., Lansberg M.G. Diagnostic Yield of Extended Cardiac Patch Monitoring in Patients with Stroke or TIA. Front Neurol 2015;5:266. DOI: 10.3389/fneur.2014.00266.</mixed-citation></ref><ref id="B15"><label>15.</label><citation-alternatives><mixed-citation xml:lang="en">Barrett P.M., Komatireddy R., Haaser S. et al. Comparison of 24-hour Holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring. Am J Med 2014;127(1);95:e11–7. DOI: 10.1016/j.amjmed 2013.10.003.</mixed-citation><mixed-citation xml:lang="ru">Barrett P.M., Komatireddy R., Haaser S. et al. Comparison of 24-hour Holter monitoring with 14-day novel adhesive patch electrocardiographic monitoring. Am J Med 2014;127(1);95:e11–7. DOI: 10.1016/j.amjmed 2013.10.003.</mixed-citation></citation-alternatives></ref><ref id="B16"><label>16.</label><mixed-citation>Pérez-Rodon J., Francisco-Pascual J., Rivas-Gándara N. et al. Cryptogenic Stroke and Role of Loop Recorder. J Atr Fibrillation 2014;7(4):29–35. DOI: https://doaj.org/article/9cdd95eae7514d70b57a559d6df530c1.</mixed-citation></ref><ref id="B17"><label>17.</label><citation-alternatives><mixed-citation xml:lang="en">Reiffel J.A., Schwarzberg R., Murry M. Comparison of autotriggered memory loop recorders versus standard loop recorders versus standard loop recorders versus 24-hour Holter monitors for arrhythmia detection. Am J Cardiol 2005;95(9):1055–9. DOI: 10.1016/j.amjcard.2005.01.025. PMID: 15842970.</mixed-citation><mixed-citation xml:lang="ru">Reiffel J.A., Schwarzberg R., Murry M. Comparison of autotriggered memory loop recorders versus standard loop recorders versus standard loop recorders versus 24-hour Holter monitors for arrhythmia detection. Am J Cardiol 2005;95(9):1055–9. DOI: 10.1016/j.amjcard.2005.01.025. PMID: 15842970.</mixed-citation></citation-alternatives></ref><ref id="B18"><label>18.</label><citation-alternatives><mixed-citation xml:lang="en">Brignole M., Alboni P., Benditt D. et al. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J 2001;22(15):1256–306. DOI: 10.1053/euhj.2001.2739. PMID: 11465961.</mixed-citation><mixed-citation xml:lang="ru">Brignole M., Alboni P., Benditt D. et al. Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J 2001;22(15):1256–306. DOI: 10.1053/euhj.2001.2739. PMID: 11465961.</mixed-citation></citation-alternatives></ref><ref id="B19"><label>19.</label><mixed-citation>Brignole M., Alboni P., Benditt D.G. et al. Guidelines on management (diagnosis and treatment) of syncope – update 2004. Europace 2004;6(6):467–537. DOI: 10.1016/j.eupc.2004.08.008. PMID: 15519256.</mixed-citation></ref><ref id="B20"><label>20.</label><citation-alternatives><mixed-citation xml:lang="en">Mittal S., Yang E.H., Joshi R. et al. Implantable Loop Recorder: The Heart. org Medscape Drugs and Diseases proposals. Available at: http://emedicine.medscape.com/article/1920236-overview#showall.</mixed-citation><mixed-citation xml:lang="ru">Mittal S., Yang E.H., Joshi R. et al. Implantable Loop Recorder: The Heart. org Medscape Drugs and Diseases proposals. Available at: http://emedicine.medscape.com/article/1920236-overview#showall.</mixed-citation></citation-alternatives></ref><ref id="B21"><label>21.</label><citation-alternatives><mixed-citation xml:lang="en">Shanmugam N., Liew R. The implantable loop recorder-an important addition to the armentarium in the management of unexplained syncope. Ann Acad Med Singapore 2012;41(3):115–24. PMID: 22538738.</mixed-citation><mixed-citation xml:lang="ru">Shanmugam N., Liew R. The implantable loop recorder-an important addition to the armentarium in the management of unexplained syncope. Ann Acad Med Singapore 2012;41(3):115–24. PMID: 22538738.</mixed-citation></citation-alternatives></ref><ref id="B22"><label>22.</label><citation-alternatives><mixed-citation xml:lang="en">Krahn A.D., Klein G.J., Yee R. et al. Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. Circulation 1999; 99(3):406–10. PMID: 9918528.</mixed-citation><mixed-citation xml:lang="ru">Krahn A.D., Klein G.J., Yee R. et al. Use of an extended monitoring strategy in patients with problematic syncope. Reveal Investigators. Circulation 1999; 99(3):406–10. PMID: 9918528.</mixed-citation></citation-alternatives></ref><ref id="B23"><label>23.</label><mixed-citation>Brignole M., Sutton R., Menozzi C. et al. Early application of an implantable loop recorder allows effective specific therapy in patients with recurrent suspected neurally mediated syncope. Eur Heart J 2006;27(9):1085–92. DOI: 10.1093/eurheartj/ehi842. PMID: 16569653.