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(Chest. 1974;65:483-487.)
© 1974 American College of Chest Physicians

Longterm Electrocardiographic Monitoring of Ambulatory Patients with Chronic Airway Obstruction

Robert E. Kleiger M.D.1 and Robert M. Senior M.D., F.C.C.P.2

1 Associate Professor of Medicine, Washington University School of Medicine; Director, Heart Station, The Jewish Hospital of St. Louis
2 Associate Professor of Medicine, Washington University School of Medicine; Director, Division of Pulmonary Disease and Respiratory Care, Dept. of Medicine, The Jewish Hospital of St. Louis

Twenty-five patients with severe, chronic obstructive airway disease had standard 12-lead electrocardiograms and longterm electrocardiographic monitoring performed while they were in a stable condition. Standard electrocardiograms demonstrated a high incidence of electrocardiograms demonstrated a high incidence of electrocardiographic abnormalities suggestive of right ventricular hypertrophy and/or chronic pulmonary disease, but only 20 percent showed arrhythmia. In contrast, longterm electrocardiographic monitoring demonstrated that 84 percent of the patients had some disturbance of rhythm, 72 percent ventricular, most commonly multifocal VPC's, and 52 percent had atrial arrhythmias. The results were compared to monitor recordings from ambulatory patients recovering from acute myocardial infarction. The patients with pulmonary disease and the patients with pulmonary disease and the patients with heart disease showed similarity in the frequency and types of ventricular arrhythmias, but atrial disturbances were more common in the patients with pulmonary disorders.

Submitted on October 9, 1974
Accepted on December 3, 1974




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