Evaluation of Efficacy of the Transtelephonic Electrocardiographic monitoring in Pediatric Patients

Evaluation of patients with symptoms such as palpitation, chest pain and syncope are difficult using standard studies, if the episodes are brief and infrequent. Transtelephonic electrocardiographic recorders were provided for 49 patients with suspected arrhythmic episodes and/or pacemaker. Five patients had previously documented arrhythmia such as supraventricular tachycardia. Three of them were being treated by anti-arrhythmic drugs. Over a mean period of 21 days, thirty of 49 patients (61%) provided transmissions during typical symptoms. Although SVT was diagnosed in three, premature atrial contraction in 2 and AV dissociation in one patients on a single 24-hour Holter monitorization, SVT was forund in 5 patients, sinus tachycardia in ten, wide-QRS tachycardia and nodal bradycardia in one patient. Transtelephonic monitoring was more effective than a single Holter monitorization in the diagnosis of SVT. Normal ECG transmitted during a a typical thmias. Both methods were efficient in evaluation of normal pacemaker function.