</mixed-citation></ref><ref id="B24"><label>24.</label><citation-alternatives><mixed-citation xml:lang="en">Reveal XT programmable parameters. In: REVEAL® XT 9529. Insertable Cardiac Monitor. Clinician Manual. Minneapolis: Medtronic Inc., 2007.</mixed-citation><mixed-citation xml:lang="ru">Reveal XT programmable parameters. In: REVEAL® XT 9529. Insertable Cardiac Monitor. Clinician Manual. Minneapolis: Medtronic Inc., 2007.</mixed-citation></citation-alternatives></ref><ref id="B25"><label>25.</label><citation-alternatives><mixed-citation xml:lang="en">Monitor Settings. In: Monitoring Devices Merlin™ Patient Care System. Help Manual For the following devices: SJM Confirm™ Implantable Cardiac Monitor. Sylmar: St. Jude Medical Cardiac Rhythm Management Division, 2008.</mixed-citation><mixed-citation xml:lang="ru">Monitor Settings. In: Monitoring Devices Merlin™ Patient Care System. Help Manual For the following devices: SJM Confirm™ Implantable Cardiac Monitor. Sylmar: St. Jude Medical Cardiac Rhythm Management Division, 2008.</mixed-citation></citation-alternatives></ref><ref id="B26"><label>26.</label><mixed-citation>Ng E., Stafford P.J., Ng G.A. Arrhythmia detection by patient and auto-activation in implantable loop recorders. J Interv Card Electrophysiol 2004;10(2):147–52. DOI: 10.1023/B:JICE.0000019268.95018.91. PMID: 15014215.</mixed-citation></ref><ref id="B27"><label>27.</label><citation-alternatives><mixed-citation xml:lang="en">Hindricks G., Pokushalov E., Urban L. et al. Performance of a new leadless implantable cardiac monitor in detecting and quantifying atrial fibrillation: Results of the XPECT trial. Circ Arrhythm Electrophysiol 2010;3(2):141–7. DOI: 10.1161/CIRCEP.109.877852.</mixed-citation><mixed-citation xml:lang="ru">Hindricks G., Pokushalov E., Urban L. et al. Performance of a new leadless implantable cardiac monitor in detecting and quantifying atrial fibrillation: Results of the XPECT trial. Circ Arrhythm Electrophysiol 2010;3(2):141–7. DOI: 10.1161/CIRCEP.109.877852.</mixed-citation></citation-alternatives></ref><ref id="B28"><label>28.</label><mixed-citation>Sanna T., Diener H.C., Passman R.S. et al. Cryptogenic stroke and underlying atrial fibrillation. N Engl J Med 2014;370(26):2478–86. DOI: 10.1056/NEJMoa1313600.</mixed-citation></ref><ref id="B29"><label>29.</label><citation-alternatives><mixed-citation xml:lang="en">MRI procedure. REVEAL® XT 9529. Insertable Cardiac Monitor. Clinician Manual. Minneapolis: Medtronic, 2007.</mixed-citation><mixed-citation xml:lang="ru">MRI procedure. REVEAL® XT 9529. Insertable Cardiac Monitor. Clinician Manual. Minneapolis: Medtronic, 2007.</mixed-citation></citation-alternatives></ref><ref id="B30"><label>30.</label><citation-alternatives><mixed-citation xml:lang="en">SJM Confirm™. Model DM2100. Implantable Cardiac Monitor. Model DM2102. Implantable Cardiac Monitor with AF Detection. Use’s Manual. Sylmar: St. Jude Medical, Cardiac Rhythm Management Division, 2008.</mixed-citation><mixed-citation xml:lang="ru">SJM Confirm™. Model DM2100. Implantable Cardiac Monitor. Model DM2102. Implantable Cardiac Monitor with AF Detection. Use’s Manual. Sylmar: St. Jude Medical, Cardiac Rhythm Management Division, 2008.</mixed-citation></citation-alternatives></ref><ref id="B31"><label>31.</label><mixed-citation>Farwell D.J., Freemantle N., Sulke N. The clinical impact of implantable loop recorders in patients with syncope. Eur Heart J 2006;27(3):351–6. DOI: 10.1093/eurheartj/ehi602. PMID: 16314338.</mixed-citation></ref><ref id="B32"><label>32.</label><citation-alternatives><mixed-citation xml:lang="en">Tikhonenko V.M., Popov S.V., Tsurinova E.A., Treshkur T.V. Long-term ECG monitoring with telemetry: a novel technique of diagnosis of rare symptomatic arrhythmias and syncope. Vestnik aritmologii = Journal of Arrhythmology 2013;(73):58–62. (In Russ.).</mixed-citation><mixed-citation xml:lang="ru">Tikhonenko V.M., Popov S.V., Tsurinova E.A., Treshkur T.V. Long-term ECG monitoring with telemetry: a novel technique of diagnosis of rare symptomatic arrhythmias and syncope. Vestnik aritmologii = Journal of Arrhythmology 2013;(73):58–62. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="B33"><label>33.</label><mixed-citation>CardioNet, Inc. Enters Into Agreement with United Healthcare Insurance Company Provides Coverage for CardioNet MCOTTM: Business Wire.com proposals. Available at: http://www.businesswire.com/news/home/20130610006443/en/CardioNet-Enters-Agreement-UnitedHealthcare-Insurance-Company.</mixed-citation></ref></ref-list></back></article>
