Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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A 75-year old diabetic, obese male patient presenting with complaints of intermittent palpitation and excessive sleepiness during daytime was advised 24-hour Holter monitoring. The nurse is explaining to the patient about the diagnostic significance of Holter monitoring. Which of the following cannot be determined by Holter monitoring?
  1. Detection of arrhythmia
  2. Correlation of symptom with arrhythmia
  3. Cause of excessive sleepiness during daytime
  4. Detection of myocardial ischemia
Explanation
Answer- C - Cause of excessive sleepiness during daytime cannot be determined by Holter monitoring. A sleep study would need to be completed to help determine the cause of excessive sleepiness during daytime.
Holter monitor can be used to determine:
•Detect intermittent arrhythmias
•Relate symptoms to dysrhythmias
•Detect myocardial ischemia
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