<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd">
<article article-type="abstract" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CC</journal-id>
<journal-id journal-id-type="nlm-ta">Cardiol Croat</journal-id>
<journal-title-group>
<journal-title>Cardiologia Croatica</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Cardiol. Croat.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1848-543X</issn>
<issn pub-type="epub">1848-5448</issn>
<publisher><publisher-name>Croatian Cardiac Society</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CC 2024 19_11-12_642</article-id>
<article-id pub-id-type="doi">10.15836/ccar2024.642</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Extended Abstract</subject></subj-group>
<subj-group subj-group-type="subheading"><subject>Arrhythmias</subject></subj-group>
</article-categories>
<title-group>
<article-title>Nursing analysis of holter ECG - a literature gap</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6809-3093</contrib-id><name><surname>Tuzla</surname><given-names>Monika</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1878-0880</contrib-id><name><surname>Benko</surname><given-names>Ivica</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7785-3488</contrib-id><name><surname>Peremin</surname><given-names>Marija</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2805-8242</contrib-id><name><surname>Glavak</surname><given-names>Tomislav</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib>
<aff id="aff1"><label>1</label><institution>Institute for Cardiovascular Prevention and Rehabilitation Sr&#x010D;ana</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff2"><label>2</label><institution>Dubrava University Hospital</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff3"><label>3</label><institution>University of Applied Health Sciences Zagreb</institution>, <country country="hr">Croatia</country></aff>
<aff id="aff4"><label>4</label><institution>Sinteza Clinic</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
<aff id="aff5"><label>5</label><institution>University Hospital Centre &#x201C;Sestre milosrdnice&#x201D;</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>*</label>ADDRESS FOR CORRESPONDENCE: Monika Tuzla, Poliklinika za prevenciju kardiovaskularnih bolesti i rehabilitaciju, Dra&#x0161;kovi&#x0107;eva 13, HR-10000, Croatia. / Phone: +385-1-4612-346 / E-mail: <email xlink:href="monikatuzla@gmail.com">monikatuzla@gmail.com</email></corresp></author-notes>
<pub-date date-type="pub" publication-format="electronic"><month>11</month><year>2024</year></pub-date>
<pub-date date-type="pub" publication-format="print"><month>11</month><year>2024</year></pub-date>
<volume>19</volume>
<issue>11-12</issue>
<fpage>642</fpage>
<lpage>642</lpage>
<history>
<date date-type="received"><day>13</day><month>10</month><year>2024</year></date>
<date><day>31</day><month>10</month><year>2024</year></date>
</history>
<permissions>
<copyright-statement>Croatian Cardiac Society</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Croatian Cardiac Society</copyright-holder>
</permissions>
<kwd-group kwd-group-type="author"><title>KEYWORDS: </title><kwd>holter ECG</kwd><kwd>nursing analysis</kwd><kwd>data analysis</kwd><kwd>patient care</kwd></kwd-group>
</article-meta>
</front>
<body>
<p>Over the past decade, the role of nurses in Holter ECG analysis has been under-explored in the scientific literature. While the nursing profession&#x2019;s responsibilities in Holter ECG monitoring, particularly in terms of patient care, electrode placement, and data collection, are well documented, there is limited research on their involvement in the technical analysis of Holter ECG data. Studies in this area mainly focus on the logistical and patient-care aspects of Holter monitoring. Nurses are instrumental in setting up the Holter device, ensuring accurate electrode placement, educating patients on maintaining diaries, and managing potential complications like skin irritation or electrode displacement during monitoring. (<xref ref-type="bibr" rid="r1"><italic>1</italic></xref>, <xref ref-type="bibr" rid="r2"><italic>2</italic></xref>) Additionally, they play a significant role in identifying arrhythmias by correlating patients&#x2019; symptoms with recorded cardiac events. (<xref ref-type="bibr" rid="r2"><italic>2</italic></xref>) However, despite their vital role in managing and conducting these tests, little literature delves into their involvement in interpreting the data itself. Despite the vast amount of research&#x2014;over 16000 papers published on Holter ECG between 2012 and 2021&#x2014;very few address the specific role of nurses in analyzing the data itself. Most of the focus has been on technical aspects, and less than 1% of the papers deal with topics like the nurse&#x2019;s involvement in the interpretation of Holter ECG readings. (<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>) This highlights a gap in the available research concerning the more analytical and diagnostic responsibilities nurses could potentially take on with proper training. Recent advancements in Holter ECG technology present opportunities for more comprehensive patient assessments. These developments could potentially expand the role of nurses beyond patient care to data analysis, given the growing complexity of Holter ECG outputs. (<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>) In conclusion, while the nursing role in Holter ECG setup and patient management is well defined, there is a notable gap in literature addressing their involvement in data interpretation. Despite the abundance of general Holter ECG research, less than 1% of these publications focus on nursing analysis. Future research could explore training opportunities for nurses to engage in the analytical side of Holter monitoring, enhancing interdisciplinary collaboration in cardiovascular diagnostics.</p>
</body>
<back>
<ref-list>
<title>LITERATURE</title>
<ref id="r1"><label>1</label><mixed-citation publication-type="web">Nurseslabs, 2024. Holter Monitoring: Nursing Responsibilities and Care Plan. Available at: <ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="https://nurseslabs.com/holter-monitoring-nursing-responsibilities">https://nurseslabs.com/holter-monitoring-nursing-responsibilities</ext-link> (Accessed 10 Oct 2024).</mixed-citation></ref>
<ref id="r2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duca</surname><given-names>&#x0218;T</given-names></name><name><surname>Tudorancea</surname><given-names>I</given-names></name><name><surname>Haba</surname><given-names>M&#x0218;C</given-names></name><name><surname>Costache</surname><given-names>AD</given-names></name><name><surname>&#x0218;erban</surname><given-names>IL</given-names></name><name><surname>Pav&#x0103;l</surname><given-names>DR</given-names></name><etal/></person-group> <article-title>Enhancing Comprehensive Assessments in Chronic Heart Failure Caused by Ischemic Heart Disease: The Diagnostic Utility of Holter ECG Parameters.</article-title> <source>Medicina (Kaunas)</source>. <year>2024</year> August 14;<volume>60</volume>(<issue>8</issue>):<fpage>1315</fpage>. <pub-id pub-id-type="doi">10.3390/medicina60081315</pub-id><pub-id pub-id-type="pmid">39202596</pub-id></mixed-citation></ref>
<ref id="r3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>YD</given-names></name><name><surname>Lin</surname><given-names>M</given-names></name><name><surname>Xu</surname><given-names>ZY</given-names></name><name><surname>Kang</surname><given-names>H</given-names></name><name><surname>Li</surname><given-names>ZT</given-names></name><name><surname>Luo</surname><given-names>ZZ</given-names></name><etal/></person-group> <article-title>Holter electrocardiogram research trends and hotspots: bibliometrics and visual analysis.</article-title> <source>Eur Rev Med Pharmacol Sci</source>. <year>2022</year> September;<volume>26</volume>(<issue>17</issue>):<fpage>6027</fpage>&#x2013;<lpage>39</lpage>. <pub-id pub-id-type="doi">10.26355/eurrev_202209_29617</pub-id><pub-id pub-id-type="pmid">36111902</pub-id></mixed-citation></ref>
</ref-list>
</back>
</article>
