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Ambulatory monitoring

444 pages
Cardiovascular system and allied applications
Medical and biological research
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Cardiovascular System and
Allied Applications
edited by
Carlo Marchesi
* <•
Martinus Nijhoff Publishers
for the Commission of the European Communities AMBULATORY MONITORING DEVELOPMENTS IN
Lancee CT, ed: Echocardiology, 1979. ISBN 90-247-2209-8.
Baan J, Arntzenius AC, Yellin EL, eds: Cardiac dynamics. 1980. ISBN 90-247-2212-8.
Thalen HJT, Meerc CC, eds: Fundamentals of cardiac pacing. 1970. ISBN 90-247-2245-4.
Kulbenus HE, Wellens HJJ, eds: Sudden death. 1980. ISBN 90-247-2290-X.
Dreifus LS, Brest AN, eds: Clinical applications of cardiovascular drugs. 1980. ISBN 90-247-2295-0.
Spencer MP, Reid JM, eds: Cerebrovascular evaluation with Doppler ultrasound. 1981. ISBN 90-247-2348-1.
Zipes DP, Bailey JC, Elharrar V, eds: The slow inward current and cardiac arrhythmias. 1980. ISBN 90-247-2380-9.
Kesteloot H, Joossens JV, eds: Epidemiology of arterial blood pressure. 1980. ISBN 90-247-2386-8.
Wackers FJT, ed: Thallium-201 and technetium-99m-pyrophosphate myocardial imaging in the coronary care unit.
1980. ISBN 90-247-2396-5.
Maseri A, Marchesi C, Chierchia S, Trivella MG, eds: Coronary care units. 1981. ISBN 90-247-2456-2.
Morganroth J, Moore EN, Dreifus LS, Michelson EL, eds: The evaluation of new antiarrhythmic drugs. 1981.
ISBN 90-247-2474-0.
Alboni P: Intraventricular conduction disturbances. 1981. ISBN 90-247-2484-X.
Rijsterborgh H, ed: Echocardiology. 1981. ISBN 90-247-2491-0.
Wagner GS, ed: Myocardial infarction: Measurement and intervention. 1982. ISBN 90-247-2513-5.
Meltzer RS, Roelandt J, eds: Contrast echocardiography. 1982. ISBN 90-247-2531-3.
Amery A, Fagard R, Lijnen R, Staessen J, eds: Hypertensive cardiovascular disease; pathophysiology and treatment.
1982. ISBN 90-247-2534-8.
Bouman LN, Jongsma HJ, eds: Cardiac rate and rhythm. 1982. ISBN 90-247-2626-3.
Morganroth J, Moore EN, eds: The evaluation of beta blocker and calcium antagonist drugs. 1982.
ISBN 90-247-2642-5.
Rosenbaum MB, ed: Frontiers of cardiac electrophysiology. 1982. ISBN 90-247-2663-8.
Roelandt J, Hugenholtz PG, eds: Long-term ambulatory electrocardiography. 1982. ISBN 90-247-2664-8.
Adgey AAJ, ed: Acute phase of ischemic heart disease and myocardial infarction. 1982. ISBN 90-247-2675-1.
Hanrath P, Bleifeld W, Souquet, J. eds: Cardiovascular diagnosis by ultrasound. Transesophageal, computerized,
contrast, Doppler echocardiography. 1982. ISBN 90-247-2692-1.
Roelandt J, ed: The practice of M-mode and two-dimensional echocardiography. 1983. ISBN 90-247-2745-6.
Meyer J, Schweizer P, Erbel R, eds: Advances in noninvasive cardiology. 1983. ISBN 0-89838-576-8.
Morganroth J, Moore EN, eds: Sudden cardiac death and congestive heart failure: Diagnosis and treatment. 1983.
ISBN 0-89838-580-6.
Perry HM, ed: Lifelong management of hypertension. 1983. ISBN 0-89838-582-2.
•' Jaffe EA, ed: Biology of endothelial cells. 1984. ISBN 0-89838-587-3.
Surawicz B, Reddy CP, PrystowskjEN, eds: Tachycardias. ISBN 0-89838-588-1.
Spencer MP, ed: Cardiac Doppler diagnosis. 1983. ISBN 0-89838-591-1.
Villarreal H, Sambhi MP, eds: Topics in pathophysiology of hypertension. 1984. ISBN 0-89838-595-4.
Messerli FH, ed: Cardiovascular disease in the elderly. 1984. ISBN 0-89838-596-2.
» Simoons ML, Reiber JHC, eds: Nuclear imaging in clinical cardiology. 1984. ISBN 0-89838-599-7.
.• ■ TerK(!ufs HEDJ, SchippeVheyn JJ, eds: Cardiac left ventricular hypertrophy. 1983. ISBN 0-89838-612-8.
