Failure of continuous three‐channel Holter monitoring to detect acute peri‐operative myocardial infarction

Abstract

Continuous peri‐operative three‐channel Holter monitoring in a 70‐year‐old patient undergoing elective hip arthroplasty failed to show onset and progression of a lethal postoperative myocardial infarction, which was clearly visible in a 12‐lead electrocardiogram. The modified bipolar leads used for Holter monitoring differed from the corresponding leads of the 12‐lead electrocardiogram. The limitations of Holter monitoring applied to clinical management and research are highlighted. Copyright © 1992, Wiley Blackwell. All rights reserved