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Sažetak Stupanj težine poremećaja srčane akcije nije uvijek u skladu s kliničkim simptomima. Kada se verificira postojanje i vrsta aritmije, mora se utvrditi i krajnji ishod liječenja. Prema spoznajama medicine zasnovane na dokazima potrebno je odabrati odgovarajuće metode/postupke liječenja uz obaveznu evaluaciju stupnja rizika, cijene koštanja, stupnja sigurnosti i krajnjih ishoda liječenja. Jedna od osnovnih pretraga za potvrdu racionalne dijagnoze i izbor daljnjeg liječenja uz kvalitetnu anamnezu i klinički pregled elektrokardiografska je ambulatorna dijagnostika [engl. ambulatory electrocardiogram]. Prema do danas publiciranim rezultatima studija koje opisuju istovjetnu problematiku postoji velika vjerojatnost da se s porastom broja učinjenih ambulatornih elektrokardiograma i kvalitetnijom informatičkom obradom snimljenih podataka, povećava dostupnost opisane pretrage, te da će se posljedično povećati broj ambulatornih elektrokardiograma. Opisujemo današnje relevantne podatke u Požeško-slavonskoj županiji. Vidljivo je značajno povećanje broja ambulatornih elektrokardiograma te posljedično povećanje stupnja kvalitete života bolesnika s poremećajima srčanog ritma. Ključne riječi: aritmija • holter • liječenje • prognoza Kratki naslov: Elektrokardiografska ambulatorna dijagnostika Abstract The degree of severity of cardiac action is not always consistent with clinical symptoms. When verifying the existence and type of arrhythmia, one should determine methods and the final outcome of treatment. According to the medicine knowledge based on evidence it is necessary to choose the appropriate methods and procedures of the course of treatment with a mandatory evaluation of the degree of risk, economic cost of treatment, level of security and the final outcome of treatment. One of the basic tests to confirm the diagnosis and rational selection of further treatment with quality medical history and clinical examination is ambulatory ECG diagnostics [ambulatory electrocardiogram]. According to so far published results of studies that describe identical issues there is a significant likelihood of the increase of the procedure in the number of ambulatory electrocardiogram committed and qualitative information processing of the recorded data, increases the availability of the described method, and permanently increase of the number of ambulatory electrocardiogram. We describe present relevant information in Pozega-Slavonia County. The presented results shown a significant increase in the number of ambulatory electrocardiogram and consequently increase the level of quality of life for patients with heart rhythm disturbances.

sestrinski glasnik

Elektrokardiografska ambulatorna dijagnostika u Općoj županijskoj bolnici Požega Ambulatory electrocardiogram diagnostics in County General Hospital Požega