;' Sperelakis N, ed: Physiology and pathophysiology of the heart. ISBN 0-89838-612-2.
i Messerli FH, ed: Kidney in essential hypertension. ISBN 0-89838-616-0.
4 Sambhi MB, ed: Fundamental fault in . ISBN 0-89838-638-1.
Marchesi C, ed: Ambulatory monitoring: Cardiovascular system and allied applications. ISBN 0-89838-642-X.
Kupper W, MacAlpin RN, Bleifeld W, eds: Coronary tone in ischemic heart disease. ISBN 0-89838-646-2.
Sperelakis N, Caulfield JB, eds: Calcium antagonists: Mechanisms of action on cardiac muscle and vascular smooth
muscle. ISBN 0-89838-655-1.
Godfraind T, Herman AS, Wellens D, eds: Calcium entry blockers in cardiovascular and cerebral dysfunctions.
ISBN 0-89838-658-1.
Morganroth J, Moore EN, eds: Interventions in the acute phase of myocardial infarction. ISBN 0-89838-659-4. AMBULATORY MONITORING
Cardiovascular system and allied applications
Proceedings of a workshop held in Pisa, April 11-12, 1983.
Sponsored by the Commission of the European Communities, as advised by
the Committee on Medical and Public Health Research.
edited by
CNR Institute of Clinical Physiology
Pisa, Italy
PARLEUROP. Biblioth.
N. C.
EAJ 306} «j&
for the Commission of the European Communities Distributors
for the United States and Canada: Kluwer Boston, Inc., 190 Old Derby Street,
Hingham, MA 02043, USA
for all other countries: Kluwer Academic Publishers Group, Distribution Center,
P.O.Box 322, 3300 AH Dordrecht, The Netherlands
Library of Congress Cataloging in Publication Data
Main entry under title:
Ambulatory monitoring.
(Developments in cardiovascular medicine)
1. Electrocardiography, Ambulatory—Congresses.
2. Cardiovascular system—Diseases—Diagnosis—Congresses.
3. Patient monitoring—Congresses. L. Ambulatory medical
care—Congresses. I. Marchesi, Carlo. II. Commission
of the European Communities. Committee on Medical and
Public Health Research. III. Series. CDNLM: 1. Cardio­
vascular diseases—Congresses. 2. Monitoring, Physiologic
—Congresses. 3. Ambulatory care—Congresses.
Wl DE997VME / WG lUo Al»985 19833
RC683.5.AU5AU3 1981( 6l6.1'2075>*7 81*-1*011
ISBN O-89838-6U2-X
ISBN 0-89838-642-X
EUR 9067 EN
Book information
Publication arranged by: Commission of the European Communities, Direc­
torate-General Information Market and Innovation, Luxembourg
Copyright/legal notice
© 1984 by ECSC, EEC, EAEC, Brussels-Luxembourg.
All rights reserved. No part of this publication may be reproduced, stored in a
retrieval system, or transmitted in any form or by any means, mechanical,
photocopying, recording, or otherwise, without prior written permission of the
Martinus Nijhoff Publishers, 190 Old Derby Street, Hingham, MA 02043, USA.
Neither the Commission of the European Communities nor any person acting on
behalf of then is responsible for the use which might be made of the
following information.
Ambulatory monitoring of signals, related to cardiovascular system per­
formances, is one of the biomedical technologies of wider interest.
This interest is well documented by the literature, by the number of
instruments available on the market and by the increasing diffusion of
this technique at routine clinical level. The wide distribution of
ambulatory monitoring is however not yet well supported by commonly
accepted criteria of clinical interpretation, by an assessment of the
minimal requirements for instrumentation performances, or by indications
of cost/benefit figures in relation to different situations.
Several European centres have a recognized expertise and are well suited
to the examination of the problem of defining common guidelines and of
making recommendations so as to stimulate an improvement of the clinical
usage and of the performance of the instrumentation.
The Biomedical Engineering Standing Group of the Committee for Medical and
Public Health Research approved the organization of this workshop which
had as its aims the assessment of the state-of-the-art of different
aspects of ambulatory monitoring and the discussion within a group of
experts of the feasibility and interest in promoting the coordination in
Europe of these activities in the framework of a "concerted action".
The workshop was held in Pisa over two full days (April 11-12, 1983). The
participants were physicians and engineers, experts in their fields.
The sessions were organized around four main topics : 34 papers were
presented and discussed and 30 of them are published in this book. A
final session was devoted to discussion of the proposal for a concerted
The opinion of the participants was that coordinated efforts could be
extremely useful in investigating the problems of the effective role of
ambulatory monitoring and of common criteria for minimal requirements for
clinical applications of the instrumentation. My hope is that this book
will be an appropriate reference for future cooperation.
Pisa, November 12, 1983 Carlo Marchesi